Welcome to Emergency Medicine News' Official page. View the latest issue: www.em-news.com. The Most Trusted News Source in Emergency Medicine
An award-winning news magazine for the nation's 37,000 emergency physicians published by Wolters Kluwer, Emergency Medicine News provides breaking coverage of advances, trends, and issues within the field, as well as clinical commentary by Editorial Board Chairman James R.
Roberts, MD, a leader in the field, Edwin Leap, MD, Leon Gussow, MD, Jennifer Wiler, MD, Ravi Morchi, MD, Darren Braude, MD, and Graham Walker, MD, among many others. The newspaper features comprehensive special reports, illuminating profiles, and dynamic editorials. Physicians who are registered with the AMA/AOA as having a primary specialty related to emergency medicine are eligible for a free subscription. To order EMN or for other Subscription Services, please visit www.myEMNsub.com. You may also call (800)430-5450 or send an email to [email protected]. You will need your account number, located above your name on your mailing label.
Operating as usual
Tune in for a new episode of our EMN Live podcast with Richard Pescatore, DO, and Ali Raja, MD, now live at www.EM-news.com! Blog posts also now live on www.EM-news.com with Loice Swisher, MD; Alice Lee, MD; Michael Mouw, MD; Gregory LaSala, MD; Rita G. McKeever, MD; Jolene Yehl, MD, and Martha Roberts, ACNP.
Need a break from all things COVID-19? Articles in our December issue from Edwin Leap, MD; Sandra Scott Simons, MD; and Italo Brown, MD, MPH, can help. Now live at www.EM-News.com
This month’s EMN has all the information you need to get through your next shift with Leon Gussow, MD; Michelle Johnston, MBBS; Graham Walker, MD; Tom Cook, MD; Dustin Ballard, MD; David Vinson, MD; and Regina Royan, MD. www.EM-News.com
Hone your skills with the latest clinical pearls in our December issue from Richard Pescatore, DO; Christine Butts, MD, Michelle Lin, MD, EMedHome, and Brady Pregerson, MD. www.EM-News.com
New issue coming out tomorrow. Find out when it goes live. Sign up for our eTOC at www.EM-News.com. (Click “Subscribe to eTOC” at bottom of home page.)
Dr. Amal Mattu and colleagues discuss COVID-19 in the elderly, the European Society of Cardiology-PE guidelines, and neuro-COVID in this month’s EMedHome podcast. Listen in at http://bit.ly/MattuEMN!
Emergency Medicine’s #1 Journal Publication: Clinical advances and trends from the most trusted emergency medical news source in emergency medicine.
Dr. Michelle Johnston says an eosinophilia may be a useful data point in a few hen’s teeth situations: differentiating DRESS from other drug rashes, making us think of helminth infestations, directing us to think of esophagitis, asthma, rhinitis, and others.
An abstract is unavailable.
Dr. Graham Walker says while COVID-19 and 2020 have generally been more bad than good, they have forced some good changes upon us that we should keep even when the pandemic ends, like wearing a mask and telemedicine.
An abstract is unavailable.
The endoscope has many uses in the ED, and Dr. James Roberts and Ms. Martha Roberts have a few tips and tricks for nasal endoscopy and nasopharyngoscopy. Learn more at http://bit.ly/EMN-ProceduralPause.
EPs can play an important role in the prompt diagnosis and treatment of STI in the elderly by adding it to their differential when older patients present with symptoms that would prompt them to consider it in younger patients.
An abstract is unavailable.
The COVID-19 outbreak in the remote Aleutian Islands in Alaska shows that the coronavirus will take advantage of any shortcuts or breaches in safety protocols and that PPE and masks can protect people when they are properly worn and cleaned.
An abstract is unavailable.
EPs are usually right when they think appendicitis is unlikely: Physician gestalt performed particularly well in the very low-risk strata in a study, with an observed appendicitis rate of only one percent, says Drs. David Vinson and Dustin Ballard.
An abstract is unavailable.
Dr. Alice Lee and Aaron Johnson, DO, treat a 56-year-old who feels he is drowning. He has hypertension, diabetes, congestive heart failure, and afib, and presented with severe shortness of breath. What’s the diagnosis? Find the answer at http://bit.ly/EMN-iCubed!
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Treating septic shock with vasopressors has improved over the years, say Drs. Rick Pescatore and Ali Raja in their latest EMN Live podcast, but management must now focus on their timing. Bonus: Antimicrobial therapy for otitis externa. Listen in at http://bit.ly/EMNLive!
Emergency Medicine’s #1 Journal Publication: Clinical advances and trends from the most trusted emergency medical news source in emergency medicine.
TXA didn’t do a thing for patients with acute GI Bleeds in a new study—there was no mortality difference at one day, five days, or 28 days, and the only statistically significant outcomes were harms, says Dr. Dan Runde.
An abstract is unavailable.
Dr. James Roberts says a urine collection is standard of care for those with UTI symptoms or abdominal or vaginal complaints, and urine microscopy and culture are not required unless the patient has an abnormal dipstick or an unusual condition.
An abstract is unavailable.
A 42-year-old man with a history of hypertension and substance abuse presents with three months of intermittent, exertional chest pressure and shortness of breath. What does his ECG show? Dr. Brady Pregerson has the interesting answer: https://bit.ly/3kLG4z4.
An abstract is unavailable.
Dr. Mark Mosley says EPs should remind themselves that they will harm patients if they routinely order tests out of fear of small risks, and that they can decrease the burden of personal responsibility through shared decision-making.
An abstract is unavailable.
Dr. Rick Pescatore says through corporate influence, the unrelenting medicolegal specter, and a daunting image problem, emergency medicine has forgotten the culture of compassion and ingenuity that brought EPs to where they are today.
An abstract is unavailable.
Urine dipstick testing has limitations and is likely overrated by clinicians, says James Roberts, MD, in this article ahead of print, but it can be helpful despite numerous false-positives and -negatives.
http://bit.ly/EMNNewsBlog
A reanalysis of the ECASS III trial found that the study was flawed because of failure of randomization and that alteplase does not benefit stroke patients, leaving no major support for the use of tPA.
An abstract is unavailable.
Though the Navajo Nation struggled with a high number of COVID-19 cases, a quick and rigorous strategy leveraging the nation’s unique culture helped get the rate of infections, deaths, and hospitalizations under control.
An abstract is unavailable.
Medical toxicologist Sean Bryant, MD, shares a six pack of pearls in this month’s EMedHome video: http://bit.ly/EMN-EMedHomeVideos.
Emergency Medicine’s #1 Journal Publication: Clinical advances and trends from the most trusted emer
We should reframe firearm injury from a partisan political fight to a clear conceptualization of health because politicization has led to underfunding and data suppression, preventing us from developing comprehensive public health solutions, say Dr. Christopher Barsotti and Ms. Tracy Hauver.
An abstract is unavailable.
EM is a great way to go for medical students who want to help a lot of patients throughout their careers, but the calculus of pursuing EM is changing with the growing number of residencies and APPs, says Dr. Thomas Cook.
An abstract is unavailable.
This case taught Dr. Michael Mouw to see the big picture when caring for dying patients and to avoid doing things to them that he wouldn’t want done to himself and not to let time pressure distract him from his focus on patient safety. Read about this case at http://bit.ly/EMNTrialError.
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Dr. Leon Gussow says EPs will be seeing more and more cases of severe, life-threatening methemoglobinemia that require immediate and aggressive treatment to prevent death even before the methemoglobin level is back.
An abstract is unavailable.
An emergency physician describes her struggle in figuring out how she can be a code leader while keeping the staff and herself safe in this episode of the Physician Grind podcast. Listen in at http://bit.ly/PhysGrind.
Emergency Medicine’s #1 Journal Publication: Clinical advances and trends from the most trusted emergency medical news source in emergency medicine.
“I walked back into the hospital and could not hold back the stream of tears. I didn’t have to pretend anymore that what I had just experienced was OK. It wasn’t OK.” Sign up for our (totally free!) enews: http://bit.ly/EMNenews!
An abstract is unavailable.
CMS wants to pay emergency medicine six percent less in 2021, meaning EPs will face a new phenomenon for the first time in its history: market contraction, write Drs. Tom Cook and Jason Adler in this article ahead of print.
http://bit.ly/EMNNewsBlog
Today's enews: A combination of CBD and THC can allow EPs to successfully treat patients with opioid addiction without placing them at risk of OD, withdrawal, or death. Sign up for our (totally free!) enews: http://bit.ly/EMNenews!
An abstract is unavailable.
Dr. Michelle Lin says EPs should be on the lookout for domestic violence victims and be more vigilant in screening in the ED as the number of cases rise globally during the COVID-19 pandemic.
An abstract is unavailable.
Dr. Lois Swisher says the injury of this patient who presented with ankle pain rarely happens alone. Can you tell what the diagnosis is from this x-ray? Find the answer at http://bit.ly/EMN-Lions-and-Tigers-and-Bears.
Anoop Kumar, MD, MPH, reflects on the election and the search for our buried national identity, wondering whether we can recognize ourselves in the person next to us, no matter who he is, to let the unearthing process begin. http://bit.ly/EMNNewsBlog
Recognizing the red flags for malignant otitis externa such as major risk factors, severe otalgia, and neurologic deficits can help EPs avoid missing this diagnosis, which can result in severe complications and even death.
An abstract is unavailable.
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Fish hook injuries may seem simple at first, but can quickly get complicated. Watch this preview from Dr. James Roberts and Ms. Martha Roberts for how to remove a hook and watch two videos and read their blog going live Sept. 1 at http://bit.ly/EMN-ProceduralPause!
Two toddlers present with similar symptoms, and Dr. Alice Lee and Richard Cantor, MD, work through to a head-scratching diagnosis. See if you can get to the diagnosis first in this preview, and check out the full screencast on Sept. 1 at http://bit.ly/EMN-iCubed.
Drs. Alice Lee, Salim Rezaie, and Anand Swaminathan diagnose a young woman with abdominal pain. She’s in labor, but there’s a twist. Get the basics in this preview, and check out the full screencast to learn the diagnosis on August 1 at http://bit.ly/EMN-iCubed.
The Quigley maneuver for trimalleolar fractures can be done solo but sometimes requires two people (even three). Watch this preview from Dr. James Roberts and Ms. Martha Roberts. Watch the full video & read their blog going live August 1 at http://bit.ly/EMN-ProceduralPause!
Martha Roberts, NP, of our Procedural Pauseblog says a COVID-19 test isn't as bad as you think. Watch her get one in this brief video. Spoiler alert: Her test was negative.
Dr. Alice Lee and Chad Bunker, DO, diagnose a young woman with abrupt onset of abdominal pain in this video preview. Check out the full screencast on July 1 to learn the diagnosis at http://bit.ly/EMN-iCubed.
Trimalleolar fractures are serious and often unstable, say Dr. James Roberts and Ms. Martha Roberts in this preview of their next video. Tune in to see how a hematoma block can help with pain before surgery. Watch the full video and read their blog going live July 1 at http://bit.ly/EMN-ProceduralPause!
Dr. Alice Lee and interventional cardiologist Jas Kahlon, MD, diagnose a 60-year-old woman who presents with chest and left arm pain in this video preview. Check out the full screencast to learn the diagnosis June 1 at http://bit.ly/EMN-iCubed!
Inserting an ear wick into a swollen canal helps keep medication around longer and assists with healing for otitis externa, say Dr. James Roberts and Ms. Martha Roberts in this preview of their next video. Watch the full video and read their blog on June 1 at http://bit.ly/EMN-ProceduralPause!
Using ultrasound during aspiration of a wrist helps identify the right location and makes sure you’re in the right spot, say Dr. James Roberts and Ms. Martha Roberts in this preview of their next video. Watch the full video and read their blog going live May 1 at http://bit.ly/EMN-ProceduralPause!
What's the diagnosis for this 66-year-old with hemoptysis, shortness of breath, and atrial fibrillation who is on Eliquis and has hypertension, congestive heart failure, and apnea? Watch @azerdocmom and Kevin Craig, MD, discuss her care in this video, and then check out the full screencast going live May 1 to learn the diagnosis at http://bit.ly/EMN-iCubed!
Using ultrasound is the right move before tapping a wrist, say Dr. James Roberts and Ms. Martha Roberts in this preview of their next video. Watch the full video and read their blog going live April 1 at http://bit.ly/EMN-ProceduralPause!
A 64-year-old man with swelling of his tongue and neck gave Dr. Alice Lee and Cristian Patterson, DO, a run for their money. Watch a preview of this scary case of angioedema from lisinopril and then the full screencast to learn the diagnosis on April 1 at http://bit.ly/EMN-iCubed. #FOAMed
Performing paracentesis is pretty simple once you set up your equipment and use ultrasound to identify landmarks, say Dr. James Roberts and Ms. Martha Roberts in this preview of their next video. Watch the full video & read their blog at http://bit.ly/EMN-ProceduralPause!
Dr. Alice Lee and special guest Salim Rezaie, MD, figure out what is going on with a 73-year-old woman with acute onset of thoracic back pain. Watch this preview and then the full screencast to learn the diagnosis at http://bit.ly/EMN-iCubed. #FOAMed
Ultrasound can find the landmarks you need before starting paracentesis, say Dr. James Roberts and Ms. Martha Roberts in a preview of their next video. Watch the full video and read their blog going live Feb. 1 at http://bit.ly/EMN-ProceduralPause!
Dr. Alice Lee and special guest Greg Henry, MD, talk through the case of a 66-year-old man who presented with acute onset of vision problems. Watch this preview and then the full screencast to learn the diagnosis Feb. 1 at http://bit.ly/EMN-iCubed. #FOAMed
Laying hands on a patient’s abdomen is still a good way to help make a dx. Try this old-school test before you do a paracentesis, say Dr. James Roberts and Ms. Martha Roberts in a preview of their next video. Watch the full video and read their blog going live on Jan. 2 at http://bit.ly/EMN-ProceduralPause!
Drs. Alice Lee and Evie Marcolini dissect the case of a 93-year-old woman with acute left-side weakness. Is there more here than meets the eye? Watch this preview and then the full screencast going live on Jan. 2 at http://bit.ly/EMN-iCubed. #FOAMed
Dr. Alice Lee diagnoses a challenging case with Evie Marcolini, MD, and records her screencast live at our ACEP booth!
Sometimes what seem to be breath-holding episodes in children are much more serious, with kids developing bradycardia and even asystole. Watch this preview for more info, and read the blog by Dr. Larry Mellick going live Nov. 1 at http://bit.ly/EMN-Mellick! #FOAMed
A 29-year-old diabetic is brought to Dr. Alice Lee’s ED for an anxiety attack. He has shortness of breath, nausea, and stomach pain. EMS gave Ativan, but what’s really going on here? Watch this preview, then find the real answer in the full screencast on Nov. 1 at http://bit.ly/EMN-iCubed! #FOAMed
Watch this preview of the next video from Dr. James Roberts and Ms. Martha Roberts to see why you should always wear safety goggles when draining a subungual hematoma. Watch the full video and read their blog on No.v 1 at http://bit.ly/EMN-ProceduralPause!
Need an easy way to stay in the know and keep your clinical skills sharp? Sign up for our totally free enews at http://bit.ly/EMNenews!
Need an easy way to stay in the know and keep your clinical skills sharp? Sign up for our totally free enews at http://bit.ly/EMNenews!
Need an easy way to stay in the know and keep your clinical skills sharp? Sign up for our totally free enews at http://bit.ly/EMNenews!
The Most Trusted News Source in Emergency Medicine An award-winning news magazine for the nation's 41,000 emergency physicians published by Wolters Kluwer, Emergency Medicine News provides breaking coverage of advances, trends, and issues within the field, as well as clinical commentary by Editorial Board Chairman James R. Roberts, MD, a leader in the field, Edwin Leap, MD, Leon Gussow, MD, Richard Pescatore, MD, Darren Braude, MD, and Graham Walker, MD, among many others. The newspaper features comprehensive special reports, illuminating profiles, and dynamic editorials. Physicians who are registered with the AMA/AOA as having a primary specialty related to emergency medicine are eligible for a free subscription. To order EMN or for other Subscription Services, please visit www.myEMNsub.com. You may also call (800)430-5450 or send an email to [email protected]. You will need your account number, located above your name on your mailing label.