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  • Emergency Medicine Medicolegal Pediatric Emergency Trauma

    Does Infant Crying Cause Petechiae?

    November 26, 2025December 4, 2025

    Spoon Feed — 
    Of 138 infants evaluated with excessive crying, none had facial petechiae. Unexplained petechiae warrant further evaluation for trauma or abuse.

    Source
    The Prevalence of Facial Petechiae in Infants Evaluated for Excessive Crying. Pediatr Emerg Care. 2025 Oct 1;41(10):796-800. doi: 10.1097/PEC.0000000000003434. Epub 2025 Jun 25. PMID: 40551087.

    Read More Does Infant Crying Cause Petechiae?Continue

  • Emergency Medicine Ethics Medicolegal Practice of Medicine

    Which Physician Specialists Are Behaving Badly?

    July 17, 2024October 15, 2024

    Spoon Feed —
    Unprofessional behaviors were reported most often among surgeons when comparing physician specialty subgroups.

    Source
    Physician Specialty Differences in Unprofessional Behaviors Observed and Reported by Coworkers. JAMA Netw Open. 2024;7(6):e2415331. doi:10.1001/jamanetworkopen.2024.15331

    Read More Which Physician Specialists Are Behaving Badly?Continue

  • ED-Hospital-Clinic Operations Emergency Medicine Medicolegal

    Who Gets Sued in EM – NP, PA, Attending, or Resident?

    October 13, 2023October 15, 2024

    Spoon Feed —
    In a retrospective analysis of 5,854 emergency department malpractice cases from over 550 US hospitals, 193 (3.3%) involved an NP, 513 (8.8%) involved a PA, 535 (9.1%) involved a trainee, and 4,568 (78.0%) were attending only.

    Source
    Characterizing malpractice cases involving emergency department advanced practice providers, physicians in training, and attending physicians [published online ahead of print, 2023 Sep 8]. Acad Emerg Med. 2023;10.1111/acem.14800.

    Read More Who Gets Sued in EM – NP, PA, Attending, or Resident?Continue

  • Emergency Medicine Imaging Medicolegal Pediatric Emergency Pediatrics Trauma

    Siblings of Children with Suspected Physical Abuse – When to Image

    June 14, 2023October 24, 2024

    Spoon Feed —
    Asymptomatic contact children of patients presenting with physical abuse are a vulnerable population who should be screened for traumatic injuries. This report details guidelines for radiologic screening.

    Read More Siblings of Children with Suspected Physical Abuse – When to ImageContinue

  • Emergency Medicine Medicolegal Pediatric Emergency

    Why PEM Physicians Get Sued

    August 12, 2021October 15, 2024

    Spoon Feed —
    In the pediatric ED setting, respect cardiac issues, abdominal pain (missed appendicitis), and testicular pain (torsion). Generally, to err on the side of admission is safer from a malpractice standpoint.

    Read More Why PEM Physicians Get SuedContinue

  • Emergency Medicine Imaging Medicolegal Orthopedics Pediatric Emergency Trauma

    Missing Pediatric Fractures – PEM vs Radiology

    December 3, 2019October 15, 2024

    Spoon Feed —
    style=”white-space:pre-wrap;”>Pediatric emergency medicine physician interpretation of pediatric musculoskeletal x-rays was discordant from radiology about 8% of the time and led to an increase in repeat ED visits for missed fractures and unnecessary orthopedic follow up for false positives.

    Read More Missing Pediatric Fractures – PEM vs RadiologyContinue

  • Airway Critical Care Emergency Medicine Medicolegal Pain/Sedation/Procedure

    Difficult Airway – Learn From Closed Malpractice Claims

    November 7, 2019October 15, 2024

    Learn from mistakes. These are closed anesthesia malpractice claims in patients with difficult airways. Read on to avoid the same errors.

    Read More Difficult Airway – Learn From Closed Malpractice ClaimsContinue

  • Education Emergency Medicine Medicolegal Practice of Medicine

    Framing Bias – It’s All in How You Present It

    September 26, 2019October 15, 2024

    There were significant differences in the differential diagnoses generated depending on the framing of a presentation.

    Read More Framing Bias – It’s All in How You Present ItContinue

  • Airway Critical Care Emergency Medicine EMS Medicolegal Pain/Sedation/Procedure

    Cricoid Pressure – First Do No Harm

    September 6, 2019October 15, 2024

    The evidence does not support routine use of cricoid pressure to prevent pulmonary aspiration during intubation.

    Read More Cricoid Pressure – First Do No HarmContinue

  • Emergency Medicine Medicolegal Pediatric Emergency

    How Getting Sued Changes Practice

    May 27, 2019October 15, 2024

    Physicians who had malpractice claims did not tend to move away but tended to leave practice altogether or downsize to a smaller practice setting.

    Read More How Getting Sued Changes PracticeContinue

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