Managing a cardiac arrest is the paramount skill of an emergency medicine physician. The process is a furious loop of assessments, actions, and decisions. Choices are often made with minimal information to fall back on, and delays of mere seconds...
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The Knee Exam, Rebooted: What Every Clinician Should Know
Knee pain is one of the most common musculoskeletal complaints seen in primary care, emergency medicine, and outpatient clinics. Yet despite its prevalence, evaluating an injured knee can feel deceptively complex. Swelling can obscure findings, patient discomfort may limit your exam, and the sheer number of specialized maneuvers can leave even experienced clinicians...
2026: A Time for Reflection, and Resolutions
Nurse practitioners are a vital part of our healthcare system. We are compassionate and capable clinicians who help to improve access to care in almost every setting and specialty. Behind the essential role we play lies a growing reality that is raising concern in the healthcare community: the path to becoming an NP in the United States lacks consistent standards,...
Rethinking Cardiovascular Risk: Why the PREVENT Calculator Is Changing the Game
If you're a primary care clinician, chances are you order lipid panels more than any other lab. Atherosclerotic cardiovascular disease (ASCVD) remains the leading cause of death globally, and a staggering 80% of ASCVD-related events are preventable. Prevention is our domain, but how do we best estimate risk and guide shared decision-making?Enter the PREVENT calculator,...
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Short Bursts, Long Risks: A Clinician’s Guide to Steroid Side Effects
Short courses of oral steroids are part of our primary care toolkit, whether it's prednisone for COPD, asthma, back pain, or a rash that just won't quit. But even a quick burst can pack a punch. If your patient came back with high blood sugars or mood changes after a Medrol Dosepak, you’re not alone.
Ultrasound in Resuscitation: What Every EM Clinician Should Know
Bedside ultrasound has become a common tool in many EDs. Potentially one of the most important uses of ultrasound is during resuscitation. When a patient is crashing and every moment counts, having the ability to quickly assess the clinical situation and make critical decisions is paramount.
Six Small Skills for 2026: Simple Tweaks That Make Difficult Conversations Easier
If you’re walking into 2026 feeling a bit overstretched, over-messaged, and maybe even a little under-caffeinated, you’re in good company. Clinical work has never been more complicated. Information is noisier, time feels tighter, and tough conversations seem to show up in nearly every shift.
Tech in Medicine: So Your Workplace Has Been Hacked: EHR Downtime in Clinic
Last year, my healthcare system was struck by a cyberattack. Overnight, our electronic systems were down and we lost access to all of our usual digital tools—no electronic health record (EHR) access, no online prescribing, no ability to order lab tests or diagnostic imaging studies electronically. Meanwhile, our waiting room was full and our schedules were packed with...
Rethinking the Spinal Tap: The Paramedian Approach for Lumbar Puncture
It’s 2 a.m., and you’ve got a 28‑year‑old with signs of meningitis: fever, neck stiffness, altered mentation. You prep for the usual midline lumbar puncture, but the patient is obese, and you can’t clearly palpate the landmarks. The first stick goes bone‑deep, and there’s no CSF. Your frustration builds. The patient shifts; you adjust, but there is still no flow! What are...
Can AI Really Help Clinicians with Note-Writing? Let's Talk About It.
Imagine this: you’ve just finished seeing a full panel of patients, your inbox is overflowing, and you still have six notes to finish before you can even think about heading home. Sound familiar? Chances are you’ve daydreamed about a world where charting doesn’t steal your evenings or your sanity. Enter: AI note-writing assistants.
Warts: Debunking Myths and Clarifying Treatments
Warts aren't dangerous or life-threatening, but they can be incredibly frustrating for our patients. In primary and urgent care settings, clinicians frequently see patients who've tried every home remedy under the sun — from banana peels to apple cider vinegar — before coming in. Let's clear up the confusion and look at what really works.
Alpha-Gal Allergy Is on the Rise: A Practical Guide for Clinicians
It sounds like something out of a science fiction movie: a person gets bitten by a tick and then, months later, develops a mysterious allergy to red meat. Short of Peter Parker’s fateful spider bite and the superpowers it conferred on him, how can an insect bite — which may go completely unnoticed at the time — cause such a change in a person’s health? And how can...
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