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Posts about Emergency Medicine
Tech in Medicine: Are Smartwatches Changing the Way We Practice?
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...
Necessary or Nonsense: Screening for the Suicidal Patient Pt. 2
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...
Necessary or Nonsense: Screening for the Suicidal Patient
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,...
Time Management Pearls for Clinicians: Optimizing Efficiency
As healthcare professionals, our days are filled with many tasks, such as patient encounters, documentation, and administrative work, not to mention keeping track of a household or family. Time management becomes crucial in ensuring that we provide quality care while maintaining our well-being. In this blog, we'll explore some valuable pearls for efficient clinical time management, and I’ll note some tips that have worked well for me.
Dive In: Deciding on Suture Material for Deep Layer Closures
Selecting the ideal suture material for deeper layers involves careful consideration since specific materials offer varying absorption rates, making them suitable for different wound depths. When speaking with Dr. Christina Shenvi on an episode of ERcast, Dr. Cohen recommended the following suture material options for closing the deeper layers of the skin (buried):
Introducing Practical Pharmacology: An Outpatient Audio Course
Nowhere is the gap between book learning and clinical practice quite so apparent as in the world of pharmacology. The best medication for Diagnosis X is Drug Y on the boards, but what about when your real-life patient is allergic to that medication? What if they can’t afford it? What if there’s a drug shortage?
Read moreHow to Repair a Facial Laceration Like a Plastic Surgeon
Emergency medicine often puts us face-to-face with lacerations requiring precision and care. Dr. Justin Cohen's visit to ERcast, alongside Dr. Christina Shenvi, illuminated the path to handling facial lacerations with the finesse of a plastic surgeon. Here are key takeaways to elevate your emergency room responses.
Beyond Delta-9: The Surge of Synthetic THC
In recent years, the landscape of cannabis accessibility has dramatically shifted, not just in conventional dispensaries but in everyday storefronts across the United States. This new wave of products, stemming from the 2018 Farm Bill's legal distinction between hemp and marijuana, has ushered in an era of synthetic cannabinoids like Delta-8 THC, Delta-10 THC, and THCA, which are finding their way into the hands of consumers and,...
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The Hidden Widowmaker
You've seen it countless times: a patient walks into the ED with chest pain, and the EKG isn't screaming STEMI. But in follow-up, they end up having a massive myocardial infarction. What is the hidden culprit lurking behind those non-alarming EKGs? Welcome to the Occlusive Myocardial Infarction (OMI) world, where traditional STEMI criteria fall short, and a new paradigm shifts our approach to acute cardiac ischemia.
