Sarah Talamantes, MD Sarah earned her bachelor’s degree in biopsychology from Cornell University in 2015, where in addition to being a college star, she was a shooting guard for Cornell’s Division I NCAA basketball team. In addition to this, she also spent 3 summers working with the University of Colorado Cancer Center as a clinical […]
Medicine news
The AAIM conference presents numerous DOM | News from the Department of Medicine
I was so proud of the work of the staff and managers in our department. Once again, it reminds me how our investment in great people has a ripple effect not just here at Stanford, but across the country. Ultimately, as Zeng explains, the interest generated by the three projects was “quite a testament to […]
Medical students learn to apply the arts and humanities to medicine
Since 1989, Feinberg has offered seminars in the arts and humanities as part of its medical program, allowing students to approach the world of medicine and health care from different perspectives and with new skills. Today, every Feinberg medical student takes two seminars during their medical school career—one in the winter term of their freshman […]
Permanent AFFIRM: Rebuilding trust in the firearms community : Emergency Medicine News
Figure: gun safety, gun violence, violence prevention Figure Figure People undoubtedly respected medical professionals. This respect still prevails today, but new influences are undermining patient-physician trust. Sensationalist media, political ideologies, inconsistent CDC guidelines, Google-driven anticipation and “individual research,” impossible insurance plans, and the role of health care in the opioid epidemic, among other effects , […]
After the game: Medical school applications hit record high… : Emergency medicine news
Figure: medical school, COVID-19, workforce Figure One of the most interesting changes in healthcare during the COVID-19 pandemic has been the effect on the number of applicants to medical school. These are on the rise. These applications have increased by the highest percentage since 1980, and we have seen a significant increase in applications […]
Associate Dean of Indigenous Health position created at USask College of Medicine – News
Dr. Janet Tootoosis (MD) will act as Acting Associate Dean of Indigenous Health to advance work in the portfolio while a search for a permanent Associate Dean is underway. She was hired for a one-year term, starting June 1, 2022, with the expectation that the search will be completed and the position will be filled […]
Clinical controversies: No need for scans in dizzy patients : Emergency Medicine News
Figure: CT, dizziness, diagnosis Figure Few conditions present in the ER that make the average ER doctor hesitate. We tackle everything from cardiac arrest and trauma to strokes and foreign bodies in every orifice, but we choose to let someone else see a patient who presents with vertigo. Why? One of the reasons is […]
Quick Reference: Symptom: Droopy Eyes : Emergency Medicine News
Figure: bilateral ptosis, diplopia Figure A previously healthy 8-year-old girl presented with bilateral ptosis and impaired superior gaze. She was transferred from an urgent care center to the emergency department for advanced brain imaging after abnormal extraocular movements were detected by the doctor. The patient’s father said he had noticed that his daughter had […]
Scientific conferences on toxicology: the world of complexity behind the… : Emergency medicine news
lactic acidosis, metabolic acidosis: Thiamine is an essential cofactor in the metabolism of pyruvate to lactate. This metabolic pathway is blocked in thiamine deficiency and pyruvate is diverted into another pathway which converts it to lactate. Figure Determining the underlying cause of lactic acidosis often comes down to two choices. Type A lactic acidosis […]
Wellness 911: The Price of Perfection : Emergency Medicine News
Figure: perfectionism, well-being, mental health Figure Figure Figure Doctors should be perfectionists, right? It really depends on the kind of perfectionist. Adaptive perfectionists, who we call high achievers, have high standards, set ambitious goals, and work tirelessly to achieve those goals. They are success-oriented but flexible enough to allow for occasional mistakes. Misfit […]
Life in Emergistan: Turning information gaps into shared knowledge… : Emergency medicine news
Figure: medical school, knowledge Figure Every time I listen to a continuing medical education podcast or talk at a conference, I come away shaking my head. I’m always moved by how much information we’re supposed to withhold, how quickly new data and therapies emerge (and old ones get pushed aside) and, of course, the absolute […]
Brandt’s Rants: New Zealand is deliciously different : Emergency Medicine News
International EM, rural EM, humor: Orf causes scab-like lesions, left, and raised fluid-filled vesicular lesions. Figure Working in a rural New Zealand hospital for six months was remarkably similar to working in a major American city. Oops, wait. My computer crashed for a second. Just go back and change the words ‘remarkably similar’ to ‘breathtakingly, […]
BradyCardia: What diagnosis does this ECG scream? : Emergency medicine news
Figure: ECG, cardiology, hypokalaemia Figure Figure An elderly woman presented to the emergency department with generalized weakness. She and her family said she did not have a fever, but had a history of frequent UTIs. They also said she had no syncope, palpitations, pain, shortness of breath, cough or other symptoms. His vital signs […]
Human factors in medicine: The discordant doctor : Emergency Medicine News
Figure: operational risk management, burn-out Figure Am I the same doctor at the end of a busy shift as when I first walked through the doors 12 hours earlier? Does my last patient on a busy shift have the same knowledgeable physician and similar exam as the first patient I saw? I wish I […]
Clinical pearl: few patients have been informed of an accidental cerebral infarction… : Emergency medicine news
Figure: cerebral infarction, cerebral imaging, cerebrovascular accident BY EMEDHOME.COM Hidden cerebral infarcts are focal lesions detected on brain imaging consistent with ischemia in the absence of a history of overt stroke or neurological dysfunction. These infarcts are the most common incidental finding in brain imaging and are associated with an increased risk of future […]
Viewpoint: The Ordeal of Rejection of Unwanted Opioids : Emergency Medicine News
Figure: opioids, opioid epidemic, drug disposal Figure My stepfather passed away in January after a long illness. Like millions of patients with metastatic cancer, he was receiving aggressive pain management that included high doses of multiple opioids toward the end of his life. Within days of his passing, my wife, her siblings and I attempted […]
Turakhia joins iRhythm for planned leave | News from the Department of Medicine
Mintu Turakhia MD, MASprofessor of medicine (cardiovascular medicine), will take a planned leave of absence from Stanford to join iRhythm Technologies, Inc. as the new Chief Medical Officer and Chief Scientific Officer. One of the earliest and most successful companies spun off from the Stanford Biodesign program, iRhythm is perhaps best known for its heart […]
Class of 2022: Be open to changing your mind
A sequel to “Class of 2022: In Search of More” Lots of changes between the time you receive your acceptance letter to vet school and the time you enter the final weeks of your clinical rotations. I remember being interviewed for an online feature about incoming students in 2018, being asked about my background, which […]
Ryerson Announces Leadership Positions for the Establishment of the School of Medicine – News & Events
We are pleased to announce the appointments of Andrew Padmos as Director of Medical School Institution and Marcia Moshe as Senior Advisor to the Provost and Vice Provost Academic, MD Proposal Development of the Ryerson University School of Medicine, effective April 1, 2022 Both Andrew and Marcia have shown incredible commitment to creating an innovative […]
Delivering Excellence in Orthopedics and Sports Medicine – News
The specialist hospital offers a unique range of orthopedic and neuro-spinal treatments in line with world standards Published: Fri 22 April 2022, 09:00 Alarming levels of vitamin D deficiency among UAE citizens and residents, augmented by their sedentary work routines and physically inactive lifestyles, have catapulted the prevalence of arthritis and degenerative bone, joint and […]
Job announcement: Head of the Sports Medicine and Science Academy – News
An exciting opportunity has arisen at Mansfield Town Football Club for an enthusiastic, proactive and knowledgeable individual to join the Academy’s Department of Sports Science and Medicine as Head of Academy Science and sports medicine. Based at: HR Academy, Pleasley, NG19 7RT Salary: Depending on experience (to be discussed during the interview)Type of employment: […]
From classrooms to cows in less than 60 seconds
Just outside the back doors of the NC State College of Veterinary Medicine, where classrooms, labs and lockers line the hallways, 80 scenic acres are home to pigs, chickens, sheep, goats and cattle and a learning laboratory for veterinary students. The Animal Teaching Unit, as the working farm is called, is a dynamic space for […]
Important tips to keep your pets safe this spring
As spring arrives and the weather warms up, we will start going out more with our dogs and maybe do some gardening. This is also the time of year when many people celebrate Easter. Steve Marks, Associate Dean and Director of Veterinary Medical Services at NC State Veterinary Hospital, shares some important tips for keeping […]
Awards and Honors: Spring 2022 | News from the Department of Medicine
33 Stanford researchers named Chan Zuckerberg Biohub investigators Congratulation to the 33 Stanford researchers (including several of our DOM colleagues) recently named as the latest cohort of Chan Zuckerberg BioHub investigators. Successful applicants receive $1 million in unrestricted donations over a non-renewable 5-year term ($200,000 per year), with a start date of March 1, 2022. […]
ER Goddess: Crushed by Volume, Buried by COVID : Emergency Medicine News
Figure: COVID-19, nursing shortage, lack of beds Figure I had to beg for my patient in his twenties, dying and previously healthy, to get the care he needed. Beg! Not because no one wanted to help, but because the latest wave of coronavirus had brought our healthcare system to its knees. As of mid-January, no […]
FIGURES: The patient in the computer: Emergency Medicine News
Figure: medical data, computers Figure Aiden Sims was a 9 day old who presented with congestion and fever. He had only been sick for a day, but he had declined rapidly. Slightly hypoxic, he growled and retracted during my examination. Unfortunately, Aiden never improved. Indeed, Aiden is not a person but an artificially generated […]
News: It’s time to retire the term “drug research” : Emergency Medicine News
Figure: substance use disorder, drug withdrawal, opioids Figure One of the things I love most about medicine is that it is constantly changing and improving, especially as new evidence sheds more light on a subject. I have doctors in my group who have been trained in diagnostic peritoneal lavage, but that was just a historical […]
Bradycardia: shortness of breath and wheezing: PE or MI? : Emergency medicine news
Figure: cardiology, pulmonary embolism, myocardial infarction Figure Figure A woman in her 70s with asthma, diabetes mellitus, hypertension and a pacemaker came to hospital with shortness of breath and chest tightness lasting two hours. She had had a similar episode the day before which was milder and resolved with albuterol. She had a cough […]
Letter to the editor: Clinicians need to review the literature : Emergency Medicine News
Editor: Mark Mosley, MD has made an impassioned call for physicians to unite with one voice to create a clear message for patients regarding COVID-19. (REM. 2021;43[12]:26; https://bit.ly/3Dc0LN1.) He suggested that science strongly supports the effectiveness of masks and the safety and effectiveness of vaccines, but has no evidence to support current therapeutics. […]
How about this? : Ondansetron can treat migraine (Yes, Ondan… : Emergency Medicine News
Figure: ondansetron, migraine Figure My patient was a preteen girl who could usually manage her acute migraines with acetaminophen, ibuprofen, and intranasal sumatriptan, but it didn’t work this time. Her mother had called the pediatric neurologist to see if they could try something else at home, but the neurologist suspected the patient needed medication and […]
Quick Reference: Symptoms: Leg Gunshot Wounds : Emergency Medicine News
Figure: gunshot wound, trauma, diagnosis Figure Figure A 50-year-old man was rushed to a Level I trauma center about an hour after being shot in the legs with a shotgun at close range. He had normal vital signs on arrival and reported pain at the injury site. Numerous haemostatic penetrating wounds were observed throughout […]
Medically clear: Addicted to misinformation: Is there a cure… : Emergency Medicine News
Figure: misinformation, cults, COVID-19 Figure I have a friend whose marriage is failing due to a misinformation addiction. She and her husband have always had differing political views, but their yin and yang were endearing intellectual fodder for respectful and playful debate. But things have changed dramatically in this new world we live in. […]
Toxicology Rounds: Habits of Highly Effective Medical Toxicology… : Emergency Medicine News
Figure: medical toxicology, good practices Figure Effective medical toxicologists develop habits that minimize the risk of overlooking minor but crucial aspects of poisoning case management. Two of them stand out and can also help emergency doctors in the care they provide. Know the units Units count. Just ask the NASA folks. The Mars […]
Clinical controversies: Have you ever tried viscous lidocaine… : Emergency Medicine News
Figure: viscous lidocaine, medicated, gastrointestinal Figure One of my professors of pharmacology in medical school often joked, “Doctors would think twice about giving some questionable drugs if they took them themselves.” There is no better example of this than viscous lidocaine. It may be one of the most nasty drugs ever invented. Ask the […]
Diversity matters: DEI arc embraces community engagement… : Emergency Medicine News
Figure: DEI, community engagement, social MI Figure A common saying in emergency medicine is that we are an extension of our surrounding community. Its members come to us out of necessity, often at their worst, as a last resort, and as the only option in some cases. EPs strive to meet all patients where […]
News: Courage—the Foundation of Resilience: Emergency Medicine News
Figure: courage, resilience, well-being Figure Resilience is the buzzword everyone in the wellness world seems to be using. It’s something everyone has in varying amounts and is essential for well-being. We talk and talk about ways to build resilience and even make it part of wellness models for health systems because, well, burnout is out […]
What Lies Beneath: Quoth the Crow: Emergency Medicine News
Figure: trauma management, writing Figure Lewis Carroll cryptically asked his Mad Hatter, “What’s the difference between a crow and a desk?” The answer to the riddle is, to this day, unknown. But that hasn’t stopped generations of people from making fanciful connections between the two, some of which even make a bit of sense. […]
Point of view: Building a lifeboat for the sinking : Titanic: Emergency Medicine News
Figure: EM manpower, EM staffing In addition to shouting: “We are sinking!” from the bridge of the ED, how are we going to practice emergency medicine in 2022 without nurses and other essential personnel? I offer these suggestions with terrifying trepidation, knowing that the difference between malpractice and lifeboat ethics may depend on the situation […]
News: Record Etiquette Protects Patients and Physicians : Emergency Medicine News
Figure: Emergency department documentation, chart label, patient records Figure Figure The 21st Century Cures Act allowed patients to view their medical records, including the entire emergency department documentation. This means that patients can read anything written in a doctor’s emergency note. And that means chart etiquette has a new importance in emergency medicine. Comments […]
Anti-trans laws will chill medical news and research
On this year’s Transgender Visibility Day, we should be celebrating accomplishments, honoring resilience, and loudly advocating for the rights of trans people. Yet the growing onslaught of anti-trans legislation targeting the healthcare decisions families make with their doctors threatens to cast a shadow over this day. About a year ago I lost a family member […]
Groundbreaking pain researcher Lascelles to receive Distinguished Professorship
Duncan Lascelles, internationally renowned pain expert, professor of translational pain research and management at NC State College of Veterinary Medicine, will be the recipient of the Dr. J. McNeely and Lynne K. DuBose Professor Emeritus Chair in Health musculoskeletal. He is director of the Comparative Pain Research and Education Center at NC State. He will […]
The record breakers | News from the Department of Medicine
Broadband and the heart Ashley, a self-proclaimed “tech geek”, was drawn to medicine as the child of a doctor and a midwife. At 16, he became fascinated with genetics while reading Richard Dawkins’ book The selfish gene. After completing medical school at the University of Glasgow and a medical residency and doctorate in molecular physiology […]
Inaugural Clinician Ceremony for Class of 2024 – School of Medicine News
Classmates show off the stethoscope and pledge they received during the clinicians ceremony. Wayne State University School of Medicine’s Class of 2024 began medical school in 2020, just four months after the COVID-19 pandemic began. The pandemic has forced the cancellation of all in-person teachings and events, including the traditional White Coat Ceremony usually held […]
First Person: Retirement, Emergency Medicine Style: Emergency Medicine News
Figure Figure Residency is a time of excitement, optimism, ideas for the future and connection, a time when we contemplate change and potential possibilities. My residency class consisted of eight incredible individuals, two females and six males. We had people from all stages of life: single and married, some in their second careers, others […]
The Day – In Ukraine, a desperate search for much-needed medicine
KYIV, Ukraine – The temperature was below freezing and the pharmacy queue was way outside the door. But Tetyana Dagadaeva could not be deterred. For days, she and her 11-year-old son, Oleksiy, had been desperately seeking the insulin he needed to survive. With his home supply dwindling, they will soon have no choice but to […]
New: Push Me(ds), Pull Me: Emergency Medicine News
Figure: sedation, best practices, single blanket Figure I’m unabashedly proud of how good EPs are at multitasking and task switching (we fight a lot about how we can get out of a code and into the next room without a break), but I never feel this more intensely than when doing a sedation procedure on […]
Duquesne University Opens Future College of Osteopathic Medicine News, sports, weather, traffic and the best of Pittsburgh
Adidas unveils new retro Penguins ‘Team Classics’ jerseyAdidas has released a new Penguins throwback jersey – and for Pittsburgh hockey fans, it will be a trip down memory lane. 2 hours ago KDKA-TV Afternoon Forecast (3/1)Stay on top of local weather with meteorologist Kristin Emery’s 7-day forecast! 2 hours ago Duquesne University Inaugurates Future College […]
After the game: no excuses not to recruit MRUs : Emergency Medicine News
Figure: URM, GME, equity in emerging markets Figure Health care facilities create or expand diversity programs to address gender, ethnicity, and sexual orientation gaps. Higher medical education has a particular interest in recruiting underrepresented minorities (URMs). This effort is more complex than I can cover in this space. Centuries of racial oppression are hard to […]
Post-It Pearls: Phenobarbital for alcohol withdrawal symptoms… : Emergency Medicine News
Post-it beads Phenobarbital for alcohol withdrawal symptoms Lin, Michelle MD doi: 10.1097/01.EEM.0000824164.73418.8a Metric Figure: alcohol withdrawal, phenobarbital, best practices Figure Does your patient have more than a mild case of alcohol withdrawal symptoms? Consider giving IV phenobarbital as a first-line agent instead of a benzodiazepine. The initial dose is usually 130 to 260 […]
Clinical Pearl: Withdrawal of buprenorphine-precipitated opioids… : Emergency Medicine News
Figure: buprenorphine, opioid withdrawal, substance use disorder BY EMEDHOME.COM Buprenorphine-precipitated opioid withdrawal is seen in physically opioid-dependent patients who have recently taken full agonist opioids and are subsequently receiving buprenorphine. (J Addict Med. 2021 Nov 16. doi:10.1097/ADM.0000000000000929.) Withdrawal intensity can range from mild to life-threatening. (J Addict Med. 2021 Nov 16. doi:10.1097/ADM.0000000000000929; Cardiovascular toxicol. […]
Letter to the Editor: Getting the Truth: Emergency Medicine News
Editor: What about the sensational stories on the front page of the January issue? While I agree with the spirit that EPs that spread misinformation should lose board certification, who gets to decide? This year’s misinformation could be next year’s standard of care. Should doctors who were against solumedrol for spinal cord injury (heresy […]
Bradycardia: A long list of possible ECG causes : Emergency Medicine News
Figure: cardiology, ECG Figure Doctors were called to a private residence by the family of a woman in her 80s with ESRD, hypertension and diabetes who could not be fully awakened from a nap. Her husband said it was like the lights were on, but no one was home. She had missed dialysis the […]
News: AAEM sues Envision for practice of medicine in business : Emergency Medicine News
Figure: AAEM, Envision, company medicine When Placentia-Linda Hospital, a Tenet-owned facility in Placentia, California, awarded a contract to manage and staff its emergency department to Glass Beach Medical Services, a company controlled by Envision Physician Services , Placentia Linda Emergency Physicians (PLEP) and the American Academy of Emergency Medicine Physicians Group, Inc., (AAEM-PG), which provided […]
Goddess of emergencies: bailing out the COVID-19 tidal wave : Emergency Medicine News
Figure: COVID-19, pandemic outbreak Figure It’s Christmas Day. I sent my fiancé Matt to work with Bojangles fried chicken and chocolate cake, but our brief afternoon phone conversation made it clear that none of his ER workers will have time to eat it. “Sandy, people are coming in carloads. I just had a family of […]
Diversity matters: How to address health disparities… : Emergency medicine news
Figure: COVID-19, equity in emerging markets, health disparities Figure We have seen an unprecedented increase in demand for emergency services throughout the pandemic. Many emergency departments receive patients who otherwise (pre-pandemic) would never have entered the medical system. This interaction between constants (staff, space, resources) and variables (volume of patients, patient acuity, seasonality) changes daily. […]
The speed of sound: Symptoms : Right eye pain : Emergency Medicine News
Figure: ultrasound, right eye pain, laceration, asteroid hyalosis Figure A 55-year-old man complained of pain in his right eye. He reported that the pain started after he hit his head against a door. He noted floaters in that eye, but said they had been there for several years. He had a history of […]
Standing AFFIRM: Placing the “public” in public health : Emergency Medicine News
Figure: public health, armed violence, violence prevention Figure Americans come together in grief over every gun tragedy and senseless loss of life. We share our astonishment that the people closest to the attacker did not recognize the warning signs and appropriate precautions were not taken when strong risk factors are identified from dangerous people with […]
POV: Titanic sinks without nurses : Emergency Medicine News
Figure: nursing, understaffed, EM workforce The shortage of nurses in the emergency department has been a beleaguered issue for years in which the staffing grid has never quite matched the help in the field due to calls, mentorship, management or of a handful of other shell game explanations that makes an ED feel fully staffed […]
Letter to the editor: ABEM could face future lawsuits : Emergency Medicine News
Letters to the Editor Emergency Medicine News welcomes letters to the editor on any topic related to emergency medicine. Please limit your letter to 250 words and include your full name, references, city and state of residence or practice. Letters can be edited for content, length and grammar. Submission of a letter constitutes […]
Viewpoint: Government can do better with COVID-19 : Emergency Medicine News
Figure: public health policy, COVID-19, government I often ruminate on the first patient I lost to COVID-19. What was different about her, besides being young and pregnant, was that she was my first. We knew so little in the spring of 2020 and we had so few tools to fight the virus. These losses sometimes […]
Quick Reference: Symptoms: Syncope and Chest Pressure : Emergency Medicine News
Figure: syncope, chest tightness, Takotsubo cardiomyopathy Figure Figure A 70-year-old woman with a history of hypertension, hyperlipidemia and gastric adenocarcinoma in remission presented to the emergency room with near-syncope and chest pain immediately after learning of the death of a family member due to COVID-19. Chest pain was described as nonradiating retrosternal, pressure-like, nonpositional, […]
What’s Underneath: The Goodness of Larvae : Emergency Medicine News
Figure: maggots, chronic disease management Figure This month’s article, in a particular confluence of previous columns, explores the power of nomenclature, reclaimed ancient remedies, the philosophical question of managing chronic conditions so they don’t clog service urgency and the general scope of strangeness. These are maggots. Listen to me. Many years ago, a […]
5 Tips for Selecting a Diabetes Research Expert | News Health & Medicine
To conduct proper diabetes research and get effective results, you need to select the right expert. A diabetes research expert can make all the difference in the outcome of your project. But how do you find a qualified expert in diabetes research? As you know, diabetes [and other relevant diseases] research is becoming very data […]
Five reasons to consider St. George’s University Medical School – archyde
Why pursuing a degree at this university in Granada is a decision that will boost your career prospects Published: Thu 24 Feb 2022, 09:00 If you are thinking of applying to medical school, you have probably already gathered some basic information about St. George’s University (SGU) Medical School, Grenada. But there are many other facts […]
Doctoral student explores how exercise improves multiple sclerosis – News from the School of Medicine
Erin Edwards grew up as a prolific athlete with a passion for sport and physical activity. It wasn’t until her grandfather was diagnosed with Alzheimer’s that she started thinking about the science behind exercise and the brain. “I became interested in how exercise demonstrates many compelling links to improving the quality of life for people […]
2022 Medical Student Research Symposium Award Winners Announced – Faculty of Medicine News
The twelve students pictured won first place in various categories at the 2022 Medical Student Research Symposium. Eighty medical students from Wayne State University School of Medicine participated in the annual Medical Student Research Symposium, hosted and hosted virtually by the Office of Medical Student Research Programs on January 28. Students submitted 74 combined research […]
2022 Breast Cancer Symposium scheduled for February 28 – News from the School of Medicine
The 2022 Breast Cancer Symposium, which is taking place virtually this year, is scheduled for February 26, from 7:30 a.m. to 1 p.m. Sponsored by the Barbara Ann Karmanos Cancer Institute and Wayne State University School of Medicine, the conference will be presented virtually via Motown Digital. Keynote speakers will be E. Shelley Hwang MD, […]
UAB Cardiogenomics Clinic transforms cardiac care with genomic medicine – News
The cardiogenomics clinic uses a patient’s genetic history to help develop a personalized treatment plan based on their genetic results. The cardiogenomics clinic uses a patient’s genetic history to help develop a personalized treatment plan based on their genetic results.Heart disease is the leading cause of death in the United States, with one person dying […]
The Terry Foundation creates a Deanery Chair
The RB Terry Charitable Foundation, a longtime philanthropic partner of the NC State College of Veterinary Medicine, has made another transformational investment in the CVM with the establishment of the Dean’s Chair endowed with the Randall B. Terry, Jr. College of Veterinary Medicine . The foundation announced a commitment of $1 million and plans major […]
Clinical Pearl: Diagnosing pediatric appendicitis at the first… : Emergency Medicine News
Figure: pediatrics, appendicitis, diagnosis BY EMEDHOME.COM A recent study identified characteristics of pediatric patients with acute appendicitis missed in the emergency department. (JAMA Netw Open. 2021;4[8]:e2122248; https://bit.ly/3s5SNDH.) The case-control study analyzed nine years of data from five centers to identify 748 children who had two ER visits in a seven-day period with the diagnosis […]
Diversity matters: Exposing the blind spots of equity with ethnic identity… : Emergency Medicine News
Figure: Social MI, health equity, ethnic identifiers, DEI, diversity Figure A concrete step towards health equity is the active and accurate collection of ethnic identifiers. This has been a controversial subject for years. One school of thought believes ethnicity information has no place in medical records, while another suggests added value. A health equity stance […]
How about this? : EM overdoses on aspirin : Emergency Medicine News
Figure: aspirin, chest pain, best practices Figure Aspirin for chest pain is here forever, but should it be? The Centers for Medicare & Medicaid Services withdrew its aspirin rule on arrival last year. The federal government no longer sees the point of monitoring compliance or financially rewarding good compliance. A CMS spokesperson confirmed this to […]
Clinical controversies: Hydralazine is broken (no need to f… : Emergency medicine news
Figure: hydralazine, hypertension, best practices Figure So much variability exists when it comes to managing hypertension in the hospital. (J Clin Hypertens. 2010;12[9]:698; https://bit.ly/3o3B64N.) Hydralazine, a potent vasodilator, is used throughout the United States as an intravenous drug to lower blood pressure, and it is often used off-label for hypertensive emergencies, although it has little […]
News: Program brings vaccine to where patients are : Emergency Medicine News
Figure: COVID-19 vaccine, social ME Figure We treat a large number of people with issues related to homelessness, chronic non-communicable diseases, psychological crisis and substance abuse at St. Vincent’s Hospital Melbourne, a large tertiary public teaching hospital in central -city of Melbourne, Australia. Our most frequent emergency patients are disproportionately affected by these primarily social […]
NUMBERS: Opportunity cost as a proxy for empowerment : Protec… : Emergency Medicine News
Figure: opportunity cost, employee power, BATNA Figure I used a computerized survey of nearly 500 emergency physicians in my last two articles (http://bit.ly/EMN-numbERs) to examine general opportunity costs – the cost of pursuing one option versus your next best alternative – and related them to pursuing an education in the stock market. But what about […]
News : Starting a Ketamine Clinic: Another Option for PEs : Emergency Medicine News
ketamine infusion, EM activity: Dr. Ko opens his ketamine clinic. I’ve worked as an ER doctor for a decade, but I jumped into the side gig world four years ago by starting a ketamine infusion clinic in Palm Springs, California. The seed was planted years ago when I first came across an article about […]
Permanent AFFIRM: Congress poised to make biggest investment… : Emergency Medicine News
Figure: armed violence, violence prevention, Congress Figure The United States is in the midst of not one but two pandemics: COVID-19 and gun violence. Our country has seen the highest increase in per capita homicides in modern history since the start of the COVID-19 pandemic. (Federal Bureau of Investigation; https://bit.ly/3EE0jbM.) This translates to 21,570 people […]
The Speed of Sound: PTA: Ultrasound for Victory : Emergency Medicine News
intra-oral ultrasound, peritonsillar abscess, diagnosis: Peritonsillar abscess as visualized by intraoral ultrasound. Figure A 25-year-old man presented with worsening sore throat and fever. His voice sounded like he had just taken a bite of a hot potato. His posterior pharynx reveals erythema and swelling on the left, with deviation of the uvula to the right. […]
ER Goddess: My Stupid Heart Belongs to Medicine : Emergency Medicine News
Figure: EP life, first person, narrative medicine Figure I’ve been writing this column since 2015. I’ve poured out my frustrations and revelations related to our crazy specialty in an article every month for over six years. This month, as I sit down to write my 75th article for REM, I’m having a little trouble finding […]
Scientific conferences on toxicology: Toxicology articles to read for 20… : Emergency medicine news
Figure: toxicology, Digibind, digoxin, Cannabis Figure These three articles are not necessarily the best medical toxicology articles of 2021, but they are particularly interesting. Clinical experience with anti-digoxin antibody dose titration in acute digoxin poisoning (ATOM-6) Chan BS, et al. Clin Toxicol (Phila) 2021; August 23: 1 I argued in […]
BradyCardia: A complicated case of sudden shortness of breath… : Emergency Medicine News
Figure: cardiology, shortness of breath, diagnosis Figure Figure A man in his 60s who suffered a recent stroke was brought in by EMS from a rehabilitation center for sudden shortness of breath. His blood pressure was 110/70 mm Hg and his heart rate was around 130 on the ground. The doctors put him on CPAP. […]
POV: Overworked nurses need relief : Emergency Medicine News
Figure: nursing, EM workforce, nurse-patient ratio Nurses are the primary patient-facing members of most healthcare organizations and often the first point of contact for many people seeking medical care. They initiate screening exams, draw blood, administer medications, provide education and counseling, and are often the customer service side of any facility. My hospital once ran […]
Quick Reference: Symptom: Facial Swelling : Emergency Medicine News
Figure: facial swelling, rash, diagnosis Figure A 23-year-old woman with no medical history presented with facial swelling. She was brought in by ambulance and said on arrival that the swelling had started a few days earlier. She noted that she started taking an antibiotic for a cyst 10 days prior and then developed pain […]
WSU Earns ACGME Accreditation with Honors – School of Medicine News
The Accreditation Council for Higher Medical Education has reaccredited Wayne State University School of Medicine as the sponsoring institution for the school’s supervised medical residency programs. The ACGME Institutional Review Board declared that the School of Medicine demonstrated substantial compliance with the ACGME Institutional Requirements and approved the annual review with commendation. Anne Messman, MD […]
Dr. McIntyre Leon named acting director of neurosurgery – School of Medicine News
Carmen McIntyre Leon, MD, assistant professor and associate chair of community affairs in the Department of Psychiatry and Behavioral Neurosciences, has been named interim chair of the department of neurosurgery at Wayne State University School of Medicine. The appointment, announced Thursday by Mark E. Schweitzer, MD, dean of the medical school and vice president of […]
FOODA restores meal service in the Scott Hall cafeteria – News from the School of Medicine
FOODA Meal Service began bringing restaurant-quality meals to Scott Hall last week, providing food selections to the School of Medicine community during the COVID-19 pandemic. The program, which restores food service to the Scott Hall cafeteria, was obtained by the office of Dean Mark E. Schweitzer, MD, as part of the School of Medicine’s “You […]
Wayne Pediatrics Diaper Drive is now underway – News from the School of Medicine
Wayne Pediatrics is hosting its second annual Diaper Drive to collect diapers, wipes, diaper cream and more to support families with babies and toddlers in the Detroit community. One in three mothers in America struggle to provide diapers for their babies. One in five mothers give up food, utilities and other essentials to provide diapers […]
HOLIDAY | HEAD OF THE ACADEMY OF SPORTS SCIENCES AND MEDICINE – News
An exciting opportunity has arisen to join the team as Head of Sports Science and Medicine at the Academy here in Oakwell. Please see below for role details and how to apply. Under the responsibility of: Head of the first team of sports sciences / Head of the academy Head of the Academy of Sports […]
Wab Kinew calls Manitoba surgery plan ‘road medicine’
Manitoba’s opposition leader says the province is providing “travel medicine” to hundreds of spine patients it sends to the United States. Manitoba plans to transfer about 300 spinal patients to Fargo, ND The province is looking to send people who have waited more than a year for surgery. Manitoba says it will pay for the […]
Democratizing Innovation at the University of Miami Miller School of Medicine
Too often, the ideals of personalized medicine and population health seem to be at odds: what could benefit a group en masse can’t necessarily improve the health of an individual. However, says Dr. Azizi Seixas, associate professor of psychiatry and behavioral sciences at the University of Miami Miller School of Medicine, this is a false […]
Diversity Matters: Simulation Cases Exploring Racial Equity… : Emergency Medicine News
Figure: simulation, racial equity, social MI Figure Simulation has become an educational reference in emergency medicine. The beauty of this is that EPs benefit from the full Danger Room experience, an unbridled opportunity to practice critical skill sets in a low-impact environment. EPs can gain confidence through repetition and bouts of constructive feedback for everything […]
New student relaxation area opens at Scott Hall – School of Medicine News
Medical students have a new space to study and relax at Wayne State University School of Medicine. The new Student Relaxation Area, located in Room 1328 on the first floor of Scott Hall, opened for medical students on January 5. The room, adjoining the cafeteria, is reserved for medical students. It is available seven days […]
Post-It Pearls: Observing Patients With Biphasic Anaphylaxis: Emergency Medicine News
Figure: biphasic anaphylaxis, epinephrine Figure How long do you observe emergency department patients with anaphylaxis for a recurrent episode (biphasic anaphylaxis)? This phenomenon occurs in about five percent of patients and can occur at any time during the first 72 hours. The answer is not clear, but experts generally agree on the higher risk predictors […]
Bradycardia: Assume cardiac cause until proven guilty: Emergency Medicine News
ECG, GERD, retrosternal burn, catheterization: Image 1. The patient’s first ECG taken during triage. Figure A man in his mid-fifties with no medical history presented to hospital with about an hour of retrosternal burn that improved but did not resolve after taking famotidine. The pain had started while he was lying down after eating pizza, […]
Diversity Matters: A Simulation Case Exploring Racial Equity …: Emergency Medicine News
Figure: simulation, racial equity, social EM Figure Simulation has become an educational gold standard in emergency medicine. The beauty of it is that EPs get the full Danger Room experience, an unbridled opportunity to rehearse critical skill sets in a low impact environment. PEs can gain confidence through repetition and episodes of constructive commentary for […]
What’s Below: An Ode To Droperidol: Emergency Medicine News
Figure: droperidol, sedation Figure Few drugs blackmail me like droperidol. It is a superb and unmatched tool in our pharmaceutical hangar. It’s a sophisticated instrument, a targeted dart, a brilliant medicine to take control of a patient with agitated delirium. The sedation of very excited and dangerous patients is always heavy. As a procedure, it […]
News: EP blocked when insurer goes bankrupt: Emergency Medicine News
Figure: malpractice insurance, bankruptcy Connecticut emergency physician Eric Salk, MD, MPH, received a distressing notification in March 2021. The Emergency Physicians Insurance Exchange Risk Retention Group (EPIX RRG) had been placed in rehab in Vermont where he was domiciled. (https://epixrrg.com.) The 60-year-old emergency physician, who served as medical director and president of his emergency department […]
Letter to the Editor: Undifferentiated Agitation is Different …: Emergency Medicine News
Editor: It appears that a psychiatrist and an anesthesiologist are looking into the suitability of drugs administered by EMS to control undifferentiated agitation in a patient at the scene. (“Death of Black Man Prompts Reanalysis of ExDS”, REM. 2021; 43[10]: 1; https://bit.ly/3D5VQ0m.) I am amazed that the psychiatrist said, “As psychiatrists, dealing with those who […]
Clinical Pearl: ‘Positive’ Symptoms May Be Acute Stroke: Emergency Medicine News
Figure: positive symptoms, acute stroke BY EMEDHOME.COM It is commonly accepted that TIAs and strokes generally exhibit “negative” symptoms while imitators (eg, migraine, seizures) generally exhibit “positive” symptoms. Doctors should be aware, however, that “positive” symptoms such as certain abnormal movements can be an acute stroke. Sudden hyperkinetic movements are a presentation of acute ischemic […]
Stand up AFFIRM: Cardiff model translates injury into prevention: Emergency Medicine News
Figure: injury, violence prevention, cardiff model Figure We have all had cases. A 19-year-old alcoholic man presents with a severe laceration to his face and scalp following an assault involving broken glass. The triage nurse asks the usual questions: When did this happen? What was the weapon used? How old are you? Tetanic status? Etc. […]