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Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine
Emergency medicine was approved as the 23rd medical specialty in 1979, shortly after a young Elsburgh Clarke, MD, discovered the burgeoning specialty.1 Just one year prior, Dr. Clarke had begun an...
View ArticleEmployment Contracts: It’s All in the Details
Effectively negotiating your employment contract may be as important as the actual choice of position itself. Although most emergency doctors focus primarily on money paid and hours worked, career...
View ArticleThe Business Aspects of Establishing a Novel Service Line in the Emergency...
Around the world, acute pain is the most common reason for patients to present to the emergency department (ED).1 Regional anesthesia services are typically provided by anesthesiologists; however,...
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AI May Allow Physicians To Regain Their Humanity
Emergency medicine (EM) is a team-based specialty, where a diverse group works together to rapidly deliver acute, unscheduled patient care. In contrast to traditional teams that have the luxury of time...
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EM Runs in the Family
If you ask Sullivan “Sully” Smith, MD, FACEP, he says his kids paid the price for his medical service to the community of Cookeville, Tennessee. As an emergency physician, Dr. Sully Smith missed...
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FACEPs in the Crowd: From Medicine to the Kitchen: Dr. Elie’s Journey of...
For Marie-Carmelle Elie, MD, FACEP, a trailblazing physician and academic leader, the journey to the kitchen took a little longer than the journey to the top of her field. Dr. Elie is the first Black...
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POCUS-Guided Management of Tension Hydrothorax Causing Cardiac Tamponade
A 47-year-old male with a medical history of hypertension, and, prior left upper lobe Pancoast tumor status, post video-assisted left upper lobectomy with chest wall and ribs 1-3 resection, presented...
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Another Failed Physician Mgmt. Company Leaves ED Staff Dangling
Late last year, the emergency department (ED) physician practice management company NES Health ceased operations, leaving hundreds of physicians and advanced practitioners at 35 hospitals nationwide...
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Compassionate Care for the Fasting Patient
Fasting during Ramadan—a time of profound spiritual journey for Muslims globally and a month dedicated to fasting, prayer, and deep introspection—involves abstaining from food, drink, medications, and...
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Waiting Room Medicine: The Ethical Conundrum
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”...
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How to Diagnose and Manage Hypertensive Disorders in Pregnancy
You’re working the night shift in a rural critical access hospital in the Midwest when a 36-year-old, 31-week primigravida patient with no known prior medical history presents with a mild headache....
View ArticleTexas Hospitals Now Must Ask About Immigration Status
On August 8, 2024, Greg Abbott, Governor of Texas, issued an executive order directing the Texas Health and Human Services Commission “to assess costs to the Texas public hospital system imposed by the...
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Match Results Amplify Enthusiasm for EM
A record number of medical students matched into emergency medicine, according to results released Friday, March 21, 2025, by the National Resident Matching Program. Jessic Hembree, DO, is headed to...
View ArticleThe Safety Net is Frayed … EM Under Fire: RAND Report 2025
Emergency physicians across the United States are facing increasing financial and operational pressures threatening their ability to provide lifesaving care, according to a new report authored by RAND...
View ArticleACEP4U: UAB Achieves First-Ever Emergency Department Accreditation from ACEP
When somebody is sick or injured in and around Birmingham, Alabama, several options exist for care. But only one has received ACEP’s Emergency Department Accreditation Program (EDAP) stamp of...
View ArticleOptimizing Pediatric Trauma Care: Evidence-Based Guidance for Emergency...
No scenario demands more rapid, high-stakes decision-making than pediatric trauma—the leading cause of death for children—where timely interventions significantly influence outcomes.1,2 Despite trauma...
View ArticleLiberate Methadone: An Introduction for the Emergency Medicine Physician
We are in the midst of the worst overdose crisis in American history, with greater than 100,000 deaths in the last year on record.1 Overdose is the leading cause of death among Americans 40-years-old...
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Rekindling the Fire in Emergency Medicine
On a recent shift, I cared for a stroke patient with a story that, on the surface, was one that we hear all too often in Emergency Medicine. “Mrs. A”, as we’ll call her, arrived hypertensive and...
View ArticleHealth Care in a New Administration
The first 90 days of the new administration have seen considerable activity surrounding health policy, both through direct policy actions and as downstream consequences of other policies. Several key...
View ArticleEvidence Mounts Backing Rescue Ketamine for Prehospital Status Epilepticus
For more than seven years, Palm Beach County Fire Rescue in Palm Beach County, Fla., has been following a protocol to administer ketamine for midazolam-resistant status epilepticus (SE). The protocol...
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