Clik here to view.
Case Report: Pancreatitis Mimics STEMI
Many conditions outside of acute coronary syndrome (ACS) mimic ST-elevation myocardial infarction (STEMI), but only a handful of cases have reported ST-elevations (STE) in the setting of pancreatic...
View ArticleClik here to view.
More Hospitals are Closing
The wave of increasing hospital closures and service line cutbacks continues to sweep the U.S. A recent article documents 56 additional U.S. hospitals that are closing clinical departments or ending or...
View ArticleClik here to view.
Conversations on Burnout, Part Two
I’m (MK) joined by several experts, Dr. Daven Morrison (DM), Dr. Greg Couser (GC), and Dr. Andrew Brown (AB), all of whom are psychiatrists and published authors on burnout, to explore the crucial...
View ArticleArtificial Intelligence in the ED: Ethical Issues
Artificial intelligence (AI) may radically alter the provision of emergency medicine (EM) over the coming decades. Before it does, we must consider this game-changing technology’s effect on emergency...
View ArticleClik here to view.
The EM Residency Program in Corpus Christi Resuscitated
After six weeks of tense negotiations, a health system that planned to shutter its emergency medicine (EM) residency program came to an agreement with the local county hospital district to keep the...
View ArticleClik here to view.
Case Report: A Child with a Rash and Lead Poisoning History
A 3-year-old male was brought to the emergency department (ED) by his mother, who reported the sudden onset of a rash (hives) covering his entire body, with no rash on his palms and soles. No other...
View ArticleClik here to view.
More Hospitals Are Closing. Why?
The wave of increasing hospital closures and service line cutbacks continues to sweep the United States. A recent article documents 56 additional U.S. hospitals that are closing clinical departments or...
View ArticleClik here to view.
Case Report: Acute Urinary Retention and Fever in a Man
Case A 74-year-old man presents with five days of fever and urinary incontinence. He has a history of diabetes mellitus type 2. Vital signs are: blood pressure, 117/68; heart rate, 89; resting heart...
View ArticleClik here to view.
Case Report: Acute Urinary Retention in a Pregnant Woman
Case A 40-year-old female at 11 weeks, five days gestation presented to the emergency department (ED) with concern for lower abdominal pressure and inability to fully empty her bladder. She had urinary...
View ArticleClik here to view.
Medicare’s Reimbursement Updates for 2024
The Centers for Medicare and Medicaid Services (CMS) released the 2024 Medicare Physician Fee Schedule Final rule on November 2. The 2,414-page final rule is the document that informs what Medicare...
View ArticleClik here to view.
The No Surprises Act: How Did We Get Here?
The No Surprises Act (NSA) is the latest chapter in the ongoing struggle between insurance payers and physicians. But today’s challenges result from the compounding laws and regulations that have...
View ArticleAugmenting Medical Education with Virutal Reality
The use of virtual-reality (VR) technology in education is increasing in popularity with students and educators alike. Technological advancements have opened countless doors to innovative, active, and...
View ArticleClik here to view.
Case Report: A Sneaky Culprit for Altered Mental Status in Elderly Patients
A 95-year-old female with a history of stage III chronic kidney disease (CKD), heart failure with reduced ejection fraction (HFrEF), and dementia with baseline orientation only to person and place,...
View ArticleClik here to view.
Popular Antiobesity Medications Bring New Challenges to Emergency Physicians
On a busy emergency shift, you have a series of patients with atypical presentations. Your first patient, Patient A, is a 38-year-old female with a distant history of anorexia nervosa, presenting with...
View ArticleClik here to view.
Case Report: Cutaneous Leishmaniasis in Chicago
A 25-year-old Venezuelan male presented to a Chicago area emergency department (ED) in early November 2023. He had traveled with his family through Panama, Costa Rica, Nicaragua, Honduras, Guatemala,...
View ArticleClik here to view.
ACEP’s New Clinical Policy on Severe Agitation
On October 6, 2023, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the evaluation and management of adult out-of-hospital or emergency...
View ArticleClik here to view.
Using Transillumination to Diagnose a Foreign Body
Transilluminated foot. A 4-year-old female, who is otherwise healthy, presented to the emergency department (ED) for evaluation of left foot pain. Three days prior, the patient had been on a wooden...
View ArticleClik here to view.
10 Pitfalls of Salicylate Poisoning
Salicylates, principally acetylsalicylic acid (ASA or aspirin), remain a common cause of poisoning morbidity and mortality. In 2021 America’s Poison Centers recorded 18,309 cases mentioning ASA and it...
View ArticleClik here to view.
Emergency Medicine Shows Rebound in 2024 Residency Match
At ACEP’s Annual Meeting in Philadelphia last October, medical student Nsikak Daniel had no plans to participate in the 2024 Match. A resident of Nigeria who attended medical school in St. Lucia, she...
View ArticleA Conversation with ABEM President Dr. Ramon W. Johnson
I recently spoke with Ramon W. Johnson, MD, MBA, who is currently the president of the American Board of Emergency Medicine (ABEM). He joined me for our annual conversation between ACEP Now and ABEM to...
View Article