Posts filtered by tags: Emergency Medicine[x]
April 15, 2019 at 7:00 AM “Triage” is French for “to sort.” It developed as a concept on the battlefield as a way to address injured soldiers and ensure that care was provided to those most in need. In the emergency department, triage is usually the responsibility of a trained, experienced nurse. Patients present to the emergency department, the nurse obtains […]
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April 12, 2019 at 7:00 AM Can someone please tell me the exact moment when fleece pajama bottoms became the fashion sensibility of America? I can’t pinpoint the moment exactly, but several years ago I began to notice that many of our ER patients were presenting for treatment wearing nice fluffy fleece bottoms. Men. Women. Old. Young. These fleece bottoms seemed […]
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April 11, 2019 at 3:00 PM One day while on shift in the emergency department, I looked out into the waiting room at the dozens of people waiting to be seen. Many had been waiting for hours. Some looked bored. Others appeared agitated by the long wait time. One thing that nearly all of them had in common, though, was the […]
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April 9, 2019 at 7:00 AM I am an obstetrician-gynecologist, and my favorite show is Grey’s Anatomy. I dare say I have not missed an episode since I started watching in 2006 (as a busy obstetrician, multiple shows are watched on DVR). I fell in love with the show when, at random, I ended up watching the final episode of the […]
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April 9, 2019 at 7:00 PM Like many pediatric intensivists, I care from time to time for victims of child abuse in the form of what is often called “shaken baby syndrome.” This syndrome is a characteristic constellation of finds that happen when a strong person grasps a child around the chest and aggressively shakes the infant. It was first described […]
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April 6, 2019 at 7:00 PM This notice appeared on a general surgery news website in early February. I don’t know who has been long anticipating this, but I’m pretty sure it’s not people on medical Twitter. My informal, nonscientific Twitter poll garnered 707 votes with 87 percent of those responding saying they would not allow their residents to participate in a reality […]
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April 4, 2019 at 7:00 PM I became a nurse at the age of 23. I was pregnant with my first son and dove into nursing headfirst, accepting a job in the pediatric ICU of the hospital where I worked. I still remember the call when I received the job offer. I hung up and jumped up and down, screaming in […]
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April 3, 2019 at 11:00 AM A young male patient checks into the emergency department (ED) and is brought back to a room for an ankle injury he suffered the day before. He states that he twisted it while doing some indoor rock climbing and tells the triage nurse that it is swollen and tender, but that he can walk on […]
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April 2, 2019 at 7:00 PM The heavy young man curled on his left side is in the ER for a pain in his backside. The sweaty blue dragon on his chest smells like fear. “It’s an abscess. I’ll have to open it. It’s gonna hurt.” “Can you put me to sleep? I hate pain.” I can. Should I? Remember Michael […]
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April 2, 2019 at 9:00 AM I was working a few days ago and pulled a tooth. Mind you, it’s not something I do with any regularity. However, it was a very sweet little lady who was too weak and ill to get to the dentist and had other issues. That lower incisor was loose, and constantly in the way. Furthermore, […]
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April 1, 2019 at 9:00 AM Matt was 40, my sister’s age. He was training for a marathon and trying to talk his many friends into joining. He lay in bed with his three-year-old son every night to help him fall asleep. It’s hard to sleep train a toddler with a newborn to nurture at the same time, but he loved […]
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March 29, 2019 at 9:00 AM While winter is traditionally the busiest time of year for pediatricians, this winter has been particularly difficult in the Midwest with not only a larger number of ill visits, but a late and heavy flu epidemic hitting at a point where most of us were already wearing out. With this flu epidemic, our urgent cares, […]
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March 26, 2019 at 7:00 PM Last week I took the naloxone challenge. I walked up to a pharmacy window, waited in line, and requested naloxone from the pharmacist. She showed a supportive but knowing look, and I became acutely aware of the four people in line behind me. After giving her my name and date of birth, she was able […]
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March 24, 2019 at 7:00 AM This is what life versus death looks like. This is what medicine verses mortality looks like. This is what science verses humanity looks like. After a thoracotomy, a fellow ER doctor Dr. Mitch Li snapped this picture of the spilled blood and Propofol on the trauma bay floor. Blood courses through every one of our veins to sustain life. Propofol courses through […]
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March 22, 2019 at 9:00 AM A man in his fifties is wheeled into the emergency department on a gurney hoping he’ll still be around to cheer from the sidelines at his daughter’s next soccer game. A little girl on the pediatric floor upstairs simply hopes her tummy stops hurting. A woman in the clinic explains her puzzling symptoms and hopes […]
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March 20, 2019 at 1:00 PM I started my medical career late. Really late. By that time, I’d lived a few lives. I’d earned a boatload of initials. I’d changed husbands, languages, and continents. I’d written a useless novel, and I’d been a Mary Kay lady. One day over lunch as I was looking for something to do with myself, my […]
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March 19, 2019 at 7:00 PM Though many are not thrilled about the April 15th deadline, death is an even more inevitable part of life than taxes. Sometimes we try to lessen the impact of death through our words: bit the dust, bought the farm, kicked the bucket, flat-lined, passed on, checked out, gave up the ghost, met his maker, paid […]
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March 19, 2019 at 9:00 AM “Guys, are you alright in there?” I ask casually while taking the first bite of my dinner on a 24-hour PICU shift. No answer. “What is going on? Why is she beeping so much? Is her tube blocked?” My voice gets louder. Complete human silence. Except for the deafening hypoxia monitor going to 30s. Heart […]
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March 13, 2019 at 11:00 AM I’m an ER doc. I care for patients. All patients: Those who need to be in the ER; those who don’t; those who wouldn’t be there if they knew better. For them, for you and for fun, I’ve got some tips to keep you happy, safe and away from my ER. Enjoy. 1. Never, ever […]
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March 13, 2019 at 7:00 AM If you’re in the emergency department, it’s probably the worst day of your life. You’re scared, confused, anxious, sad, maybe emotionally numb. You were at home with your husband and witnessed him have a cardiac arrest. He was unresponsive, and he wasn’t breathing. You felt hopeless because you didn’t know how to help him, but […]
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March 6, 2019 at 7:00 AM The new Holy Grail of business, Customer Satisfaction — CSAT to her close friends — is a measure of how products and services supplied by a company meet customer expectations. In a marketplace where businesses compete for customers, CSAT is a key element of strategy. Why? Money. Satisfied customers buy. They come back and buy […]
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March 6, 2019 at 7:00 PM “Grandma fell and we’re in the emergency room. She’s very distressed and does not look good. I’m going to put the doctor on the phone.” I could hear my mother’s voice strain on the other end of the phone line as I braced myself for my conversation with the emergency department physician. The emergency physician […]
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March 3, 2019 at 11:00 AM When I was a third-year medical student in 2006, I was assigned to spend the day at a well-known women’s health clinic in Toronto. I walked into the procedure room and introduced myself to the attending. His first words to me were: “Are you married?” I replied that I wasn’t married, and he (while continuing […]
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February 20, 2019 at 3:00 PM Every time I call a friend, all I have for them is more work. I’ve never yet called to say: “I hope you’re having a great day. Why don’t you take a break and have some fun? You’ve worked enough.” Nope. I only call to give them extra work. Whether it’s 2 a.m. or 2 […]
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February 19, 2019 at 3:00 PM My friends and family used to say that I was born 30 years old. I get it. From the time I was young, I was controlled, risk-averse, studious, and polite. In addition to the fact that I was naturally reserved, I learned over time to do my best not to make anyone uncomfortable. I frequently […]
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February 15, 2019 at 7:00 AM In broken English, against the backdrop of the emergency department’s chaos and clatter, Mr. Simon relayed his story: unintentional weight loss, gradually yellowing skin, weeks of constipation. He punctuated his list of devastating symptoms with laughter — exaggerated but genuine guffaws. Over the next few days, as the medical student responsible for his care, I […]
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February 15, 2019 at 7:00 PM When a baby arrives dead in your emergency department … … the world stops. You stop breathing. You are gasping for air. She is limp; she is cool; she is pulseless. Chest compressions on the tiniest six month old I have ever met are done with the finger pads of my index finger and middle finger. Quick, […]
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February 9, 2019 at 11:00 AM Whether you recently completed your residency as an emergency medicine (EM) physician or are ready to move on from your current position, potential locations for work are undoubtedly a big factor in determining which emergency physician jobs you’re willing to consider. If you have children, location is especially important, because you want to be confident they can […]
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February 4, 2019 at 7:00 PM Chances are that if you have kids, you’ve had at least one unplanned visit to the hospital. Taking care of children in the emergency department (ED) is a special challenge for many reasons including the fact that the child’s parents don’t choose to see me specifically, they are usually meeting me for the first time, […]
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January 30, 2019 at 1:00 PM If you think that you might have the flu, don’t head to the emergency room at the first sign of fever. Emergency departments were created to handle emergencies – heart attacks, strokes, severe trauma, and other life-threatening emergencies. No matter how awful it feels, the flu typically doesn’t fall into this category – unless you […]
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