Pearls of Evaluating Psych Patients in the ER

In Medical Concepts by Nadim LalaniLeave a Comment

Psychiatry presentations comprise about 5-6% of total presentations,1,2 but account for way more work. It’s a common mis-perception that psych patients require a one-hour intensive interview in order to ascertain what they need. Not true. We got an inservice from one of our psychiatry faculty today. He allowed me to share his pearls on evaluating psych patients with the most important parts of a history that can be done in 15 minutes: The …

Arguments for a Journal of FOAM

In Knowledge Translation by Brent Thoma19 Comments

Over the past couple of weeks myself and others (Michelle Lin, Todd Raine, Lauren Westafer, Minh Le Cong, Javier Benítez , Simon Carley, Nadim Lalani, etc!) have tweeted, mused and, in the case of Michelle Lin, even experimented with the idea of peer-review for FOAM. My thoughts are summarized in blog posts here and here. Those posts, along with Todd Raine’s Storified version of the twitter conversation and Michelle Lin’s post on her experiment …

A thought on Nurse Practitioners.

In Editorial by Edmund Kwok1 Comment

Guest post by Linda B. I have been a nurse for 12 years. All of them practiced in Canada, most of which have been in critical care. I started with a college education and a specialty certificate. Within the year I will be a master’s prepared Nurse Practitioner (NP), and almost everyone I know asks me what’s next…? I could stay right where I am – at the bedside in the Intensive Care …

Flipside: A Dissenting Opinion on Crystalloid Fluids

In Medical Concepts by Brent Thoma1 Comment

As mentioned in my previous posts on Peer-review in FOAM (here and here), following my post on Ringer’s Lactate and Normal Saline I received feedback via e-mail in an e-mail from Dr. Rory Spiegel, an EM resident from Newark, NJ. He offered a well thought out dissenting opinion on Crystalloid Fluids that I felt deserved a post of its own to counterbalance my previous one (Greetings/goodbyes removed for length). On the topic of …

FOAM: A Market of Ideas

In Knowledge Translation by Brent Thoma7 Comments

Following my post on the FOAM peer review process (Crowdsourced Instantaneous Feedback) there were some excellent comments made on my blog and twitter that led me to consider FOAM peer-review in the context of a market of ideas. Thanks especially to Nadim Lalani (ERMentor), Simon Carley (St. Emlyns) and Elisha T (The Chart Review) who commented on my post and inspired this entry. In particular, Simon Carley noted criticisms of the current peer …

Crowdsourced Instantaneous Review: The Peer Review of FOAM?

In Knowledge Translation by Brent Thoma21 Comments

I was talking to my PD about FOAM the other day and mentioned how crazy it was that we have the ability to produce and disseminate content so widely, easily and cheaply. How great it was that this, in some respects, allowed us to unhinge CME from the clutches of drug and device companies and potentially speed up knowledge translation. He agreed that it was awesome before adding a “but” of wisdom. “But …