Emergency medicine

2,327 articles · Since 2004

Articles, page 17

Dying of loneliness: the COVID-19 epidemic in children and adolescents [PODCAST]

July 5, 2021Jul 5, 2021

"We know the ER’s revolving door will continue to spin for so many children and adolescents who seek help in the heat of their personal crisis. Some will need to stay in the hospital – to heal their bodies and…

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“We know the ER’s revolving door will continue to spin for so many children and adolescents who seek help in the heat of their personal crisis. Some will need to stay in the hospital – to heal their bodies and minds and even fight for their lives. Some – the lucky …

Physician voices

An ER in Kathmandu during the pandemic: a lesson on motivation

Dr. Bijay Phuyal

June 25, 2021Jun 25, 2021

It was 2:00 a.m. I had just finished shifting a severe coronavirus disease (COVID-19) pneumonia/ARDS patient to the intensive care unit (ICU) after he was intubated in the emergency room (ER). The ER was teeming with patients awaiting admission. For…

It was 2:00 a.m. I had just finished shifting a severe coronavirus disease (COVID-19) pneumonia/ARDS patient to the intensive care unit (ICU) after he was intubated in the emergency room (ER).

The ER was teeming with patients awaiting admission. For new patients to get a bed, some admitted ones have to be discharged or dead.

Outside the ER, four ambulances arrived — each carrying a COVID-19 patient on oxygen. One ambulance driver …

Physician voices

America’s path to reopening: an emergency physician’s perspective

Owais Durrani, MD

June 19, 2021Jun 19, 2021

High pitched alarms, low pitched beeps, the rhythmic inhale and exhale of the ventilator – those were the sounds in my emergency department one year ago. There were no kids running down the hall, no friends making light of their 50-something-year-old friend whose LeBron James delusions resulted in an ER visit and sutures, and no, not even worried family members.

Texas, like much of the country, was headed for

…

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Physician voices

Bystander intervention training can save a life

Michelle Lee, MD

May 28, 2021May 28, 2021

Last month, I was one of a hundred New Yorkers who peacefully protested anti-Asian racism in Times Square. We marched to 360 West 43rd Street, the Midtown Manhattan luxury building whose security guards sparked national outrage after footage showed them…

The Podcast by KevinMD

Bridging business principles with emergency medicine [PODCAST]

The Podcast by KevinMD

May 27, 2021May 27, 2021

"We created a core team of individuals from different levels and functions who met daily. This team’s purpose was to receive and synthesize department-wide information and transform it into new ways of working for our doctors, nurses, ancillary, and support…

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“We created a core team of individuals from different levels and functions who met daily. This team’s purpose was to receive and synthesize department-wide information and transform it into new ways of working for our doctors, nurses, ancillary, and support staff. We had a compelling vision which was shared with our …

Conditions and diseases

As the pandemic winds down, another crisis may be looming

Gregg Miller, MD & Seth Thomas, MD

May 24, 2021May 24, 2021

Imagine this scenario: a busy mom struggles to balance work and parenting during the pandemic when suddenly her teenage son begins to anger. He gets out of control, screams threats, and kicks a hole in the wall. Neighbors call the police, who recommend the family go to the emergency department (ED). When the family arrives at the ED, the stresses of enforced isolation show on their exhausted, tearful faces. And unfortunately, …

Health policy

A police shooting in a hospital forces a family to rethink American justice

Sarah Varney

May 23, 2021May 23, 2021

The beer bottle that cracked over Christian Pean’s head unleashed rivulets of blood that ran down his face and seeped into the soil in which Harold and Paloma Pean were growing their three boys. At the time, Christian was a confident high school student, a football player in the suburbs of McAllen, Texas, a border city at the state’s southern tip where teenage boys — Hispanic, Black, white — sung …

The Podcast by KevinMD

How to leverage social media to combat misinformation [PODCAST]

The Podcast by KevinMD

May 17, 2021May 17, 2021

"As members of the health care workforce, we must recognize the crucial role we play in influencing vaccine uptake. With the death toll over rising in the U.S., the stakes could not be higher as the final death count will…

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“As members of the health care workforce, we must recognize the crucial role we play in influencing vaccine uptake. With the death toll over rising in the U.S., the stakes could not be higher as the final death count will hinge on how quickly we can translate the vaccine’s efficacy into …

Health policy

This didn’t happen every day in a small town ER

Brian Alexander

May 14, 2021May 14, 2021

An excerpt from The Hospital: Life, Death, and Dollars in a Small American Town. Marc Tingle and his daughter, Summer, stood in a bathroom they were tearing apart over in Fayette in Fulton County. They had a problem: taking a…

An excerpt from The Hospital: Life, Death, and Dollars in a Small American Town.

Marc Tingle and his daughter, Summer, stood in a bathroom they were tearing apart over in Fayette in Fulton County. They had a problem: taking a cast-iron bathtub out of a room that had been built around the tub was a tactical nightmare. Breaking it made one helluva racket, but with just himself …

Health policy

A secret for my $40,000 health care bills

Ziyad Nazem

April 29, 2021Apr 29, 2021

On Twitter @jpegjoshua recently posted about a staggering health care bill for going to the hospital for a life-threatening condition and then receiving an outrageous statement, which reminded me of a similar story that I had. I also received a…

I also received a bill for nearly $40,000 but luckily managed to have it cleared through an unmentioned secret. For me, it all started the second …

Physician voices

A patient written off by society. And a loving son.

Lauren Roth, MD

April 28, 2021Apr 28, 2021

“Do you know if he has designated anyone to be his health care power of attorney?” I asked the nurse. “Well, with the kind of life he led, I’m pretty sure he wouldn’t have done that,” she replied. Today I…

“Do you know if he has designated anyone to be his health care power of attorney?” I asked the nurse.

“Well, with the kind of life he led, I’m pretty sure he wouldn’t have done that,” she replied.

Today I met a man for whom life has not been easy. For the greater part of his five decades on this earth, he’d had trouble with drugs. His mother told us that two …

Health technology

3 ways technology in the ER boosts the patient experience

Justin Schrager, MD, MPH

April 27, 2021Apr 27, 2021

The COVID-19 pandemic has brought to light the vital roles effective communication and reliable technology play in the patient journey, starting from the moment a patient is on the way to the emergency department (ED) through to discharge. There are many moving parts during an ED visit, and the process of keeping the patient, their family, and other departments within the hospital or health system informed is no small feat …

Medical education

Medicine is very much like driving. But don’t be a passive driver.

Ton La, Jr., MD, JD

April 25, 2021Apr 25, 2021

Medicine is very much like driving. As an emergency physician, when you see a patient, you ask the same questions, “What brought you in today? What’s bothering you?” and go through the normal flow of the history and physical. You order the same labs and imaging reflexively. When you’re driving to a location that you’ve been to many times before, when you get into your car again and turn the …

Physician voices

How shame tried to hijack my medical training

Tracy Asamoah, MD

April 24, 2021Apr 24, 20214

Can you remember a situation when shame showed up and tried to take over? Shame is like that opinionated, argumentative uncle who you only see at family dinners on holidays. His mission to seek and destroy any vulnerable, unsuspecting targets. For me, shame showed up as an uninvited narrator on my first call night, as a brand spanking new, doe-eyed intern.

As interns, we took call with our senior residents admitting …

Conditions and diseases

Dying of loneliness: the COVID-19 epidemic in children and adolescents

Mary Birmingham, MD & Rachel Kowalsky, MD & Shari Platt, MD

April 24, 2021Apr 24, 2021

We stood at the bedside. Our eyes met through plastic goggles and face shields. Wordlessly, we acknowledged a palpable shift. We three pediatric emergency physicians staffed our New York City ER that late fall day, caring for the third teen…

COVID-19 is wreaking havoc on the lives of children and teens in ways we are just now starting to comprehend.

Reflecting on March …

The Podcast by KevinMD

A nurse shares her story of sexual assault [PODCAST]

The Podcast by KevinMD

April 23, 2021Apr 23, 2021

"I am a nurse who has worked at a rural hospital. My husband is a board-certified family medicine doctor. In the fall of 2020, I was raped by my massage therapist. I know that everyone has an opinion of what…

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“I am a nurse who has worked at a rural hospital. My husband is a board-certified family medicine doctor. In the fall of 2020, I was raped by my massage therapist. I know that everyone has an opinion of what they would do in that situation, and I was probably one of those …

Physician voices

Save the savers: I’m so tired of physician suicide

Chelsea Bonfiglio, MD

April 23, 2021Apr 23, 2021

This beautiful man lost his life to suicide recently. He was an emergency physician and an incredible advocate for LGBTQIA health care. He was funny and bright. He posted almost daily with funny quips, stories from the ER and support for his colleagues. He was a shining star in our specialty, and now he’s gone. I never had the honor of meeting him in person, but I knew him well …

The Podcast by KevinMD

Don’t forget about influenza and the lessons learned from COVID [PODCAST]

The Podcast by KevinMD

April 22, 2021Apr 22, 2021

"When the public was made aware of the risk of transmitting the virus and the far-reaching measures of social distancing, closing schools, and lock-down, most Americans willingly complied. After all, they became aware, for the first time, of the risk…

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“When the public was made aware of the risk of transmitting the virus and the far-reaching measures of social distancing, closing schools, and lock-down, most Americans willingly complied. After all, they became aware, for the first time, of the risk of aerosolized viral particles present in theatres, churches, restaurants, and classrooms. …

Conditions and diseases

A daughter is dead. The mother is silent.

Debbie Moore-Black, RN

April 22, 2021Apr 22, 20212

Mom wept silently as she stared at her dead daughter — quiet, near catatonic. I was prepared for a sharp scream. But she sat there quietly. She was staring at her beautiful but lifeless daughter. Young with long black hair…

Mom wept silently as she stared at her dead daughter — quiet, near catatonic. I was prepared for a sharp scream.

But she sat there quietly. She was staring at her beautiful but lifeless daughter.

Young with long black hair and 21 years old. She was mom’s pride and joy.

The daughter got into yet another fight with her boyfriend. They were both in college dorm apartments. She couldn’t stand the screaming anymore.

As …

Conditions and diseases

Tears from heaven: a nurse’s tribute to Dr. Robert Lesslie

Debbie Moore-Black, RN

April 10, 2021Apr 10, 2021

Recently, a former NFL football player, Phillip Adams, murdered Dr. Robert Lesslie, his wife, his two grandchildren ages 5 and 9, an air conditioning appliance man, and critically injured a second man. The NFL player had gunned down these innocent people. And then, he left and went to his parent’s house (who lived on the same road), and after hours of the SWAT team begging this man to surrender, he …

Emergency medicine

Articles, page 17

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