November 5, 2018

Take a Closer Look

Studies have shown that the average ER physician is interrupted once every six minutes. In a 12-hour shift, that comes out to over 100 times! Learning to work under such circumstances is just an expected part of the job. One of the most frequent interrupters
October 3, 2018

What No One Tells You about Emergency Medicine

For those of you who keep up with the latest Emergency Medicine journals, New York Times’ Bestseller Lists, or GQ’s ‘Sexiest Man Alive’ editions, you already know that keeping up with the life and times of Sajid Khan can be a challenge. So it’s to
September 12, 2018

Time is Testicle

A 16-year old baseball player presents with left testicle pain. He was sliding into a base about 12 hours ago when the discomfort began, and it has intermittently continued throughout the night. He looks pretty uncomfortable: Here’s what UptoDate has to say about ‘acute scrotal
August 31, 2018

The Difference Between Wrong and Negligent

For some patients, no matter how much time you spend interviewing and examining them or how many tests you order, you will simply not reach a final diagnosis. It’s not the job of an emergency medicine provider to diagnose everyone, and it’s a fine line to
June 16, 2018

Sherlock Holmes and the Disappearing ET Tube

I work in a combination of private practice and academics. Each carries its own advantages and drawbacks, but it’s hard to argue with the joy that comes from teaching a new procedural skill to a welcoming student. As long as the person is open to learning, it
June 7, 2018

There’s no Reason not to….

A 35 year-old woman presented to the ED with complaints of right sided facial numbness, right arm weakness, and right leg weakness that began one hour prior to arrival. She had a headache that started 24 hours ago. She reports a past medical history of
May 24, 2018

No dilaudid? What a [pain] relief!

An amazing thing happened at work last week: the hospital ran out of Dilaudid. Add that to the fact that we were out of Morphine and Ketamine and our options for managing pain were dwindling. So much so that patients with legitimate sickle cell crises
April 12, 2018

Until Proven Otherwise

The Case A 30 year old woman gave birth to a baby after nearly 20 hours in labor. Three days later she started having fever, chills, and abdominal pain. At this point, there really isn’t any need to provide additional information as the ‘diagnosis until
March 29, 2018

Beware the Cloud

There are unwritten rules for every emergency department: Never use the ‘q’ word Never order Chinese food on a ‘slow’ shift Request off on the night of autumn’s Daylight Savings time to avoid working an extra hour While some may scoff, these rules have been passed
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