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Two Fevers, One Out-of-Date Protocol 27 Aug 2013 | 03:14 am
It’s night shift and the patient flow has been steady. You sneak off to the lounge to grab a quick bite to eat and when you come back, you have not one, but two 6-week-olds with a chief complaint of...
Head trauma workup 26 Aug 2013 | 12:11 pm
Patient’s chief complaint: "I was slapped on the back of my head with a file folder by a co-worker. I have a headache and I want a CT scan to make sure there’s nothing wrong on the inside. In oth...
Films & Scans: Look Again 22 Aug 2013 | 04:21 pm
A 47-year-old male presents to your emergency room following a motor vehicle accident. The second year resident gathers in the history that he was a restrained front-seat passenger in a car that was t...
Look Again 22 Aug 2013 | 04:12 pm
A 47-year-old male presents to your emergency room following a motor vehicle accident. The second year resident gathers in the history that he was a restrained front-seat passenger in a car that was t...
The Right Job at the Wrong Time 21 Aug 2013 | 06:29 pm
Dear Director, I was just asked to take over as medical director of another ED in our hospital’s system. While I want to be a chairman one day, my kids are young and the timing just doesn’t seem ...
Healthcare Update Satellite -- 8-21-2013 21 Aug 2013 | 05:00 pm
Look for more updates on my other blog at DrWhitecoat.com Judge orders Colorado family to pay $340,000 in legal fees after losing the medical malpractice suit it brought against a hospital. The famil...
Emergency Physicians Emerge as Healthcare’s Management Specialists 20 Aug 2013 | 07:42 pm
We have always been clinicians, but modern emergency physicians have also become the most skilled managers in the healthcare system. It’s time we capitalize on those talents and proactively learn fr...
Proper Workup in Young Hypertensive Tachycardia Patient 16 Aug 2013 | 04:36 pm
There were a couple of comments to the last post on Semantics that made me question whether or not it was proper to do a large workup on a young patient with tachycardia. So I decided to create a pol...
tPA Survey Results 14 Aug 2013 | 11:24 pm
This month EPM asked 17,003 emergency physicians how they felt about tPA and stroke. 1,333 physicians (7.8%) responded. Here’s what you told us:
ACEP's tPA Policy Needs Revision 13 Aug 2013 | 03:31 pm
The jury is still out among EPs as to whether tPA helps more than it hurts, yet ACEP has forged ahead with clinical guidelines which seem to ignore controversial findings.Â