CHARMED RCT – Doctor to Doctor Case Presentation and Errors
Simply presenting patients to another physician reduced serious adverse events (NNT = 24) and near-misses. Now we just need to overcome our hubris and ask our colleagues for advice and input.
Concussion Follow-Up Needs Work
We have much room for improvement in educating patients with mild traumatic brain injury (TBI) who are discharged from the ED on the importance of outpatient follow up.
Start Strong, Finish Weak – Attending Shift Productivity
Attending physician productivity peaks at the beginning of the shift, starting with about 3 new patients in the first hour and decreases as the shift progresses. This has important implications for staffing models. Assuming a simple, uniform average over the shift won't work.
The Real Cause of Burnout in the EHR Era?
This opinion piece suggests that it may not only be the clunky EHR that is to blame for physician burnout. Rather, meaningless government documentation requirements pack our notes with useless information that we must include nonetheless in order to get paid.
Going Global? How to Do Global Health Ethically
For those participating in short-term global health experiences, the American College of Physicians has issued a position paper to guide ethical decision making.
The Biggest Barrier to Empathy – Me?
Who else hears of a possible mass shooting and thinks, "I'd better text my wife and tell her I may have to stay late at work."? That happened to me this week. This is a weird job, friends.
Ego is the Enemy
How do we know when our ego as academics and clinicians has become a problem? In other words, how can we get off Mt. Stupid of the Dunning-Kruger Curve and onto the Slope of Enlightenment?
Emerging Tech – Dr. Animoji Will See You Now
This is an interesting glimpse at how technology is and will be changing emergency medicine.
Just Drunk or Critically Ill?
One percent of patients presenting with acute alcohol intoxication eventually needed critical care admission. Be wary of abnormal vital signs, hypoglycemia, or the need for additional chemical sedation, as these were associated with an increased odds of needing the ICU in such people.
ACEP Update – Minors in the ED
This is a needed update to the 1993 ACEP statement on the Evaluation and Treatment of Minors in the ED.