This editorial helps us understand how to avoid the bystander effect in medicine and has direct applicability for the ED.

In patients presenting to the ED with headache or back pain, very few return with serious, missed diagnoses after the initial evaluation. Patient who are elderly, immunocompromised, or have preexisting neurologic disease were at greater risk of missing serious conditions.

In-flight medical emergencies are common, most often presenting with syncope. As emergency physicians, we are trained to handle most scenarios.

There was a helpful JAMA Internal Medicine article on caring for transgender patients this past month. This will help us apply it in the ED.

With ED boarding, the burden of sign-out patients is greater than ever. This study shows just what I expected.  All of these sign-out patients negatively affects how many new cases each resident is able to see on each shift.

Most doctors and clinicians think someone else is the problem when it comes to antibiotic resistance and stewardship.  We are the problem.  And we are the solution.

A 9 year old presented with what we thought was cancer. Read how we stumbled into the diagnosis.

In this single center, 27% of urgent care to pediatric emergency department transfers were likely unnecessary and resulted in discharge with no ED resource utilization.

Tattoos or atypical body piercings did not seem to impact patient rating of physician competence, professionalism, caring, approachability, trustworthiness, or reliability in this single-center study.

I recently read a helpful article in Harvard Business Review via Doximity.  It was a feature on servant leadership.  I'll briefly recap the highlights and make application to the ED.