Apr 29 2020
Do We Need EM Textbooks Anymore?
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One residency program went from studying a textbook (i.e. Tintanalli) to reading Evidence-Based Medicine (EBM) articles and corresponding questions in Rosh Review. Residents preferred this, and their in-service scores were non-inferior to the traditional textbook reading study plan.
Mar 18 2020
Fool’s Gold – Why Blinded Trials Aren’t Always Best
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We need not be so quick to think “unblinded” means “lower quality.” There are some compelling reasons why blinding isn’t always best.
Feb 21 2020
Five Ways to Connect With Your Patients
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This study identifies specific practices for clinicians that can enrich the patient-physician encounter, promote presence, and foster meaningful connection.
Feb 18 2020
Top Ten Pearls for Right Care in the Emergency Department
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These are the top ten pearls to help us do the right thing for our patients in the ED. These are broader and complement Choosing Wisely for EM.
Feb 13 2020
Short Attention Span Rounding
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style="white-space:pre-wrap;">Rounding on critically ill patients by acuity and not by room order may optimize our limited attentional resources. This has relevance for ED handoffs as well.
Feb 11 2020
Telling Me You Don’t Know Is OK – A Patient’s Perspective
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style="white-space:pre-wrap;">Acknowledging uncertainty with patients openly, while showing them you are listening, you care, and are determined to help them is a way to reassure fearful patients in the midst of a challenging diagnostic workup.
Jan 23 2020
Rock Star Review of Critical Care Literature – 2018
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style="white-space:pre-wrap;">This is a great reference list of critical care articles with EM relevance from the year 2018.
Jan 16 2020
Confessions of an Introvert in Emergency Medicine
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style="white-space:pre-wrap;">Many emergency physicians are extroverts. Understanding how introverted colleagues, students, and residents operate can help us better appreciate each other.
Nov 20 2019
ANDROMEDA-SHOCK – A Bayesian Reanalysis – Schrödinger’s Cat in Action
There is a high probability that a protocol using a skin perfusion-based approach (capillary refill time) vs lactate clearance to manage patients with septic shock reduced 28-day mortality.
Oct 18 2019
Lessons from Schrödinger’s Cat – Get Cozy with Uncertainty
Statistical methods were developed and applied to clinical trials to quantify uncertainty, not as a decision tool to be used in the face of uncertainty. We should become comfortable with uncertainty, as it is present irrespective of the arbitrary thresholds used for interpretation of data.