The Next Generation of Doctors May be Learning Bad Habits at Teaching Hospitals with Many Safety Violations

Teaching hospitals like Jackson South, located in metro Miami, are where physician trainees get practice treating patients. They prepare the next generation of doctors, and they have a reputation as places of cutting-edge... read more

Establishing a Relationship of Trust and Care

An admission to the intensive care unit (ICU) is often a traumatic experience for both patients and families. Although members of the critical care team are specially trained to provide care and treatment requiring close,... read more

How to Run Successful Rounds in the ICU

Rounds in the intensive care unit (ICU) allow for scheduled discussions in which healthcare providers review clinical information and develop care plans for critically ill patients. Despite this straightforward concept, there... read more

Atlas of Interventional Pain Management

Arranged by anatomic region, Atlas of Interventional Pain Management provides pain medicine specialists in practice and in training with the most up-to-date and practical guide to over 160 interventional pain management techniques.... read more

Atlas of Interventional Pain Management

I Wasn’t Strong Like This When I Started Out: True Stories of Becoming a Nurse

This collection of true narratives reflects the dynamism and diversity of nurses, who provide the first vital line of patient care. Here, nurses remember their first “sticks,” first births, and first deaths, and reflect... read more

I Wasn’t Strong Like This When I Started Out: True Stories of Becoming a Nurse

Prehospital Antibiotics Improved Some Aspects of Sepsis Care

Training EMS personnel in early recognition of sepsis improved some aspects of care within the acute care chain, but did not reduce mortality, according to results of a randomized trial. Emergency medical service (EMS) personnel... read more

Critical Burn Patients in the ED/ICU

Dr. Djogovic completed training in Emergency Medicine and Critical Care Medicine from 1999-2005, and is currently employed at the University of Alberta Hospital as an Emergency Physician, and as an Intensivist in the General... read more

The Randomized Educational ARDS Diagnosis Study

Radiographic criteria for acute respiratory distress syndrome have been criticized for poor reliability. Our objective was to test an educational intervention to improve the radiographic identification of acute respiratory... read more

Get Ready for a Massive Influx of Untriaged Patients

When a mass casualty incident occurs, emergency physicians are quickly thrust onto the front lines. That is precisely what happened on October 1st at Sunrise Emergency Department in Las Vegas the night Stephen Paddock opened... read more

Why Millennials are Choosing to be Physician Assistants, not Doctors

More and more young people are gravitating to the role of physician assistant over doctor. Several Delaware millennials cite its flexibility, condensed schooling, and cost as major reasons why they chose to become PAs. According... read more

Accuracy of Ultrasound Exam Performed by EM vs. Radiology Residents in the Diagnosis of Acute Appendicitis

Although the traditional approach to the diagnosis of acute appendicitis (AA) is using clinical methods, experience has shown that strict reliance on clinical data can lead to mismanagement or unnecessary surgery. US has... read more

Concise Review of Critical Care, Trauma and Emergency Medicine

A Quick Reference Guide of ICU and Er Topics. Most commonly encountered clinical scenarios and relevant topics are summarized in an easy to understand format. Can be used as quick reference guide during rounds, or during... read more

Concise Review of Critical Care, Trauma and Emergency Medicine

On Diagnosing Sepsis

Two years ago, a panel appointed by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine, referred to as a consensus conference, proposed a new definition for sepsis and new diagnostic... read more

The Sound of Air: Point-of-Care Lung Ultrasound in Perioperative Medicine

Lung ultrasound (LUS) has emerged as an effective and accurate goal-directed diagnostic tool that can be applied in real time for the bedside assessment of patients with respiratory symptoms and signs. Lung ultrasound has... read more

Inspiratory Muscle Training Does Not Improve Clinical Outcomes in 3-week COPD Rehabilitation

The value of inspiratory muscle training (IMT) in pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) is unclear. The RIMTCORE (Routine Inspiratory Muscle Training within COPD Rehabilitation) randomised... read more

Training Approaches for the Deployment of a Mechanical Chest Compression Device

Pit-crew training, compared with standard training, did not improve team deployment of a mechanical chest device in a simulated cardiac arrest scenario. Twenty teams participated in this study, each comprising three clinicians.... read more

Critical Care Nursing in Resource-Limited Environments

Critical Care Nursing in resource-limited environments is an emerging sub-speciality, currently centred on regions within sub-Saharan Africa and South-East Asia. The World Federation of Critical Care Nurses (WFCCN) continues... read more

Critical Care Echocardiography: A Certification Pathway for Advanced Users

Though the details are still being finalized, the critical care NBE pathway will bear many similarities to the current certification process for cardiologists and cardiac anesthesiologists. In particular, the critical care... read more

More Than a Tick Box: Medical Checklist Development, Design, and Use

Despite improving patient safety in some perioperative settings, some checklists are not living up to their potential and complaints of "checklist fatigue" and outright rejection of checklists are growing. Problems reported... read more

I survived sepsis eight times. But can care workers spot this deadly illness?

Care staff are increasingly likely to see sepsis, but there is no standard training to make them aware of the symptoms to look out for in clients. There is a golden hour for the treatment of sepsis, when someone can be saved... read more

Chart Reviews In Emergency Medicine Research: Where Are The Methods?

Medical chart reviews are often used in emergency medicine research. However, the reliability of data abstracted by chart reviews is seldom examined critically. The objective of this investigation was to determine the proportion... read more

Social Determinants of Health: A Missing Link in Emergency Medicine Training

The health of a population depends upon several factors, including disease, public health initiatives, and the social determinants of health (SDH). These factors often converge in the emergency department (ED) where the impact... read more