Category Name: perspectives

perspectives

Dr. Strangelove or How I Learned to Stop Worrying and Sit on the qSOFA: A pathophysiologic approach to qSOFA

The last few months have seen an enormous amount of controversy in the press, in the FOAMsphere, and in our ED hallways regarding the new consensus sepsis definition. The goal of this post is not to rehash the strengths and weaknesses of Sepsis 3, but rather to explore the pathophysiologic basis of ...

FOAMED

Teaching When There is No Time

Is it possible to teach in the ED? What about all of the critically ill patients and full waiting room? It is possible to balance great education and patient care: this post contains keys to success for teaching in the busy ED.

FOAMED

The Multiple Layers of Diagnostic Uncertainty

The young female with lower abdominal pain. The middle-aged male with atypical chest pain. The elderly female that presents with vague symptoms of dizziness. These are just the tip of the iceberg of chief complaints we will see in our emergency medicine careers. Those with symptoms that don’t ...

perspectives

Traumatic Cardiac Arrest

24-year-old male presents via EMS after being involved in altercation. According to bystanders, patient was noted to sustain several gunshot wounds from close range, notably to the left anterior chest and left upper extremity. On EMS arrival, patient was diaphoretic but awake, with GCS of 15, heart ...

EM MINDSET

Teaching the Modern EM Resident

Current EM residents, as part of the Millennial Generation (born between 1981 and the present), now see this new technology as a way of life, and feel the need to be connected online at all times.5,6 As a result, many EM residents have abandoned the traditional lecture hall and textbooks, and have ...

EM MINDSET

The Art of Decision Making: Emergency Medicine Style

It’s 3pm on a Monday after a holiday. The department is bustling, and you feel like there are patients crammed into every conceivable space. Alarms are going off on patient monitors. You’re in the midst of discussing a case with a resident when a nurse puts an ECG in front of you to review an...