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Emergency Medicine

News, opinions and meeting coverage in emergency medicine.

Clear Health Costs: Having Insurance Doesn't Always Pay

The case of the $1,700 mammogram

Gross Anatomy: Stabbed by a Stick

Man drives to hospital with a branch stuck in his neck.

So You Actually Drank the Water During Your Vacation?

Should you carry Cipro in your suitcase when traveling? It depends

App Claims to Measure Oxygen Saturation With Only a Smartphone

There are apps making unjustifiable claims, exposing patients to unnecessary risk

Persistent Sleep Trouble Common in Kids With Brain Injuries

TBI leaves children struggling for months with daytime sleepiness and problems sleeping at night

Abandoned Painkiller Makes a Comeback

Here's how the FDA let a widely abused opioid back on the market.

Ebola Virus Lives in Eye Long After Blood Clears

'Cured' in October, back in hospital in December

ACOG's Guide to Managing Miscarriage: Follow Patient Preference

Updated clinical management of early pregnancy loss focuses on patient choice.

Guideline: Managing Unprovoked First Seizures in Adults

Anti-epileptic drugs may reduce risk of recurrence, joint AAN-AES guideline says.

Duck Hunting for CME

Wilderness medicine physician's CME company offers credit while hiking, hunting, climbing.

Cold Packs on Extremities Aid in Heat Stroke

New method may ease danger more quickly.

Excerpt From 'The Secret Language of Doctors'

ED doc Brian Goldman investigates slang to "crack code of hospital culture."

All About Adenosine

This biochemical will stop your heart -- just long enough to be useful.

Bronchiolitis Guidelines: Throwing the Baby Out With the Bathwater?

AAP's new guidelines favor complexity over familiar treatment options.

Frostbite: How to Classify and Treat It

In the ED, this is most often seen in the homeless.

Friday Feedback: When Grief Turns Violent

How should clinicians know and react when family members blame them for adverse outcomes?

'Generic' Colchicine to Hit Market

May provide some price relief for gout patients.

Ebola Diary: On the Ground in Sierra Leone, Part 5

Last installment in a CDC fellow's account of her experiences tracking the spread of the Ebola virus in West Africa.

Diclegis: Drug Makes 30-Year Comeback

Class A morning sickness medication gains FDA approval after decades of being misunderstood.

Is an Expensive New Antibiotic Worth the Cost?

Once-weekly dalbavancin might reduce admissions, but it introduces new concerns.

Opioid Linked to Low Blood Sugar

Tramadol was associated with an increased risk of hospitalization for hypoglycemia.

These Men Had Their Penises Broken, Cut, and Shot

Industrial accidents, self-inflicted genital mutilation, and gunshots: It's dangerous out there for the male member.

Portenoy Opioid Talk Sparks Controversy

Opioid advocate Russell Portenoy's invitation to an upcoming NIH workshop is under fire.

C. diff. Differs by Season and Region

WASHINGTON -鈥� March is the month when hospitals see more Clostridium difficile infections, and the Northeast is the region that leads the nation in the difficult to treat infection, researchers reported here.

Ebola Response: Slowed by a 'Perfect Storm' of Setbacks

WASHINGTON -- The world was taken by surprise by the West Africa Ebola outbreak and has been scrambling ever since to catch up, with many setbacks and only a few bright spots in the picture, international experts said at the Interscience Conference on Antimicrobial Agents and Chemotherapy.

Urgent Care Centers Opening For Mental lllnesses

Mental health urgent care centers, also known as crisis stabilization units, are opening throughout California in response to the shortage of psychiatric beds and the increase in patients with mental illnesses showing up at hospital emergency rooms with nowhere else to go.

Now What? DEA Tosses Tramadol in Schedule IV

The Drug Enforcement Administration (DEA) scheduled tramadol as a Schedule IV substance -- whats the big fuss about tramadol that led to this decision by the DEA?

AMA Highlights: VA, Cheerleaders, and Guns

CHICAGO -- Wrapping up a full agenda, the AMA agrees cheerleading is a sport, doctors outside the VA need to pitch in to help care for veterans, and e-cigarettes need to be regulated.

AMA Clamps Down on MOC, But Punts on Gun Regs

CHICAGO -- The AMA鈥檚 House of Delegates drew the line on this year's hot button topic -- maintenance of certification (MOC), saying it should not be mandatory, nor should it be a condition of licensure.

More Brain Bleeds With Stroke Drug in 'Real World鈥�

BOSTON -- Intracerebral hemorrhage was more common among patients receiving tissue plasminogen activator (tPA) in the real world compared with those in a clinical trial, a small, single-center study showed.

APA Meeting Highlights Mental Health Biology

NEW YORK CITY -- The biological basis for normal and abnormal mental function is emerging as a dominant theme in psychiatry research, and the American Psychiatric Association annual meeting that starts here Saturday won't be an exception.

CardioBuzz: Is Marijuana Bad for Your Heart?

Whether marijuana actually causes cardiovascular problems remains unclear, a situation that was not necessarily helped by a study based on 35 reports of cannabis-related complications in France, a country with about 1.2 million recreational users.

Missed Doses Cripple Postop DVT Prevention

Missed doses of prophylactic anticoagulation account for much of the deep vein thrombosis that occurs in surgery and trauma patients, a study showed.

How to Replace IV Nitroglycerin in the Shortage

What are the alternatives for IV nitroglycerin in the emergency setting as the shortage saps reserves? Several experts share their thoughts.

ACC: Gout Drug Tames the Heart

WASHINGTON -- Colchicine may be as effective at reducing multiple recurrences of pericarditis as it is in treating acute episodes and first recurrences.

10 Ways to Safely Push Ketamine in the ED

A doctor recently took me on a Special K trip, and I enjoyed it immensely.

13 Mobile Apps Every ER Doc Should Test Drive

Here are the best mobile apps for emergency medicine physicians gleaned from a recent EMJ paper by Michelle Lin, MD, Iltifat Husain, MD, Salim Rezaie, MD, and remixed with a talk from last month's AAEM meeting by Graham Walker, MD.

Which Bullets Are Safe in an MRI?

Don't go ballistic -- only steel bullets will cause problems in MRI, says a study of 39 kinds of the projectiles.

ER Briefs: DIY Laptop to AED Kit -- Good Idea?

Inventors aim to resurrect laptops and tablets as AEDs. We asked Clifton Callaway, MD, PhD, an emergency medicine doctor who heads up EM research at the University of Pittsburgh, to weigh in.

A Brain-Dead Mother, a Million-Dollar Baby

The costs associated with maintaining a pregnant, brain-dead, Texas woman on life support until her fetus is viable are likely to approach $1 million, and long-term costs could easily top $1.5 million.

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