Ebola– how prepared is your PED?

With all of the news about Ebola our ED staff was fearful and concerned that our ED was not ready.  After hearing about nurses in Texas acquiring the disease the staff started to discuss if they would care for a patient with Ebola or call out sick.  Our senior staff remembered the days of similar fear related to caring for patient with HIV. What would we do if we had a parent or patient screen positive at triage?  Where we prepared?  Are we safe?  Do we have PPE?  Can we don? Can we doff?  Do we have each others backs?? We conducted an in-situ simulations to walk through our EDs Read more [...]
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Answer: “Just Roll With It.”

  This post is in response to the post “Just Roll With It.” To summarize, this was a 17-yo male who presented to the ED with worsening visual acuity over the course of a month. There was no history of trauma, environmental exposures, prior vision problems, photophobia, eye discharge or eye redness. While awaiting the ophthalmology consult, a point-of-care ocular ultrasound was performed and the following video clip was obtained which was consistent with a retinal detachment.   Thank you to all of you who took the quiz! Here are your results below: 83% of you Read more [...]
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Just Roll With It.

  This was a 17-yo male with no PMH who presented to the ED complaining of decreasing visual acuity in his left eye that had been worsening over the past month. It had progressed to the point where he could only differentiate between light and dark. He felt like a 'curtain was falling' when he tried to see through his left eye. He denied trauma, environmental exposures, prior vision problems, photophobia, eye discharge or eye redness.   While awaiting the ophthalmology consult, a point-of-care ocular ultrasound was performed and the following video clip was obtained. Image Read more [...]

The Section on Emergency Medicine at the American Academy of Pediatrics National Conference Exhibit

The American Academy of Pediatrics (AAP) Section on Emergency Medicine (SOEM), founded in 1981, is the leading advocate for the care of acutely ill and injured children and a professional home for pediatric emergency physicians and affiliated health professionals. Its mission is to optimize the emergency care of all children and provide a forum for section members to meet, discuss cases and treatment issues, and stimulate research and teaching in the subspecialty.  Membership is open to all AAP and ACEP members.   Benefits of SOEM Membership: € Advocacy (Federal & State) € Scientific Read more [...]

What does California Prop 46 say about physicians?

For those outside of California (and frankly, for those within California), there is a new ballot called Proposition 46 for the November 4, 2014 elections.  According to Ballotopedia , Prop 46 was begun as 'Troy and Alana Pack Patient Safety Act of 2014.'  This measure sprung from 2 children in a Auto-vs-Pedestrian incident involving a driver who had been on prescription medications and was asleep at the wheel.  The intent of Prop 46 is to improve patient safety indirectly by curbing unnecessary prescription medication overprescribing & doctor-shopping.  This is a topic well-known to Read more [...]

Getting a Job in PEM: A practical guide

Fall means fellowship interview season for many institutions. Fall also kicks off an unofficial job hunting season for newly minted senior PEM fellows. Dr. Mark Roback, the Director of the Division of Emergency Medicine at the University of Minnesota Children's Hospital, first created this handout after interviewing for his first "real job" over 20 years ago. He shares his tips from the prospective of the applicant and as someone who now hires. Dr. Roback has recently updated it for PEMNetwork readers. The handout covers recognizing the large range of jobs available, how to evaluate jobs Read more [...]

The Med Ed Toolbox: The ED-Style Oral Presentation

What to do about the long winded medical student... I recently worked with an enthusiastic medical student applying for emergency medicine residency. He asked me to precept his first patient of the day, and thereupon,began a detailed 7-minute presentation on a patient with a mild asthma exacerbation – perfect if we were on the wards. A few minutes into his presentation, I found myself growing impatient. His clinical assessment and plan were on point, so why did I find myself frustrated? After another presentation like this, I finally asked and learned that this was his FIRST Read more [...]

Emerging enterovirus cluster: Will you test in your ED?

Parts of the American Midwest and Southeast have been experiencing an unusually high number of significant respiratory illnesses among children. Likely caused by a enterovirus, this particular outbreak has resulted in news-worthy levels of hospitalizations for severe respiratory distress. Mark Pallansch PhD, the director of the Division of Viral Diseases at the CDC recently appeared on CNN to address clusters of cases and called the hospitalizations potentially the “tip of the iceberg.” If indeed the number or severity of enterovirus-related cases rises, parents will rightly ask us about Read more [...]