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Tips for Mastering the Crucial Skill of Rapid Code Status Conversations
Shutterstock.com As emergency physicians, we are trained in the core procedures surrounding critical illness and resuscitation, such as endotracheal intubations, central venous catheter placement and...
View ArticleWe Dissent!
The Oxford English Dictionary defines dissent as, “the expression or holding of opinions at variance with those previously, commonly, or officially held.” Emergency medicine, perhaps more than any...
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Recognizing Human Trafficking Victims as Patients in the Emergency Dept.
Sex trafficking—as defined by the Trafficking Victims Protection Act of 2000—is the “recruiting, harboring, transporting, providing, obtaining, patronizing, or soliciting of an individual through the...
View ArticlePtosis and Subarachnoid Hemorrhage: Opening an Eye to Intracranial Hemorrhage
History of Present Illness A 67-year-old female presented to a community emergency department with headache and left-sided ptosis. Her headache started two weeks ago and was gradual in onset. She...
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ACEP Members Find Wellness in the Wilderness
Down south in Gainesville, Florida, emergency physicians Giuliano De Portu, MD, FACEP, and Henry Young II, MD, are surrounded by rivers, lakes, and swamps that are inhabited by local and migratory...
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The Importance of System-Level Wellness
One of the most important lessons learned during the COVID-19 pandemic is the critical nature of strong, well-established organizational systems that provide academic, emotional, spiritual,...
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How to Approach Psych Patients Who Refuse Treatment in the Emergency Department
Case Presentation A 28-year-old man is brought to the emergency department (ED) by his partner. He regularly drinks alcohol and has a history of depression but stopped taking his medications a month...
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MIPS 2023: Prepare Now to Avoid Financial Penalties
The Medicare Access and CHIP Reauthorization Act (MACRA), passed in 2015, was a transformational law. It eliminated the flawed sustainable growth rate formula (SGR) that was used to set Medicare...
View Article“Emergency!” A TV Series That Transformed Pre-Hospital Care, Turns 50
This year marks half a century since the 1972 debut of the television series “Emergency!” In that time, pre-hospital care has become exponentially more effective at saving lives, in part, due to the...
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Case Report: Unintentional Ingestion of Isobutyl Nitrite Causes Nearly Fatal...
Introduction Isobutyl nitrite, commonly known as “poppers,” is inhaled recreationally to elicit euphoria and sexual arousal. It is readily available in adult novelty shops, in video stores, and online....
View ArticleReflections from the ACEP 2022 Leadership & Advocacy Conference
The annual ACEP Leadership & Advocacy Conference (LAC) was held May 1–3 in Washington, DC. Despite the COVID-19 pandemic still lingering in our lives, more than 300 ACEP members from 42 states came...
View ArticleAddressing Social Needs In and Out of the Emergency Department
The emergency department (ED) has long been described as the, “safety net of the safety net,” providing care to anyone, for anything at any time, including the most vulnerable of populations. Emergency...
View ArticleTips for Managing Acute Agitation in the Elderly
Problem SolvERs is the inaugural column by ACEP Now Associate Editor Dr. Catherine Marco, answering clinical questions while working at the patient’s bedside. A 91-year-old man is brought to the...
View ArticleHow One U.S. EP Connects with Her Profession and Birthplace in Ethiopia
This month, we explore the type of health care system experienced by much of the developing world. Termed the “voluntary system,” other than for some basic primary care, many countries that function...
View ArticleResidency Spotlight: the University of Alabama at Birmingham Emergency...
University of Alabama at Birmingham (UAB) Emergency Medicine Residency Program Twitter: @UABEmergencyMed Instagram: @uabem Location: Birmingham, Alabama Year founded: 2001 Number of residents: 12 per...
View ArticleIt’s OK to Order Angiography Tests for Strangulation Victims
A problematic manuscript regarding the “work-up” of strangled patients, authored by Zuberi et al. and published in 2019 by the journal Emergency Radiology, has recently come to our attention.1 This...
View ArticleManaging Pediatric Seizure and Status Epilepticus in the ED
While many of the causes and types of seizures in children are similar to adults, some differences exist in etiologies, manifestations, and responses to antiepileptics. Many of these differences are...
View ArticleACEP4U: Protecting Emergency Physicians in a Shifting Work Environment
Consolidation and corporate investment in medicine are rapidly changing the health care landscape. The past two years of the pandemic have put an increased spotlight on the outsized impact of...
View ArticleIntensifying Heat Waves Are Causing Mass Casualty Events
During last summer’s unprecedented heat wave in the Pacific Northwest—when temperatures soared more than 30 degrees Fahrenheit above average—the region lost a staggering number of lives to the...
View ArticleKilling Me Softly … with Normal Saline?
The topic of normal saline vs. lactated ringers can spark fierce debate, but are we asking ourselves the wrong question? An Age-Old Debate Few topics in the world of resuscitation and critical care...
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