Articles on health care policy and administration as it pertains to Emergency Medicine
Author: Aaron S. Conway, MD Resident Editor: Philippe Ayres, MD Guest Faculty Editor: James Willis, MD It’s nearly midnight in your busy urban emergency department (ED). As the senior resident, you just received sign-out from the day team on eight patients in addition to keeping up with new patients. Read more…
Author: Shane Solger, MD Editor: Nicole Anthony, MD When patients come to us for help, they put themselves in a position of vulnerability. They need something from us that they cannot provide for themselves. If a person with limited English proficiency (LEP) comes into the ED, they are disempowered for Read more…
Author: Alec Feuerbach Peer Reviewers: Trevor Cerbini, Nicole Anthony Faculty Reviewer: Scott Kendall Two years ago, Dr. Trevor Cerbini wrote an excellent post for this blog highlighting the basics – and beauty – of buprenorphine (bupe). He highlighted the staggering mortality of Opioid Use Disorder (OUD), explaining that 5.5% Read more…
Written by Nivedita Poola Edited by Wesley Chan The rise in humanitarian crises including natural disasters, pandemics, or political conflicts, has taken a significant toll on global, national, and individual health around the world and demands a robust response from the international community. In July 2021, the International Emergency Medicine Read more…
Author: Dr. Julian Watson Editors: Dr. Smruti Desai, Dr. Robby Allen Why would we? Posing this question to an emergency physician is like asking a plumber why he would fix their friend’s sink. The answer too, is the same – because they can. They do it all the time. It’s Read more…
Written by: Dr. Jay Pandya, Dr. Emily Chien, and Dr. Nidhi Kadakia Edited by: Dr. Wesley Chan On Monday 12/14/20, the International Emergency Medicine Mini-Fellowship gathered to discuss triage systems in resource-limited settings, namely two triage scores, the Cape Triage Score (CTS) and South African Triage Score (SATS) score Read more…
Written by Monisha Dilip Edited by Wesley Chan On 10/6/20, the Admin Mini-Fellowship convened to discuss Against Medical Advice (AMA) discharges. Discharges against medical advice (AMA) are often contentious and have unclear legal implications for the provider in the instance of a bad outcome. Using EMRA’s Administration and Operations committee’s Read more…
The Administration Mini-Fellowship met with our chairman, Dr. Michael Lucchesi, to discuss the concept of Managing Up. Here is an overview of what we discussed: What is Managing Up? Also known as the “politics of medicine”, it is the practice of forging a fruitful relationship with your higher-ups, whether Read more…
Clinical Case A 25-year-old, Yemeni Arabic-speaking man is brought in by NYPD in custody to the ED for the chief complaint of “needs taser removal from the back.” Vital signs are stable. On exam, you notice multiple areas of swelling and acute ecchymosis on extremities and a visibly deformed jaw, Read more…
Contributors: Noah Berland MD, Smruti Desai DO, Sharland Johnson MD, and Jessica Stetz MD The torture and murder of George Floyd by police officers is an assault on human life and decency that all Emergency Physicians must condemn and fight against. Those of us who watched the video of Read more…