Friday, September 29, 2017

Literature Update in Pneumonia

Image Credit: Flickr
Authors: David Bostick, MD MPH; Phil Magidson, MD MPH; Carina Sorenson, MD; Neil Christopher, MD; Kami M. Hu, MD; David Wacker, MD PhD
Editors: Michael C. Bond, MD FAAEM; Jay Khadpe, MD FAAEM
Originally Published: Common Sense March/April 2015

Patients with community-acquired pneumonia (CAP) are frequently seen in the emergency department (ED). According to the National Hospital Ambulatory Medical Care Survey (NHAMCS), pneumonia is the third most common principal ED discharge diagnosis in the United States.[1] In this literature update, we examine: use of point-of-care ultrasound to diagnose pneumonia, obtaining routine blood cultures, risk factors for multi-drug resistant organisms and the efficacy of antibiotic monotherapy versus combination therapy in moderately severe pneumonia.

Sunday, September 24, 2017

Updates in Prehospital Emergency Medical Service Care - Resident Journal Review

Image Credit: Pixabay
Authors: Phillip Magidson, MD MPH; David Bostick, MD MPH; Kami Hu, MD; Carina Sorenson, MD; David Wacker, MD PhD
Editors: Michael C. Bond, MD FAAEM; Jay Khadpe, MD FAAEM
Originally Published: Common Sense Nov/Dec 20147

Over 15% of all patients seen in the emergency department (ED) arrive via emergency medical services (EMS).1 This represents over 20 million visits annually. For this reason, improvement and expansion of evidence based interventions within the prehospital setting should continue to be explored. In this month’s “Resident Journal Review,” we focus on diagnostic, therapeutic, and logistical updates within prehospital EMS care.

Thursday, September 21, 2017

Approach to the Dizzy Patient - Resident Journal Review

Image Credit: Pixabay
Authors: Eli Brown, MD; Kaycie Corburn, MD; Jacqueline Shibata, MD; Lee Grodin, MD
Edited by: Jay Khadpe, MD FAAEM; Michael C. Bond, MD FAAEM
Originally Published: Common Sense September/October 2014

Dizziness, often a challenging presentation, refers to a variety of vague sensations including lightheadedness, disequilibrium, and vertigo. Life-threatening disorders, such as stroke, are easily mistaken for benign illnesses, such as acute vestibular syndrome (AVS). This review focuses on recent developments in the evaluation of dizzy patients including some bedside tests which may improve diagnostic accuracy and reduce the cost and time of the ED evaluation.

Sunday, September 17, 2017

Calling Back, Checking Up, Finding Out

Image Credit: Pixabay
Author: Edward Siegel, MD MBA
2014-2015 AAEM/RSA Publications Committee Chair
Originally Published: Common Sense May/June 2014

With the exception of occasional resident research projects, most RSA members are insulated from efforts to improve efficiency, patient satisfaction, and the other dollars-and-cents concerns of running an emergency department (ED) that dog administrators. There is, however, a team in almost every ED that is focused solely on those things. These teams are constantly trying new innovations, methods, and systems to gain efficiency and improve (or reach) profitability.

Our hospital recently initiated a patient call-back system, following in the footsteps of many other EDs nationwide. This system was implemented with several goals in mind, with improved patient care chief among them. Our program is young, but it may interest those looking for ways to improve their own emergency departments.

Thursday, September 14, 2017

Consider an Away Elective. Now is Your Chance!

Image Credit: Pixabay
Author: Teresa M. Ross, MD
2011-2012 AAEM/RSA President
Originally Published: Common Sense March/April 2014

If the only medical world you’ve ever known is the infinite connecting hallways of a classic teaching hospital, you’re not alone. Medical school and residency naturally bring us to these oldies but goodies as the epicenter of our academic and clinical training.

But step away for a while – imagine a world where emergency docs come to work in jeans, know their colleagues (and their families) by name, and can’t count on off-hours, in-house consultants except medicine and pediatrics. There is an exciting world out there beyond formal department conferences and journal-quoting consultants.

Sunday, September 10, 2017

World Suicide Prevention Day 2017

September 10, 2017 is World Suicide Prevention Day and the AAEM Resident and Student Association (RSA) is asking everyone to Take 5 to Save Lives! Take 5 to Save Lives is a public awareness campaign started by the National Council for Suicide Prevention in support of World Suicide Prevention Day. The campaign provides prevention-focused tools to help keep yourself and others safe from suicide. What does it mean to Take 5 to Save Lives? Head to to learn 5 steps you can take in just 5 minutes. The steps include:

Thursday, September 7, 2017

Teen Suicide in the United States: What Every Emergency Physician Should Know

Image Credit: Pixabay
Authors: Casey Grover, MD; David M. Carreon, MSIV; Michael K. Hole, MSIV
Stanford/Kaiser Emergency Medicine
Originally Published: Modern Resident August/September 2013

A 14-year-old boy is brought to the ED with a wrist laceration. Accident or suicide attempt?

Self-harm is the third leading cause of death in this age category behind violence and motor vehicle accidents.[3] One nationally representative sample suggests 7% of U.S. teens have attempted suicide in the last year, and 2% have made attempts serious enough to require medical attention.[2]

Sunday, September 3, 2017

Synthetic Cathinones (“Bath Salts”) and Gerbal Marijuana Alternatives – Resident Journal Review

Image Credit: Flickr
Authors: Susan Cheng, MD MPH; Jonathan Yeo, MD; Eli Brown, MD; Allison Regan, MD
Edited by: Michael C. Bond, MD FAAEM and Christopher Doty, MD FAAEM
Originally Published: Common Sense April/May 2012

This resident Journal review focuses on two popular designer drugs that have made their way into the media as well as our emergency departments: synthetic cathinones, also known as “bath salts,” and herbal marijuana alternatives. Due to the relative novelty of these drugs, not much literature or research exists to help ED physicians manage patients who come in with these acute intoxications. The pharmacology, clinical symptoms and management options, as well as a few case reports, will be discussed in this review.