ACEP Now: Vol 39 – No 04 – April 2020 Archives

Coping with COVID-19: The Puget Sound Experience

Apr 01, 2020 - By Liam Yore, MD, FACEP

Author's Note: I am not an authorized representative of any hospital but am writing broadly from my...

Resources for Emergency Physician Moms

May 08, 2020 - By

In honor of Mother’s Day, here’s a deep dive into our collection of articles and resources about...

Figure 1: Radiology teams from our institution have minimized staff and equipment exposure by performing single-view portable radiographs through the windows on doors to isolation rooms. A) The patient is positioned standing or sitting in front of the door inside the isolation room with a nurse/staff wearing a lead shield, holding the plate to the patient’s chest. B) The portable machine camera is brought close to the glass, and adjustments are made to the machine to optimize the film. The film is passed by the gowned nurse outside the room with removal of the plastic sheet while passing to the X-ray staff outside the room, keeping the plate clean. C) While artifact from the window is sometimes present on the film, our radiologists have been able to read from these for multi-focal pneumonia and tube placement. Credit: University of Washington

Get Your Emergency Department Ready for COVID-19

Apr 01, 2020 - By Sachita Shah, MD, DTM&H; Nicholas J. Johnson, MD, FACEP; Steven Mitchell, MD, FACEP; Susan Stern, MD; and Jenelle Badulak, MD

Editors’ Note: This article was accepted on March 13, 2020, and was accurate at that time. Because...

FACEPs in the Crowd: Drs. Kaye and Yancy

Apr 14, 2020 - By

Kory Kaye, MD, FACEP After retiring in January after 33 years in emergency medicine, Kory Kaye, MD,...

EM Docs in Training: Is COVID-19 the Ultimate Learning Opportunity?

Apr 14, 2020 - By

What a wild time to be an EM physician, let alone an EM physician in training. I’m...

Data Snapshots: Trends in U.S. Emergency Department Imaging

Apr 14, 2020 - By Sam Ashoo, MD, FACEP, founder and CEO of Admin EM.

The percentage of patients receiving diagnostic imaging in the ED continues to increase. Although CT and ultrasound...

PHOTO: Jason Hack (Oleander Photography)

Toxicology Question: What Flower Did the Greek Army Use Against a City?

Apr 14, 2020 - By

Question: What beautiful bloom was used by the Greek army against the city of Kirrha? Click here...

Figure 1: Optimal ankle positioning with gravity stress testing.

Tips for Managing Weber B Ankle Fractures

Apr 14, 2020 - By Joseph Noack, MD; and Spencer Tomberg, MD

In the emergency department, isolated fibular ankle fractures are frequently characterized using the Danis-Weber classification system. This...

Toxicology Answer: What Flower Did the Greek Army Use Against a City?

Apr 29, 2020 - By

See Question Answer: Hellebore Helleborus is derived from two Greek words: bora, meaning food, and helein, meaning injures/destroys. Toxins Hellebore contains...

Saline Load or CT: What’s the Best Test for Traumatic Arthrotomy?

Apr 13, 2020 - By Jonathan Michael Strong, MD, MPH

The Case An 81-year-old female presents to the emergency department with a right knee injury after slipping...

Figure 1 Figure 1A: Classic technique for locating the interscalene brachial plexus. At the level of the larynx, slide lateral until the ultrasound landmarks are noted Figure 1B: Just under the sternocleidomastoid muscle (SCM), locate the anterior and middle scalene muscles. The interscalene groove will contain the nerve roots of the brachial plexus. Note the internal jugular vein (IJV) and carotid artery (CA) on the medial aspect of the anterior scalene muscle.

How to Perform Ultrasound-Guided Interscalene Nerve Blocks

Apr 14, 2020 - By Arun Nagdev, MD; Graham Becherer-Bailey, DO; Rob Farrow, DO; and Daniel Mantuani, MD, MPH

Ultrasound-guided single injection nerve blocks have become a valuable tool in the multimodal strategy for pain control...

What’s the Difference Between a Mentor and a Sponsor?

Apr 14, 2020 - By Jenice Baker, MD, FACEP

I’ve had a mentor since I was 13 years old. My mentors afforded me experiences as a...

Physicians, Fund Your 401(k) Now

Apr 14, 2020 - By

Q. I know I should get started investing, but I just haven’t gotten around to it. What...

Who’s to Blame for Unfair Litigation?

Apr 14, 2020 - By Gita Pensa, MD

Note: Part 1 of this two-part column discusses the ethics of expert testimony and standard of care....

Pandemic Preparedness for Residencies

Apr 14, 2020 - By Kimberly Chernoby, MD, JD; Devin Doos, MD; Andrea Purpura, MD; and Emily Wagner, MD

Editors’ Note: This article was accepted on March 11, 2020, and was accurate at that time. Because...

Coronavirus Impacts on Emergency Medicine Residency

Apr 14, 2020 - By Christa Arefieva, MD, MS; and David B. Hansen, DO

Editors’ Note: This article was accepted on March 17, 2020, and was accurate at that time. Because...

Physician Compassion in EM (It’s More Important than You Might Think)

Apr 14, 2020 - By

My friend, emergency medicine colleague and educator Barbara Tatham, MD, died of metastatic sarcoma at the age...

Breaking Updates in Critical Care and Stroke

Apr 14, 2020 - By

Early this year, two important conferences outside our specialty unveiled a spate of new findings whose impact...

Coding for Behavioral Health Patients With Extended Stays

Apr 14, 2020 - By Michael Lemanski, MD, FACEP

Editor’s Note: Cutting through the red tape to make certain that you get paid for every dollar...

ACEP Has COVID-19 Resources and Help for Emergency Physicians

Apr 08, 2020 - By

The COVID-19 pandemic is front and center. The situation continues to change rapidly, but here is a...

ACEP Fights to Protect Emergency Physicians During Pandemic

Apr 14, 2020 - By

Pushing for PPE: ACEP is pursuing solutions to the PPE shortage through every channel. View ACEP’s Policy...

ACEP Now: Vol 39 – No 04 – April 2020

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