Sweet, Sweet Chronic Back Pain An extremely busy shift last night. Not necessarily by volume (because I actually saw relatively few patients) but certainly by acuity. Almost everyone was legitimately sick and required real, honest-to-gosh admissions for bona fide medical complaints. And three of them were admitted to the ICU, two of them intubated. In [...]

Perspective Consider two separate rooms in the same Emergency Department. In one lies a young man who has been shot in the chest and arrived in full cardiac arrest with the paramedics frantically giving CPR. Red frothy bubbles come out of the gaping hole over his heart whenever the bag attached to his endotracheal tube [...]

Whenever you get a major trauma, do you get your fair share of procedures (chest tubes, central lines, etc..) or do the surgical residents tend to take them? . At our program, because it is a Level I trauma center, trauma surgery is in charge of most of the traumas. The EM residents manage the [...]

(The following article is directed primarily at those contemplating matching into Emergency Medicine. Those of you who are not may read it but I make no apologies for targeting a particular group of readers. Emergency Medicine has become a very popular specialty lately so I’m sure there is some interest out there. Most of my [...]

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