Sunday, July 23, 2017

How to Be an Effective Leader in the ED

Image Credit: Pixabay
Author: Meaghan Mercer, DO
2013/2014 AAEM/RSA President
Originally Published: Common Sense November/December 2013

Leadership is creating a way for people to contribute to making something happen, developing an environment that allows cohesion and a drive toward a common goal. Leadership affects our lives on a constant basis and our role in the hierarchy changes as we shift from one environment to another: parent, boss, teacher, mentor. Leadership is a skill and learned behavior that becomes second nature over time and is important to cultivate, especially when working in the emergency department. In the ED we orchestrate the movement and flow of patients, staff, and resources, in a delicate yet chaotic balance. As we progress through residency, we gain the leadership skills to manage all the pieces until we unconsciously and fluidly become leaders in the field.

Thursday, July 20, 2017

Putting the Focus Back on Diagnosis

Image Credit: Pixabay
Author: Leana S. Wen, MD MSc
AAME/RSA 2010 Resident Editor
Originally Published: Common Sense September/October 2010

Last week, Jerry got the scare of his life. Jerry is a 48-year old mechanic who is in good health. His parents are healthy, and he recently got a “clean bill of health” during his annual check-up. Over the weekend, he helped his brother move across town. Monday morning, he woke with tightness in his chest. He described it as a “spasm” and thought that he might have pulled something while he was lifting the sleeper sofa. But someone in his neighborhood had a heart attack recently, and Jerry’s wife persuaded him to go to the ED to get it checked out.

Sunday, July 16, 2017

Getting the Most Out of Residency

Image Credit: Pixabay
Author: Meaghan Mercer, DO
2014-2015 RSA President
Originally Published: Common Sense September/October 2014

As I enter my third year of residency, the end of training is becoming more of a reality every day. I have received many pearls of wisdom along my path from medical students to residents to soon-to-be-attendings. With less than a year to go, I remind myself every day that I should make the most of each day of my education — and I hope you will do the same. A huge thank you to the members of AAEM/RSA, who really have been with me all the way. Reflecting on these past few years, I want to share some advice that has helped me succeed.

Thursday, July 13, 2017

Haney Mallemat on Technology’s Role in EM Education and Training

Image Credit: Pixabay
Author: Ali Farzad, MD, AAEM/RSA Publications Committee Chair
Author: Linda J. Kesselring, MS, ELS, Copyeditor
Originally published: Common Sense July/August 2013

This article marks the last of a series that has aimed to highlight how you can use simple technology to make your learning more efficient and effective. In previous interviews with leaders in emergency medicine (EM) education — Drs. Mel Herbert, Amal Mattu, and Scott Weingart — we learned the value using free websites, blogs, podcasts, and ECG videos to stay current with medical information and save more lives. Continuing that theme, I recently had the pleasure of interviewing Haney Mallemat, MD FAAEM (@criticalcarenow), an EM/IM-trained critical care specialist who works in the adult emergency department at the University of Maryland Medical Center as well as the critical care ICUs in the R Adams Cowley Shock Trauma Center in Baltimore, Maryland.

Sunday, July 9, 2017

A Real Case of Broken Heart: Takotsubo Cardiomyopathy

This post was peer reviewed.
Click to learn more.
Image Credit: Flickr

Author: Alexandria Gregory, MS3
Saint Louis University School of Medicine
AAEM/RSA Social Media Committee 
Author: Eric Goedecke, DO  
Milford Regional Medical Center

Overview
An 80-year-old female with a history of chronic obstructive pulmonary disease (COPD), high cholesterol, and hypertension presented to the emergency department (ED) with a two-day history of shortness of breath. She also reported mild left-sided chest pain, but had no cough, fever, or calf pain. She had no history of deep vein thrombosis (DVT) or pulmonary embolism (PE), though she recently traveled from Massachusetts to Florida via airplane, and returned on the day her symptoms began. The patient had quit smoking over ten years prior to her presentation in the ED. She had been using her inhalers, prescribed for COPD, frequently with minimal improvement.

Thursday, July 6, 2017

Board Review: Rabies Exposure

This post was peer reviewed.
Click to learn more.
Image Credit: Flickr










Author: Alexandria Gregory, MS-3
Saint Louis University School of Medicine
AAEM/RSA Social Media Committee

A 16-year old male presents to the emergency department (ED) after a potential exposure to a bat while sleeping in a barn. He believes his friend may have been bitten by the bat, but did not have any known contact with the bat himself. The bat could not be found after the incident. The patient has not noticed any skin changes and has no other physical complaints.