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Tiny Tip: MORPH as a discharge guide for patients with substance use disorders

In Tiny Tips by Nicole MathiesLeave a Comment

Emergency Departments are often the primary source of healthcare for marginalized patients with substance use disorders.​1​ As such, we have unique opportunities to intervene and initiate change. While many acronyms and screening tools exist to identify substance use disorders, I have yet to find one that helps cover high yield items to be discussed with patients prior to discharge.​2​ In response, I created a clever, easy to remember tool based on case management …

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Hosting More Effective Morbidity & Mortality Rounds

In Education & Quality Improvement, HiQuiPs by Dominick SheltonLeave a Comment

LeBron was in the last few months of his emergency medicine (EM) residency and was tasked with presenting morbidity and mortality (M&M) rounds during an EM rotation.  Between clinical shifts and incessant studying for his exam, he carved out time to prepare the rounds.  Although he had been a participant in many M&M rounds, he realized that he had never presented at one.  He didn’t have a good case to present and wondered …

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Vicious Cycles: Management of the Tricyclic Antidepressant Overdose

In Medical Concepts by Sophie RamsdenLeave a Comment

You’re on a night shift in the ED and receive a patch about a 75-year-old female with altered LOC. EMS reports an empty bottle of doxepin was found in her home. The patient is tachycardic and hypotensive, and on arrival has a GCS of around 12. You quickly look up the class of medication that doxepin belongs to, and realize it’s a TCA. What do you need to worry about in this patient, …

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Tiny Tips: Causes of Atrial Fibrillation

In Tiny Tips by Barrett GrattanLeave a Comment

Atrial fibrillation is the most common arrhythmia encountered and managed in the emergency department.​​1,2​ In addition to ensuring hemodynamic stability and subsequent management of the arrhythmia, the emergency physician must identify and treat potential underlying causes. Atrial fibrillation itself may be a sequela of an underlying life-threatening disease process such as pulmonary embolism or sepsis. In some instances, treatment of the underlying cause may lead to the resolution of the arrhythmia.​​1​ It is …

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5 Things You Should Know About Elder Abuse in the ED

In Education & Quality Improvement by Miriam ArmaniousLeave a Comment

Studies suggest that the prevalence of elder abuse in high-income countries sits at around 7.6-10%.​1​  As individuals age, there can be a decline in social connections and even primary care visits.  ED visits can be one of the only points of contact outside their immediate living environment, making this a crucial setting for identification of elder abuse.​2​ It’s a statistical certainty that anyone working in health care has encountered several victims of elder …

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Addiction Medicine in the Emergency Department: A Needs Assessment Survey of Emergency Medicine Providers

In Uncategorized by Ian JonesLeave a Comment

In the Emergency Department, we frequently care for patients with substance use disorders. With visits increasing and an opioid crisis, providing high quality care for patients struggling with substance use disorder has never been more important. As Emergency Medicine providers we have a unique opportunity for intervention, as many of our patients are faced with barriers to accessing primary care. Despite the importance of this topic, many Emergency Medicine providers feel they don’t have …