In the era of Press Ganey, patient-oriented outcomes, hospital reimbursement, and physician compensation are all tied to patient satisfaction. Improving patient satisfaction is now a multi-billion dollar industry and encroaches on every aspect of healthcare, including residency training. How do doctors at the beginning of their careers affect patient satisfaction and impact Press Ganey Scores? This post reviews two studies shedding light on this issue.
Read moreSubmitted by Joseph Cesarine, MD
Procainamide vs Amiodarone: The Evidence Behind Treating Stable, Monomorphic Ventricular Tachycardia
When treating acute, wide-complex tachycardia deemed to be stable, monomorphic ventricular tachycardia, two agents remain prevalent among emergency medicine physicians: amiodarone and procainamide. This post examines some of the evidence behind these agents in achieving successful conversion of stable, monomoprhic VT.
Read moreSubmitted by Joseph Cesarine, MD
High-yield review of recent literature in Emergency Medicine: Kupas F et al. "Glasgow Coma Scale Motor Component ("Patient Does Not Follow Commands") Performs Similiarly to Total Glasgow Coma Scale in Predicting Severe Injury in Trauma Patients." Annals of Emergency Medicine. December 2016.
Read moreSubmitted by Joseph Cesarine, MD
Case: A 68 year old woman presents to the ED with fever, hypotension, and AMS. She has a PICC in place. Your overzealous intern places a central line, and he swears the stick was venous. You obtain and CXR to confirm line placement. Where does the line terminate?
Read moreSubmitted by Sarab Sodhi, MD
The acute medical management of an upper GI bleed from peptic ulcer bleeding includes both hallmark and emerging medical therapies with which any Emergency Physician should be intimately familiar.
Read moreSubmitted by Joseph Cesarine, MD
During a preseason exhibition game of this NFL season, Dallas Cowboys quarterback Tony Romo suffered a compression fracture of his lumbar spine against the Seattle Seahawks. While this was not a season-ending injury for Romo, the veteran quarterback lost his starting position to the exceptional play of rookie quarterback Dak Prescott during his absence. Also included in this post is key pearls about a Chance fracture, another important fracture of the thoracic/lumbar spine!
Read moreSubmitted by Andrew Nyce, MD
Succinylcholine and its use during rapid sequence intubation in the pediatric population remains controversial. Here is a brief review of where that controversy comes from!
Read moreSubmitted by Grace Lam, MD
Happy Thanksgiving from EMDaily!
Read moreSubmitted by Joseph Cesarine, MD
Case: An 8 year old girl presents to the Emergency Department with the feeling of shortness of breath. Onset was soon after a meal and her parents state that she may have choked on something.
Read moreSubmitted by Sarab Sodhi, MD