Nov 08 2021

Dear White Colleagues in EM | Becoming Better Allies

Ethics, Practice of EM, Wellness

Spoon Feed There are specific actions that non-minority providers can take to effectively help combat racism and inequity.

Aug 31 2021

Spontaneous ROSC After Withdrawal of Care in a Child

Critical Care, Ethics, Pediatrics, Resuscitation

Spoon Feed After withdrawal of life-sustaining treatment, the authors argue, based on this case and other case reports in children and adults, that a circulatory declaration of death be made after cessation of respiration and pulsatile arterial flow for 5 minutes, instead of just 2 minutes, prior to organ donation.

Aug 26 2021

Creating a Healthy Culture in Medicine

ED Operations, Education, Ethics

Spoon Feed We thrive when we work in an organization with a culture that encourages us to do our best work and to do the right thing when no one is looking. Here is how we can encourage that kind of organizational culture.

Jul 05 2021

Can You Be Bought? Pharmaceutical Payment Effects on Prescribing

Ethics, Pharmacy/Pharmacology

Spoon Feed Financial payments from the pharmaceutical industry to physicians influence prescribing behavior.

Jun 30 2021

How Do Patients See Me? Impact of Age and Gender

Ethics, Practice of EM

Spoon Feed Younger patients may perceive older anesthesiologists as more confident and intelligent. Female anesthesiologists may be perceived as more confident and more likely to be recommended to patients’ family members than males, but only in a subgroup of white patients.

May 31 2021

Are Pulse Oximeters Inaccurate in Black Patients?

Critical Care, Ethics, Pulmonary/Allergy

Spoon Feed When researchers looked for occult hypoxemia by comparing arterial blood gas results to pulse oximetry measurements among patients who identified their race as Black or White, they found rates of occult hypoxemia to be almost three times higher for Black patients.

Mar 12 2021

Ten Commandments of Emergency Medicine Revisited

Education, Ethics, Practice of EM

Spoon Feed The original Ten Commandments of Emergency Medicine were published 30 years ago by Wrenn and Slovis. Medicine, especially emergency medicine, has changed in the interim. Here is a modern update on the original classic article.

Jan 22 2021

How NOT to Make Your Rank List for Match Day 2021

Education, Ethics

Spoon Feed When making hypothetical residency rank lists, applicants changed their preferences based on information that should not change true residency preferences, such as learning how competitive a program rates them.

Jul 17 2020

Diagnosing and Treating Systemic Racism

Ethics, Wellness

Spoon Feed There are very real, practical steps we can take to root out and counter the effects of racism in medicine. Here are several.

Apr 28 2020

Should We Resuscitate COVID-19 Patients Who Arrest?

Critical Care, Ethics, Infectious Disease, Resuscitation

Spoon Feed The outcome for hospitalized patients with COVID-19 who arrested was dismal in this case series. The risk of CPR may outweigh the benefit.