Iatrogenesis is an adverse patient condition directly resulting from medical treatment or error, occurring in nearly 4% of hospitalizations with 50% being preventable and 14% resulting in death (Berwick 1999, Brennan 2000). What is even more concerning is that studies have suggested that this rate is higher in pediatric patients. Research has focused primarily on patient-related factors like age and weight,
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Journal Review
The Impact of Rudeness of Medical Team Performance
Core
ST Elevation Myocardial Infarction in LBBB
The presence of a LBBB makes the diagnosis of an acute MI challenging. We review the topic here in an effort to shed light on this area.
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dasSMACC is Coming!
The program for dasSMACC has been released and the Core EM team is extremely excited. This is the 5th iteration of this amazing conference and we continue to see the program evolve. This year, the conference features a single stage with 2500 seats. While this means no concurrent tracks and fewer speakers, it also means that this will be more than just a conference but rather an incredible event featuring the best in Emergency Medicine,
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Core
Pericarditis
This post reviews the diagnosis and management of pericarditis with a focus on not missing the hidden STEMI.
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End of Shift
“And in the naked light I saw
Ten thousand people, maybe more
People talking without speaking
People hearing without listening.”
Sound of Silence by Simon & Garfunkel
There’s a small park on the other side of First Avenue across from Bellevue. To those that work here,
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Journal Review
Relevance of Discharge Glucose Levels and Adverse Events
Although many patients visit Emergency Departments (EDs) for hyperglycemia, there is no consensus on optimal care prior to discharge. Most of these patients present with moderate elevations of serum glucose without severe manifestations (i.e. diabetic ketoacidosis, hyperosmolar hyperglycemic state). The risk of discharging patients with an elevated glucose level is unknown.
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Core
Shoulder Dislocation
This post reviews the glenohumeral (shoulder) dislocation in detail with a focus on multiple reduction techniques.
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