Posts filtered by tags: Emergency Medicine[x]


 

A physician’s New Year’s resolutions

2019 is here. I started my year by doing an urgent care shift on New Year’s day.  It was not quite as busy as I expected; most of the shifts I’ve done around the holidays were high-volume, with lots of flu, other respiratory infections, and lacerations sustained while cooking holiday meals.  New Year’s day was […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Primary Care, Physician, PA NP, CRNA


3 things this physician wished he could have done differently

“What took you so long? I’d have thought you would address this issue sooner.” I felt a like a scolded child sitting in the principal’s office. In fact, the small couch I was sitting on rested nearly a foot lower than the chair on which he perched. All the while, the exam table glared back […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


The lesson every medical student can learn from emergencies

ing my ER shift for the day, I waited for the shuttle at a busy intersection. Within a minute of drowning myself in music, I saw an obese man at the bus stop suddenly collapse to the ground. I removed my backpack and ran the fastest I have ever run in my life across the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Neurology, Emergency Medicine, Conditions, PA NP, CRNA


Non-therapeutic relationship or human kindness?

About two months ago, a 15-year-old Native American male was riding around in a stolen car on the reservation. “M” and the driver were drinking. And somehow, after he exited the vehicle at 4 a.m., the car struck him. Hours later, it became clear that something was wrong. M was transferred to our pediatric hospital […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Pediatrics, Physician, PA NP, CRNA


It is time for emergency medicine to expand its circles

May 2016, Kijabe, Kenya I arrived in casualty (the emergency department) to see a minimally responsive Kenyan boy with a body wasted from malnutrition. His mother stood at the bedside cradling his head, her eyes full of fear. His parents had traveled for days over rugged mountain roads in the rains to get to the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Kijabe Kenya, Physician, PA NP, CRNA


Average physicians are extraordinary

I am just another average physician. It wasn’t my first return from maternity leave, but this busy ED shift wasn’t going well. I kept putting off breast-pumping to complete “just one more thing.” Then my son’s school secretary called. I had told our nanny the wrong pick-up time. She wasn’t answering her phone. I was […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, Hospital-Based Medicine, CRNA


68 laws of the ER

1. Murphy’s Law as it applies to the ER: If something can go bad, it will do so in a hurry. If it can’t possibly go bad, it will still find a way. 2. Clock’s First Rule: All the patients will crash at the same time. Usually when the computer system goes down. 3. Clock’s […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Murphy, Physician, PA NP, CRNA


Just another day in the ER

An excerpt from Doctor Brooklyn: Love & Life at the End of a Knife. “Goddamn, you’re getting married? Are you outta your mind?” “I’m going to tell Goldie your advice on marriage. I predict you will spend the next twenty years sleeping on that very lumpy couch you own,” Zach said to Ike. “You are correct, so […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Brooklyn, Emergency Medicine, Ike, Zach, Physician, PA NP, CRNA


KevinMD’s 2018 top posts: Highlighting the voices of practicing clinicians

With over 22 million page views for the year, thank you for making 2018 such a success. KevinMD continues to be the web’s leading platform that highlights the voice of the many who intersect with our health care system, but are rarely heard elsewhere: physicians, advanced practitioners, nurses, medical students, and patients who can share […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Emergency Medicine, PA NP, Hospital-Based Medicine, CRNA, KevinMD


A patient sues when a DNR is ignored

A New Mexico woman, suffering from Dercum’s disease (adiposis dolorosa) which causes painful fatty tumors, is suing a Santa Fe hospital and an emergency physician claiming she was the victim of two negligent acts in 2016. One, according to the Albuquerque Journal, she told hospital personnel she was allergic to Dilaudid but went into cardiac arrest […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, New Mexico, Santa Fe, Emergency Medicine, Albuquerque Journal, Physician, Cardiology, PA NP, Malpractice, CRNA, Dercum


AEDs save lives: Why more people should know how to use them

Did you know that over 300,000 people a year visit a doctor for symptoms of anaphylaxis — yet, thankfully, between 1999-2010 only 2,458 died from anaphylaxis? Compare that with the fact that each year anywhere between 180,000 to 450,000 people in the United States die from sudden cardiac arrest (SCA). While both anaphylaxis and SCA […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, United States, Emergency Medicine, SCA, Conditions, Cardiology, PA NP, CRNA


AEDs save lies: Why more people should know how to use them

Did you know that over 300,000 people a year visit a doctor for symptoms of anaphylaxis — yet, thankfully, between 1999-2010 only 2,458 died from anaphylaxis? Compare that with the fact that each year anywhere between 180,000 to 450,000 people in the United States die from sudden cardiac arrest (SCA). While both anaphylaxis and SCA […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, United States, Emergency Medicine, SCA, Conditions, Cardiology, PA NP, CRNA


Are scribes the solution to our documentation woes?

In response to the increasing burdens of administrative work and cumbersome charting levied upon healthcare providers in recent years, medical scribes have been touted as a potential solution for streamlining the documentation process.  Interest in the use of scribes has certainly been increasing, with the American College of Medical Scribe Specialists estimating that the number […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Emergency Medicine, Health IT, Physician, PA NP, CRNA, American College of Medical


What my dog taught me about my patients’ feelings

My puppy looked sick. Not just any sick but “get an attending, two large bore IVs, start fluids, get her on a monitor, move her to the resuscitation bay” sick. And I was scared. “You have to take her to the vet!” I pleaded with my husband as I sprinted down the street to get […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, Cardiology, PA NP, CRNA


Emergency physicians: You rock!

I am a critical care physician and spend a good amount of time in the emergency room seeing consults. As an internal medicine resident, we were often in the ER, admitting new patients. In my three years of residency, we spent only two to four weeks working in the emergency room. It was the one […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


Money will be lost in health care. This is true no matter how we describe it.

Does anyone in medicine, particularly emergency medicine, understand why we lose money? Why we have to push those metrics so hard to capture every dime? I mean, we’re constantly reminded that satisfaction scores, and time-stamps and time to door, time to needle, time to discharge, reduced “left without being seen” scores are connected to the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, Emergency Medicine, PA NP, CRNA


How to reduce burnout in emergency medicine

This article is sponsored by Careers by KevinMD.com. As rewarding as working in emergency medicine can be, it also comes with some significant potential downsides. According to some recent studies, stress and burnout rates in the emergency room are some of the worst in the medical field. But don’t let that dampen your enthusiasm. Managing […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


Make peace with stress in the ER

This article is sponsored by Careers by KevinMD.com. Working in the emergency department or emergency room is not for healthcare practitioners who want to just chill. Although television’s portrayal of the ER on dramas like “ER” or “Chicago Med” is admittedly high on drama, life and work in the ER really are high pressure. In […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


A prayer from an emergency physician

Dear Lord Jesus, I just finished my shift in the ER. Of course, you knew that.  But I was thinking about how often I’m ungrateful and irritable.  I know that I complain about rules and regulations, about time-stamps and metrics and satisfaction scores and all the rest.  I know I’m that guy.  I get annoyed […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Jesus, Patient, Emergency Medicine, PA NP, CRNA


The risks of co-signing PA and NP charts

We all know that there’s a remarkable shortage of physicians in America and that it’s growing worse.  This is especially true in primary care but it’s present across all specialties.  This shortage alone is a significant stress on practicing physicians.  But when it is coupled with corporatization, the increasing complexity of medical care, unrelenting electronic charting requirements and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn mor...
Tags: Health, America, Emergency Medicine, NP, Physician, PA NP, CRNA


What administrators don’t understand about urgent care centers

Several years ago, a group of us concerned about health care costs and outcomes met with some local HR benefit managers. One was the head HR person of a city. In part of the conversation, she raved about a local chain of urgent care centers. She loved the fact that she could go to one […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, Emergency Medicine, Primary Care, PA NP, CRNA


Make your 15 minutes with a patient memorable

Compassion. Empathy. These are some of the words commonly thrown around in medical school and residency training. If you ask most medical students why they chose medicine, they will respond with something like this: “ I love to help people,” or “I want to save a life.” I remembered when I entered medical school, one […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Primary Care, Physician, PA NP, CRNA


Inaugural Lao Conference of Emergency Medicine

I had the honor of key noting the 1st Annual Lao Conference of Emergency Medicine. Health Frontiers sponsors an Emergency Medicine Residency.
Tags: Travel, Emergency Medicine


Explain hemoglobin A1c in 2 minutes

It was a slow day in the emergency department. I was sitting across the bedside from my patient who came in for a left forearm infection checkup. She was a 73-year-old female with a history of diabetes. She was elegant and soft-spoken. Prior to examining her wound, which had been worsening, I asked her what […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Diabetes, Endocrinology, Emergency Medicine, Conditions, PA NP, CRNA


Expanding the scope of emergency medicine

Yes, this is a piece on observation medicine as the expansion of our specialty.  My oh my, have things changes since my days of training where I learned to care for all comers irrespective of their money, background, color or creed.  I learned to stabilize, evaluate and treat then admit or discharge.  Clearly, I’m simplifying though, historically, our disposition decision was binary, patient in or out. Then overtime as I practiced emergency medicine (EM) and grew in my career, I became exposed t...
Tags: Health, Emergency Medicine, Physician


How do I keep my kids out of the ER this Halloween? 

I have worked most of the last 20 Halloweens in the pediatric emergency department (ED), so I’ve seen how a split second can ruin your child’s holiday.  Here are some things you can do to plan ahead and avoid the ED. 1. Avoid trip hazards It’s a recipe for mishap. Your child is in a costume that may have long hems or unusual shoes or a mask limiting their normal vision. A crack in the sidewalk and a running child usually results in a face plant on the concrete, a split lip, bleeding all over the...
Tags: Health, Boston, Emergency Medicine, Pediatrics, Physician, Irene Tien


It’s better to not go into medicine than try to get out of it

“Passion isn’t a path in the woods. It is the woods.” -Tom Robbins, “Half Asleep in Frog Pajamas” I’ve met plenty of accidental physicians. These have been photographers, travel writers, artists, outdoor guides and chefs who awoke one day to find themselves doctoring. Their passions didn’t die — they were just delayed by lifestyle choices. By the time they recognized a need to follow their passion, they were at least partially through residency and carried the twin burdens of medical school debt...
Tags: Health, Emergency Medicine, Medical School, Physician, Tom Robbins Half Asleep


The phone calls physicians make in the middle of the night

I don’t miss making the phone calls in the middle of the night. “Hi, this is Dr. Yang calling from the psychiatric emergency service. May I speak to Mr. or Mrs. Doe?” “Yeah, this is Mr. Doe,” he’d reply, his voice thick and slow with sleep. “I’m sorry to call so late. Your son is here at the hospital.” Take a breath and slow down for the next part. “He’s alive and doing OK at this moment” — I quickly learned that it is important to say these words at the start of the call — “but I hope to get so...
Tags: Health, Psychiatry, DOE, Emergency Medicine, Yang, Physician


First trauma in the ER

I spent the summer between the first and second years of medical school in the emergency department at Cincinnati’s major trauma hospital. More specifically, I spent summer nights there, studying the effects of interpersonal violence. Cincinnati is both a friendly city and a violent city. People say “Hello” when you pass in a corridor. At first, coming from Boston, this mid-West style of friendliness took me aback. At the same time, the Brady Campaign gives Ohio and Kentucky (which is just acros...
Tags: Health, Kentucky, Boston, Iraq, Afghanistan, Ohio, Emergency Medicine, Cincinnati, Conditions, Brady Campaign


Why it’s important to give your children the talk about marriage

School is back in full swing.  The kids are packed up, scheduled and loaded with notebooks, pens, pencils, computers, and calculators.  Long lines form outside school drop-off areas.  Tired, pajama-clad parents drop off bleary-eyed children, accustomed to sleeping and playing all day, now headed off to fill their little brains with knowledge. Of course, it isn’t just the little ones.  All of our children were home over the Summer.  Now our daughter is a high school senior, two sons are in colleg...
Tags: Health, Cook, Emergency Medicine, Physician, SC Fire Academy