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Emergency Medicine News Welcome to Emergency Medicine News' Official page. View the latest issue: www.em-news.com.

The Most Trusted News Source in Emergency Medicine

An award-winning news magazine for the nation's 41,000 emergency physicians, Emergency Medicine News provides breaking coverage of advances, trends, and issues within the field, as well as clinical commentary by Editorial Board Chairman James R. Roberts, MD, a leader in the field, Edwin Leap, MD; Sandra Scott Simons, MD; Richard Pescatore, DO; Le

on Gussow, MD, Graham Walker, MD, Michelle Lin, MD; and Michelle Johnston, MBBS, among many others. The magazine features comprehensive special reports, illuminating profiles, and dynamic editorials. Physicians who are registered with the AMA/AOA as having a primary specialty related to emergency medicine are eligible for a free subscription. To order EMN or for other subscription services, please visit http://lwwforms.com/EMN/. You may also call (800)638-3030 or send an email to [email protected]. You will need your account number, located above your name on your mailing label.

Don’t delay nonsurgical, definitive management of priapism aspiration, irrigation, and phenylephrine admin, say \Munish ...
25/07/2024

Don’t delay nonsurgical, definitive management of priapism aspiration, irrigation, and phenylephrine admin, say \Munish Goyal, MD, and Alex Koo, MD.

Listen now for how to diagnose nonischemic/ischemic priapism, only in this month’s Procedural Lifelines video. http://tinyurl.com/ProceduralLifelines

Do your patient’s blood test results have an elevated anion gap? It’s almost always associated with metabolic acidosis.M...
25/07/2024

Do your patient’s blood test results have an elevated anion gap? It’s almost always associated with metabolic acidosis.

Michelle Lin, MD, has an easy mnemonic to remember the causes of metabolic acidosis. https://tinyurl.com/yj82ma22

EPs face constant pressure to discharge syncope patients by administrators worried about costs and armed with syncope sc...
24/07/2024

EPs face constant pressure to discharge syncope patients by administrators worried about costs and armed with syncope scores.

But Matt Bivens says resist the pressure.

Syncope costs are overblown. (And why are there so many different syncope rules anyway?) https://tinyurl.com/33u8wewd

There’s more to cannabinoids than THC.These products include an alphabet soup of lesser-known ingredients, and Leon Guss...
24/07/2024

There’s more to cannabinoids than THC.

These products include an alphabet soup of lesser-known ingredients, and Leon Gussow, MD, says EPs should have at least a passing knowledge of what they are and what is known about their effects. https://tinyurl.com/bdjkjbzz

Are you afraid of ghosts? You should be when it comes to ultrasound. Ghost scanning, or phantom scanning, is when a POCU...
24/07/2024

Are you afraid of ghosts? You should be when it comes to ultrasound.

Ghost scanning, or phantom scanning, is when a POCUS is performed on a patient without saving images. But Yash Chavda, DO, says not saving images risks patient care and opens EPs to lawsuits. https://tinyurl.com/yhvr2zsv

Should the EM match’s rollercoaster ride of the past few years cause concern about the quality of today’s residents?Thom...
23/07/2024

Should the EM match’s rollercoaster ride of the past few years cause concern about the quality of today’s residents?

Thomas Cook, MD, says falling test scores have coincided with COVID and challenging matches.

Should programs do more to prep residents for exams? https://tinyurl.com/ac3aeaay

A 27-year-old woman with a history of alcohol dependency presented with hip pain.She had arm and leg numbness and parest...
23/07/2024

A 27-year-old woman with a history of alcohol dependency presented with hip pain.

She had arm and leg numbness and paresthesia and difficulty with her gait. Aryaan Khan; Maleeha Shah, MD; Alisha Qaiser, MD; and Muhammad Farooq, MD, say she had used nitrous oxide whippets daily for three months. What's the diagnosis? https://tinyurl.com/5s38b9mp

Procedures are one way physicians can fundamentally help their patients. So why are so many specialties moving away from...
23/07/2024

Procedures are one way physicians can fundamentally help their patients. So why are so many specialties moving away from them?

Edwin Leap, MD, says it might be due to the vulgar requirement of productivity on the assembly line of human illness. https://tinyurl.com/2rwbutnf

Brady Pregerson, MD, reviews the ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest ...
23/07/2024

Brady Pregerson, MD, reviews the ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain, with a focus on high-sensitivity troponin, delta troponin, unstable angina, renal failure, and baseline troponin, only in this month’s EM Logic podcast.

http://tinyurl.com/EMN-EMLogic

Robyn Hitchcock, MD, loves medicine and travel. Locum tenens work allows her to enjoy both.She looks back at her experie...
22/07/2024

Robyn Hitchcock, MD, loves medicine and travel. Locum tenens work allows her to enjoy both.

She looks back at her experiences and offers tips about her career in locum tenens and rural emergency medicine. https://tinyurl.com/2s3s89xp

You know the fundamentals of bowel obstruction. But did you know plain films and NG tubes are not the answer?Listen in a...
22/07/2024

You know the fundamentals of bowel obstruction. But did you know plain films and NG tubes are not the answer?

Listen in as Iltifat Husain, MD, Blake Briggs, MD, and Marlena Wosiski-Kuhn, MD, tell you why, only in this month’s EMBoardBombs.

http://tinyurl.com/BoardBombs-EMN

The war zone in Gaza is the last place most people would want to be. But EPs are built differently. Bilal Hussain Pirach...
21/07/2024

The war zone in Gaza is the last place most people would want to be. But EPs are built differently.

Bilal Hussain Piracha, MD, traveled to Gaza in March where he treated war victims in a hospital with little to no supplies. It was eye-opening and humbling. https://tinyurl.com/49ae5khm

A 12-year-old boy presented with two weeks of worsening leg joint pain, weakness, and fatigue.His legs had bruising and ...
21/07/2024

A 12-year-old boy presented with two weeks of worsening leg joint pain, weakness, and fatigue.

His legs had bruising and swelling, and he had lost weight for a month. His mother said he was a picky eater. What's the diagnosis? https://tinyurl.com/vt3ataaa

Having to perform an emergent cricothyroidotomy is a nightmare scenario for many EPs. Most have never done one outside a...
21/07/2024

Having to perform an emergent cricothyroidotomy is a nightmare scenario for many EPs. Most have never done one outside a cadaver lab.

But Christine Butts, MD, says using ultrasound to mark the location beforehand can help. https://tinyurl.com/3zv92u7z

Amal Mattu, MD, has all you need to know about spontaneous bacterial peritonitis with Gentry Wilkerson, MD; managing sev...
20/07/2024

Amal Mattu, MD, has all you need to know about spontaneous bacterial peritonitis with Gentry Wilkerson, MD; managing severe agitation with Dan Gingold, MD; and geriatric trauma with Robert Flint, MD, only in this month’s EMedHome podcast.

http://tinyurl.com/EMN-Mattu

When a patient starts getting agitated in the ED, the right question isn’t “What’s wrong with you?” but “What happened t...
20/07/2024

When a patient starts getting agitated in the ED, the right question isn’t “What’s wrong with you?” but “What happened to you?”

Gina Shaw talks with Joel Fein, MD, and Henry Ashworth, MD, about how asking about past trauma can help EPs improve practice trauma-informed care. https://tinyurl.com/mv2ptmdt

EPs have a unique perspective when they are the patients. Paul Janson, MD, has had an automatic implantable cardioverter...
19/07/2024

EPs have a unique perspective when they are the patients.

Paul Janson, MD, has had an automatic implantable cardioverter defibrillator for several years. He says the AICD does what it’s supposed to do … with some surprises. https://tinyurl.com/ysfx5sy7

EPs, renew your free EMN subscription so you don’t miss a single issue!Get your account number above your name on your m...
19/07/2024

EPs, renew your free EMN subscription so you don’t miss a single issue!

Get your account number above your name on your mailing label and go to http://lwwforms.com/EMN to renew.

Workplace wellness programs might be created with good intentions, but Emma Nash, MD, says the science shows their empha...
18/07/2024

Workplace wellness programs might be created with good intentions, but Emma Nash, MD, says the science shows their emphasis on BMI and weight is flawed and does more harm than good. https://tinyurl.com/wxfyjh6u

Private equity’s gutting of ED staff and resources might leave the U.S. unable to provide care in a disaster, say Senato...
18/07/2024

Private equity’s gutting of ED staff and resources might leave the U.S. unable to provide care in a disaster, say Senator Edward Markey; Senator Elizabeth Warren; Robert McNamara, MD; AAEM; and the FTC.

Here’s how they plan to get PE out of EM. https://tinyurl.com/4hfntnhd

EPs write 13 million antibiotic prescriptions each year, so no wonder executing stewardship guidelines is so tough.But t...
17/07/2024

EPs write 13 million antibiotic prescriptions each year, so no wonder executing stewardship guidelines is so tough.

But the fix may be easier than believed. Blake Briggs, MD, says evidence shows reducing resistance should start with shorter duration. https://tinyurl.com/3nv4haz3

Specialists and administrators find it easy to criticize EPs because they can’t fathom the unpredictability and lack of ...
17/07/2024

Specialists and administrators find it easy to criticize EPs because they can’t fathom the unpredictability and lack of time found in EM.

Robert Brandt, MD, says such reproach comes with the territory, but EPs must stay strong. Or bop them on the nose with a newspaper. https://tinyurl.com/n33mu46w

Given recent plasma shortages, EPs need their plasma compatibility knowledge to be on point.EMedHome says it helps to kn...
16/07/2024

Given recent plasma shortages, EPs need their plasma compatibility knowledge to be on point.

EMedHome says it helps to know the FFP ABO compatibility chart is the reverse of PRBC transfusions. https://tinyurl.com/48epcp9t

EPs have a unique perspective when they are the patients.Paul Janson, MD, has had an automatic implantable cardioverter ...
16/07/2024

EPs have a unique perspective when they are the patients.

Paul Janson, MD, has had an automatic implantable cardioverter defibrillator for several years. He says the AICD does what it’s supposed to do … with some surprises. https://tinyurl.com/ysfx5sy7

Ketamine is growing as an EM tool and can be a transformational agent, but it is also prone to error or misinterpretatio...
16/07/2024

Ketamine is growing as an EM tool and can be a transformational agent, but it is also prone to error or misinterpretation.

Richard M. Pescatore II, DO, says EPs need to explore how judicious use can revolutionize care, making it indispensable yet safe. https://tinyurl.com/yc4tw8h8

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Videos

Using ultrasound takes some of the guesswork out of locating the nerve instead of using landmarks alone, says Dr. Christine Butts. Bonus: It can also be used to guide anesthetic placement. https://bit.ly/3ztFQGj

Sickle cell management, complications following abortion, postpartum hemorrhage, and spinal trauma are all hot topics for Amal Mattu, MD, and colleagues in the newest EMedHome podcast. http://bit.ly/MattuEMN

Logic is key to EM diagnosis and management, says Brady Pregerson, MD, in his new podcast, EM Logic. This month in “Unstable Angina Logic,” he looks at Maalox in ACS, ordering second troponins, and how to use the HEART score. https://bit.ly/34c2NBj

A patient hit by a car was behaving erratically, and Bryan Brusick, RN, tells how a medic who looked in his bag for answers learned sometimes it's better not to look. Hear more in this month’s Physician Grind podcast. http://bit.ly/PhysGrind

Amal Mattu, MD, and colleagues spotlight palliative care in the ED, COVID-19 in children, and ACEP’s policy on opioids in the latest EMedHome podcast. http://bit.ly/MattuEMN

An EP talks about what she’s experienced during the latest COVID-19 surge in this month’s Physician Grind podcast. http://bit.ly/PhysGrind

Bryan Brusick, RN, shares a story about a patient who was calm and cooperative, but like most things in the ED, that didn’t last. Listen to his story in this month’s episode of The Physician Grind podcast. http://bit.ly/PhysGrind

audiogram.mp4
audiogram.mp4

This month’s EMedHome podcast from Amal Mattu, MD, and colleagues centers on cerebral venous thrombosis, acute brain failure, and BRASH syndrome. http://bit.ly/MattuEMN

September 2020 Procedural Pause Preview Video: Fish Hook in the Ear
September 2020 Procedural Pause Preview Video: Fish Hook in the Ear

Fish hook injuries may seem simple at first, but can quickly get complicated. Watch this preview from Dr. James Roberts and Ms. Martha Roberts for how to remove a hook and watch two videos and read their blog going live Sept. 1 at http://bit.ly/EMN-ProceduralPause!

August 2020 Procedural Pause Preview Video: The Quigley Manuever
August 2020 Procedural Pause Preview Video: The Quigley Manuever

The Quigley maneuver for trimalleolar fractures can be done solo but sometimes requires two people (even three). Watch this preview from Dr. James Roberts and Ms. Martha Roberts. Watch the full video & read their blog going live August 1 at http://bit.ly/EMN-ProceduralPause!

April 2020 Procedural Pause Preview: Ultrasound for Arthrocentesis
April 2020 Procedural Pause Preview: Ultrasound for Arthrocentesis

April 2020 iCubed Preview: A Scary Case of Angioedema from Lisinopril
April 2020 iCubed Preview: A Scary Case of Angioedema from Lisinopril

March 2020 Procedural Pause Preview: Paracentesis: The Procedure
March 2020 Procedural Pause Preview: Paracentesis: The Procedure

March 2020 iCubed Preview: Diagnosing Thoracic Back Pain with Salim Rezaie, MD
March 2020 iCubed Preview: Diagnosing Thoracic Back Pain with Salim Rezaie, MD

Feb 2020 Procedural Pause Preview Video: Ultrasound for Paracentesis
Feb 2020 Procedural Pause Preview Video: Ultrasound for Paracentesis

Feb 2020 iCubed Preview Video: Vision Problems
Feb 2020 iCubed Preview Video: Vision Problems

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The Most Trusted News Source in Emergency Medicine An award-winning news magazine for the nation's 41,000 emergency physicians published by Wolters Kluwer, Emergency Medicine News provides breaking coverage of advances, trends, and issues within the field, as well as clinical commentary by Editorial Board Chairman James R. Roberts, MD, a leader in the field, Edwin Leap, MD, Leon Gussow, MD, Richard Pescatore, MD, Darren Braude, MD, and Graham Walker, MD, among many others. The newspaper features comprehensive special reports, illuminating profiles, and dynamic editorials. Physicians who are registered with the AMA/AOA as having a primary specialty related to emergency medicine are eligible for a free subscription. To order EMN or for other Subscription Services, please visit www.myEMNsub.com. You may also call (800)430-5450 or send an email to [email protected]. You will need your account number, located above your name on your mailing label.