We know we must be vigilant! The constant search for clues for the covertly sick patient (ex, Leukemia in Neonates, Heart Failure, Pneumonia) has refined our vision and honed our intuition. That vigilance, however, can discover clues that we may…
Congratulations! You have made it successfully to 2021! While 2020 was challenging for EVERYONE, and may have required some brute force to endure, let us take this opportunity to consider avoiding using brute force (“Brutane“) when intubating our smallest of…
Ok, so maybe Homer has the wrong idea about “Fat Embolism”… I think he should be more worried about a devastating Food Impaction… but, with the Holidays upon us and the prevalence of fatty foods surrounding, me I began to…
We are always on the lookout for the big, bad, and ugly causes of our patients’ complaints in the Emergency Department. Someone has epistaxis and we think about bleeding disorders. If a patient is limping, we know it may be…
While we often consider the Emergency Department as being present only for “major” problems, we all know that our services go well beyond the critically ill and majorly injured. Often those “minor” issues can occupy a lot of our shift…
So it is Friday the 13th in the year 2020… and I awoke in a cold sweat concerned. Concerned about what you ask? (I mean it is still 2020, isn’t that enough to be concerned about on its own?) Concerned…
It seems that my patients teach me something new almost every clinical shift. Perhaps it is because I am getting older and have forgotten a lot. Maybe I have just seen more to ask questions about. I would like to…
One of the greatest challenges (and also most stimulating) aspects of our profession is staying current with the evolving literature and recommendations. Yes, it can be frustrating, but it is also rewarding to be in a career that will never…
Last week was a highly productive week for my educational enlightenment. I learned that not all Compartment Syndrome is Acute… it can be Chronic as well. I also learned that there is a cross over between the application of Honey…
Just when you think you have a handle on patient complaints and have a refined working differential diagnosis list for each complaint, a patient comes to teach you something new… and humbles you. Fortunately, I live in a general state…
While the current COVID-19 pandemic has significantly reduced travel (especially for those of us in the USA… hmmm… who would have thought a US passport would be of such little value?) we are all acutely aware of the potential benefits…
We all know that caring for children can be tricky. Being a parent is certainly tricky… but trying to decipher the subtle clues a child presents with to ensure that nothing ominous is lurking underneath the non-specific complaints is unquestionably…
