Tactical Medicine News Blog

In anticipation of EM Cases Episode 107 on Pediatric Physical Abuse with Dr. Carmen Coombs and Dr. Alyson Holland, Dr. Coombs tells her Best Case Ever (actually worst case ever) that inspired her to pursue expertise in pediatric physical abuse... The post BCE 67 Child Abuse – Sentinel Injuries appeared first on Emergency Medicine Cases.

Are you confused about competency-based medical education (CBME)? Look no further! The Faculty Incubator conducted 2 Google Hangouts with 4 experts on the subject: Dr. Stanley Hamstra, the ACGME Vice-President of Milestones Research and Evaluation, and Drs. Teresa Chan, Robert Cooney, and Jonathan Sherbino. We summarized some of the key points from this robust discussion, which is available to you both in podcast and video formats. Enjoy!

It’s been another trying flu season in the northern hemisphere—for patients and for emergency department (ED) providers. EDs that are crowded at the best of times come close to a tipping point, waits to be seen and for beds climb, and hospitals struggle to handle the load, sometimes coping by putting patients in hallways or lounges. Even well-written surge plans fall apart in the face of staff illness or unit outbreaks. Too often when trying to help the system cope, a hospital, health region, or government puts out a call for the public to stay away from crowded EDs unless absolutely necessary—but are such warnings ethical or effective? The post WTBS 15 Planning to Fail: Why Warning Patients to Stay Away from the ED Will Never Work appeared first on Emergency Medicine Cases.

It’s been another trying flu season in the northern hemisphere—for patients and for emergency department (ED) providers. EDs that are crowded at the best of times come close to a tipping point, waits to be seen and for beds climb, and hospitals struggle to handle the load, sometimes coping by putting patients in hallways or lounges. Even well-written surge plans fall apart in the face of staff illness or unit outbreaks. Too often when trying to help the system cope, a hospital, health region, or government puts out a call for the public to stay away from crowded EDs unless absolutely necessary—but are such warnings ethical or effective? The post WTBS 15 Planning to Fail: Why Warning Patients to Stay Away from the ED Will Never Work appeared first on Emergency Medicine Cases.

In Episode 46a we discussed respiratory failure and NIV.  In episode 46b we are going move on to the patient where you have tried NIV and your patient just doesn’t seem to be improving.  You decide to intubate your patient and connect them to the ventilator.  Now the ventilator starts beeping and your patient begins to decompensate.  What are the steps you use to assess the problem and fix it?