Posts about Emergency Medicine
Working in the ER often feels like trying to perform surgery while riding on a rollercoaster. Between the chaos of nonstop patients and the art of keeping everyone (mostly) comfortable, every little hack counts.
It is tragic that in 2025, measles—a fully preventable disease—has caused two deaths (at the time of writing) and sickened hundreds across the United States. With outbreaks making headlines, patients are flooding our inboxes and exam rooms with urgent questions:
When Brit Long brought us another segment, "High Risk, Low Prevalence: Spontaneous Cervical Artery Dissection" in his High Risk/Low Prevalence series on ERcast, he dove deep into the world of spontaneous arterial dissections, particularly cervical artery dissections (SCAD). While the term “spontaneous” suggests these cases occur without a clear cause, studies show that up to 40% of SCAD cases follow minor trauma—and among the suspected...
Every hospital has one. Maybe it’s the cardiologist who's never “impressed” by the EKG. The urologist who insists that every stone should go home with a follow-up. Or that one hospitalist who never quite understands why social admissions exist.
January’s critical care topics go hand in hand, thinking about sepsis management and specifically septic shock with early initiation of vasopressors in the form of microdose pressors. In the segment “Upstairs Rumblings: What I Wish ER Docs Knew About Septic Shock,” Dr. David Page lays out a great argument for early treatment of possible septic shock with antibiotics, fluid, and pressors when needed. Before we go there, however, let’s take...
If you’ve ever worked an ED at 3 AM during a holiday weekend, you know what’s coming: a patient visiting from out of town presents with a radiology report that is positive for a DVT. With no hematology or cardiology consults available, no access to the patient’s records, and the clock ticking, you’re left to manage the situation.
When I joined a Family Medicine practice in July 2004, fresh out of PA school, I was fortunate enough to share an office space with Dr. Robert Wettach, a 76-year-old GP who had spent decades caring for patients in a small town in southeast Iowa. Semi-retired, he still saw patients a few days a week, but his real passion was storytelling.
Acute low back pain is one of the most common reasons patients present to the emergency department. Yet, when it comes to evidence-based management, our approaches often feel like “dealer’s choice.” We know NSAIDs are better than muscle relaxers and opioids, but what about topical options?
At Hippo Education, our mission has always been simple:
Empower the people of medicine to learn, grow, and thrive through education and community.
Smartwatches and other wearable fitness trackers are everywhere—and they’re doing way more than counting steps. These devices now track heart rate variability (HRV), flag irregular heart rhythms, and even record single-lead ECGs. Cool, right? But what happens when a patient walks in with their wrist buzzing and a bunch of data they want us to interpret? Let’s dive into the world of wearables and what they mean for us as healthcare...
Across a wide variety of practice environments, the concept of medically screening a patient who presents with suicidal ideation is often a source of friction between the emergency department and psychiatry. In theory, a medical screening exam would help the ED team identify acute medical conditions in patients with co-existing psychiatric pathology, but in reality, local guidelines and protocols can lead to extensive and often unnecessary...
Suicide ranks as the 11th leading cause of death in the United States, claiming 48,183 lives in 2021 alone—equivalent to one life lost every 11 minutes. For us, as clinicians, suicide prevention starts in our emergency department, where at-risk individuals often seek help in the days or weeks leading up to a suicide attempt. Unfortunately, in the ED, the opportunity to screen for suicide risk can be overlooked due to high patient values,...