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Ethical Issues in Interhospital Transfers of Emergency Department Patients
Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. ED crowding impairs this mission. Consequences...
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Young ACEP Member Is Passionate About Breaking Down Barriers to Care
Owais Durrani, DO, a first-generation American whose parents immigrated from Pakistan, has experienced barriers to health care firsthand. His family didn’t have health insurance when he was growing up,...
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...
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Emergency Medicine Shows Rebound in 2024 Residency Match
After a surprisingly low number of applicants and a shockingly high unfilled rate last year, emergency medicine (EM) appears to be leveling off as it regains its status as one of the medical...
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How Not To Miss Posterior Circulation Stroke
Posterior circulation strokes make up 20 percent of all strokes but account for 40 percent of stroke misdiagnoses.1 Vertigo and dizziness are often the hallmarks, but distinguishing a central (brain)...
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The Science on Targeted Temperature Management
Post-arrest patients with more significant reperfusion injury (for example, Pittsburgh Cardiac Arrest Category (PCAC) greater than or equal to 3, revised post-Cardiac Arrest Syndrome for Therapeutic...
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When Can You Discharge Traumatic Intracranial Hemorrhage from the Emergency...
A 39-year-old male presents to your emergency department (ED) with complaints of a headache after a roll-over motor vehicle accident. He was a restrained driver traveling 65 miles per hour on the...
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New Quality Measure Improves Screening for Abdominal Aortic Aneurysm
An abdominal aortic aneurysm (AAA) develops with age, occurring primarily in those older than 55 years. Risk factors include smoking, hypertension, male sex, atherosclerotic disease, and family history...
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Recognition and Treatment of Thrombotic Thrombocytopenic Purpura
A 33-year-old woman presents with confusion, abdominal pain, and fever. Her vital signs are: Blood pressure of 118 over 93 Heart rate of 120 Respiratory rate of 18 She has a history of lupus. CBC shows...
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Is It Time to Unionize?
Emergency physicians have the lowest rate of practice ownership among specialties, per the American Medical Association 2020 Physician Practice Benchmark Survey. Only 27.9 percent of emergency...
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Hypertensive Patient Discharge and Management
Treating elevated blood pressure (BP) in patients being discharged from the emergency department (ED) is often a challenge for emergency physicians (EPs). Often, EPs refrain from prescribing...
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Why Is This Foley Bag Purple?
A 79-year-old male with a past medical history of paroxysmal atrial fibrillation and insulin-dependent diabetes presented to the emergency department with generalized weakness. He was found to be...
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Emergency Medicine and EMS Have Grown in Parallel Tracks for 50 Years
Jon Krohmer, MD, FACEP, who says he has “the EMS blood type,” practically had a front row seat to the growth of EMS care starting as a volunteer EMT more than 50 years ago. “The evolution of EMS really...
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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits
A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their...
View ArticleDiagnosing Lower Urinary Tract Infections
Few shifts go by without ordering at least one urinalysis. While they are ubiquitously used, urine testing is often unneeded and frequently misleading. How often do you feel frustrated about a urine...
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Updates in the Management of Severe Sepsis and Septic Shock
Sepsis is a life-threatening organ dysfunction secondary to a dysregulated host response to an infection; an estimated 48.9 million cases are recorded, and 11.0 million sepsis-related deaths were...
View ArticleEmergency Physician Empowers Children to Read
Nick Vasquez, MD, FACEP, gets to see the impact of social determinants of health every day in the emergency department. Like most in our specialty, he wants to help solve problems. He’s spent 12 years...
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Evaluating Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is a chronic disease of the lungs caused by inflammatory and structural changes of the small airways and parenchyma of the lungs that result in chronic...
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A Train-the-Trainer Model Implements Traumatic Brain Injury Protocol in Vietnam
In the bustling streets of Vietnam, motorcycles remain the predominant mode of transportation. Navigating through Hanoi’s vibrant traffic, unhelmeted riders and close call accidents are all too...
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This Emergency Physician Leads Next Generation Through Service
Physician leadership is a priority for ACEP President Aisha T. Terry, MD, MPH, FACEP. She’s approaching the issue from all sides. As she builds a programmatic approach within ACEP to identify and...
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