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Marilyn McCullum, RN

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Marilyn McCullum is an emergency nurse.

The physician-in-triage model and rapid evaluation in emergency medicine

Marilyn McCullum, RN
Conditions and Diseases
April 5, 2026

Most emergency departments feel perpetually behind. The waiting room fills, ambulances stack, and staff move quickly yet still feel behind. The reflex explanation everyone gives is capacity. We need more beds, more rooms, more space. That explanation is intuitive. It is also often incomplete.

In many departments, nothing meaningful happens after triage until a patient is placed in a permanent treatment room. No bed means no provider evaluation. No provider evaluation …

Read more…

The physician-in-triage model and rapid evaluation in emergency medicine

Alex Pretti’s death: Why politics belongs in emergency medicine

Marilyn McCullum, RN
Conditions and Diseases
January 31, 2026

Emergency medicine trains clinicians to recognize patterns early, anticipate deterioration, and intervene before outcomes become irreversible. We pride ourselves on seeing what others miss. Yet we are repeatedly instructed, explicitly or implicitly, to ignore the largest pattern of all. Political decisions consistently and predictably shape who arrives in our emergency departments, how sick they are, and how unsafe the environment becomes for the people expected to care for them.

If political …

Read more…

Alex Pretti’s death: Why politics belongs in emergency medicine

Emergency department metrics vs. reality: Why the numbers lie

Marilyn McCullum, RN
Health Policy
January 27, 2026

The emergency department didn’t suddenly get worse.

The numbers did.

Every shift, emergency clinicians are measured by dashboards that insist on telling a familiar story: Door-to-provider times are too long, length of stay is unacceptable, left-without-being-seen rates are creeping up. The implication is clear. We’re slow. We’re inefficient. We’re failing.

But those numbers are no longer describing clinical performance. They’re describing system saturation.

Emergency departments today operate in conditions that were once considered temporary …

Read more…

Emergency department metrics vs. reality: Why the numbers lie

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  • Most Popular

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