When the topic of agitated patients in the ED is brought up, most people conjure up an image of a psychotic manic patient or tell the story of a patient brought in after ingesting a combination of methamphetamine and bath salts. Acutely agitated patients like this are a danger to themselves and anyone near them. Assessing and treating these undifferentiated patients in the ED can be a formidable task even if it is possible …
FOAM + Curriculum = FOAM-U?
With the first SMACC conference a wild success, I think it is becoming obvious, at least to the early adopters, that FOAM is here to stay. Some of the recent discussion on the future of FOAM has centered upon building a structure for the FOAM “tree of knowledge.” The tree of knowledge reference and a very eloquent summary of this topic is available from a new member of the FOAM-o-sphere, the Mid Med …
Professionalism and I: A Controversial Publication
I was on my way home from work last night when I checked twitter. 13 mentions in an hour – that’s kind of crazy (for me anyways). What could have sparked that? It took me a second to piece together the conversation. When I did, I found that Eve Purdy, a medical student, twitter-friend and colleague of mine, had posted a link to an article that I had written more than 4 years …
Interview Inducing Elective Behavior
In response to my post on reference letters (The Reference Letter Triple Crown), one of my favorite bloggers Facebooked me the following request (note, she also plays the “Would you rather” game!): I would rather lick a public toilet seat than have to ask someone for a reference letter. I apparently went into the wrong profession to have that personality trait. Any tips on getting over the awkwardness?? As I’d rather she …
Would you rather misdiagnose or misdispose?
Over the past two weeks I have been completing a rotation focusing on the administrative aspects of the emergency department. Halfway through a shift with one of my admin mentors, the quality improvement ninja and philosopher king known to most as Dr. Mark Wahba, we played a brief game of “Would you rather?” If you have yet to be initiated, you probably need to get out more. “Would you rather?” is a party …
Injecting into the Carpal Tunnel
It’s been awesome working in the ED with the benefit of the knowledge gained on off-service rotations in specialties like Plastic and Orthopedic Surgery. Great learning experiences on these rotations have led to a run of success with injections into all sorts of places and have given me a desire to inject into… well… most things that there is evidence for treating with needles. Recently I’ve treated a carpal tunnel syndrome (median nerve …