Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 1 It’s a busy night in the ED and in comes… …a 60 y/o male with OSA and COPD in extremis, sitting up on the gurney gripping the side rails, huffing and puffing, struggling to breathe.  You are informed that he has not used his CPAP in

Weekly Wellness

Weekly Wellness 5/19/2017

What is your job as an emergency medicine physician? Move the room? Join several committees? Publish papers? Have good Press-Ganey scores? See more than 2.3 patients per hour? Yes, these are all aspects of our job. But they are not our main job. They are not why we got into emergency medicine. Our main job

Weekly Wellness

Weekly Wellness 5/15/2017

How much sleep do you need? No matter who you ask, the answer is usually, “more”. Some people can sleep for 5 or 6 hours and have plenty of energy. Some get 8 or 9 and feel sluggish all day. Many of us look at sleep as a bother, an impediment to all the other

EM/IM Sessions

Journal Club: Procainamide vs Amiodarone for Stable VT

Randomized comparison of intravenous procainamide vs intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia:  The PROCAMIO study.  Ortiz et al., 2016 European Heart Journal [paper] Why I chose this article? The ACLS guidelines are quite specific on how to approach unstable conditions such as cardiac arrest.  They become much more vague and

Weekly Wellness

Weekly Wellness 5/5/2017

“Fear is the path to the dark side. Fear leads to anger. Anger leads to hate. Hate leads to suffering.” -Yoda Today a lot of people are feeling fear. Fear for their family’s and their own health care. Fear for their patients. Fear for the future. Anytime we have a negative emotion, it’s important to

Well Aware

Well Aware: Feel the Burn

Burnout. It’s a hot topic in medicine in general, and EM specifically. It seems that every single month one journal or another brings mention of burnout. Even the internists are worried about us: a JAMA Internal Medicine Study found that emergency physicians are the most burned out specialty in medicine, with 65% self-reporting burnout. Let’s