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Waiting Room Medicine: The Ethical Conundrum

ACEP Now

As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available. J Emerg Med.

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SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage

The Skeptics' Guide to EM

He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 65-year-old man is brought into the emergency department (ED) by emergency medical services (EMS) after his family saw him slump over at the dinner table.

Stroke 89
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2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

ACEP Now

How does that apply to the role of the board certified emergency physician? Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. When those same fundamentals done right achieve great success, they aren’t little at all.

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

In 2004, the UK introduced the acellular pertussis (aP) vaccine, replacing the whole-cell pertussis (wP) vaccine due to its association with fewer adverse events. Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases.

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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

1) However, it wasn’t until the 1890s that purposeful, successful, and safe attempts to access this fluid were documented (2). The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). WHO - Who Needs an LP in the ED? Tunkel, A. Hartman, B. Kaplan, S.

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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. As a community “pit doctor,” I believe I have a good understanding of the needs of emergency physicians. We must have a community of like-minded individuals working towards shared goals.

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Intubation

PHEM Cast

Guidance documents College of Paramedics Statement on Intubation, available here. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. 2004 Aug;99(2):607-13, Hasegawa K et al. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 Tracheal intubation. Anesth Analg.