Earlier Discharge for Chest Pain Patients
Greg Jasani October 16, 2017 Chest pain is one of the most common chief complaints of patients who present to emergency departments. It accounts for over 7 million visits and is the most common chief complaint in patients over the age of 65.[i],[ii] It is also...
Are Resident Wellness Programs Enough When Death, Injury & Violence Are the Stressors?
James Spearman September 25, 2017 The EMS team bursts through the door while the patient moans in agony, raising the tension in the room. The medical team quickly moves the injured body from the stretcher to the bed. The junior resident at the head of the bed calls...
Just Breathe: Supplemental Oxygen Provides No Benefit in Acute Myocardial Infarction
Greg Jasani September 18, 2017 Acute myocardial infarction (AMI) occurs when a mismatch between oxygen supply and demand in the myocardium of the heart leads to ischemia and ultimately cell death. Clinical guidelines currently support the routine use of supplemental...
Linking Maternal Comorbidities to Emergency Department Use in a National Sample of Commercially Insured Pregnant Women
Rose Kleiman September 13, 2017 Despite recent efforts to push engagement with primary care and the health system, pregnant women still find themselves seeking emergency department (ED) care[i]. A recent study published in Academic Emergency Medicine sought to better...
ED Crowding and Changes for Improvement
Sonya Chistov September 6, 2017 Emergency departments (ED) across the country are combating the problem of “crowding”. A combination of sources are commonly cited as the reason for crowding including the increase in ED visits in the past twenty years, the decrease in...
Acute low back pain: diazepam no better than placebo?
Ameer Khalek August 20, 2017 Nearly 2.7 million patients present to the emergency department (ED) annually with acute low back pain (LBP). Current medical practice dictates that specific nonsteroidal anti-inflammatory drugs (NSAIDs) are an efficacious first-line...
Risk Factors for Malpractice
Greg Jasani August 14, 2017 Malpractice is a major concern in the specialty of emergency medicine. Emergency medicine physicians must make quick decisions in the setting of limited time, limited information, and high acuity. EDs are a common source of malpractice...
Health effects of cannabis and cannabinoids: policy outpacing evidence
Ameer Khalek August 7, 2017 There has been a significant and steady increase in cannabis (i.e., marijuana) use in the U.S. between 2002 and 2015.[i] California was the first state to allow for medical use of cannabis after Proposition 215 in 1996. Currently, 29...
Identifying Low-Risk Febrile Neutropenic Patients in the ED
Greg Jasani August 2, 2017 Febrile neutropenia is a well known side effect of chemotherapy and patients with it often present to emergency departments. Standard of care has been to admit these patients for aggressive IV antibiotics. However, recent research has...
Atypical presentations of acute coronary syndrome: the role of gender and race
Austin Wu July 17, 2017 A patient presents to the emergency department presenting with precordial chest discomfort, pain radiating to the jaw, dyspnea, and diaphoresis. These are some of the typical symptoms highly indicative of acute coronary syndrome (ACS) [i]....
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