When I was a resident, Dr. Goldfrank would ask us the same question on every patient we saw:
"What is the lesion in the healthcare system that brought this patient to us today?"
It was a challenge to look deeper into the root cause of emergencies
As a team leader in your ED, how do you set the tone while running a code? Your calmness is the first critical aspect of your entire team's effectiveness. Zach Drapkin sits with @EMSwami to discuss the importance of taking charge in a calm, controlled, and practiced manner. Share your ideas and tips with the EM:RAP community in the comments below. We lift each other up by participating in these conversations with a generous spirit.
#EMRAPShow#MedicalEducation#EMRAP#EM#EmergencyMedicine#ER#EmergencyRoom#EmergencyPhysician
RFK Jrโs nomination is the repudiation of a century of unprecedented and miraculous progress in public health.
We take it for granted because we donโt recognize how far weโve come.
I recently wrote in @TheAtlantic about what we risk losing. Gift link ๐
theatlantic.com/ideas/archivโฆ
Haney and Swami tackle your questions in this Crit Bit follow-up segment from our September 2nd EM:RAP release. Left ventricular outflow tract obstruction (LVOTO) can be challenging to diagnose and treat in the ED. The guys dive into this topic to help level up your knowledge of this multi-faceted process. Are you using bedside ultrasound in patients you suspect have an LVOTO? When you find it, how are you beginning to treat this? Comment below and share your thoughts with the EM:RAP community.
Listen now: emrap.org/episode/djvu/critbโฆ#EMRAPShow#MedicalEducation#EMRAP#EM#EmergencyMedicine#ER#EmergencyRoom#EmergencyPhysician
Clinical Conundrums: Is an Arterial Lactate Necessary?
A peripheral venous blood lactate can reliably be used instead of an arterial blood lactate as a marker of systemic tissue hypoperfusion and to measure response to treatment.ย loom.ly/Owr03ig#FOAMed#FOAMcc
As an ER Doc, I am horrified that a young woman died unnecessarily.
As a State Rep, I know we can stop this by codifying abortion rights.
As a father & husband, I directly blame @realDonaldTrump and his judges.
I am voting @KamalaHarris and pro-choice to end this madness.
New: It took three ER visits and 20 hours before a hospital admitted Nevaeh Crain, 18, as her condition worsened. Doctors insisted on two ultrasounds to confirm โfetal demise.โ She's one of at least two Texas women who died under the state's abortion ban. propub.li/40rAXvw
Good news stories in global health donโt get as much coverage as the failures.
We should all take a moment to congratulate Rwanda for how theyโve managed this outbreak to date.
This piece is a great summary of where things stand with Marburg in Rwanda ๐
npr.org/sections/goats-and-sโฆ
Another death due to a draconian anti-abortion law from far-right elected officials, starting with @realDonaldTrump, who donโt care about the threat to womenโs health.
We have been warned. We must vote to end this nightmare.
Vote @KamalaHarris & pro-choice November 5.
New: Josseli Barnica is one of at least two pregnant Texas women who died after doctors delayed emergency care. She'd told her husband that the medical team said it couldn't act until the fetal heartbeat stopped. propub.li/4f2ILsh
-@realDonaldTrump appoints radical judges.
-Judges overturn Roe.
-Trump says, โGreat, states decide.โ
-States sue before Trump judge to end medication abortions nationally.
This is a bait & switch. Vote for @KamalaHarris & pro-choice candidates on Nov 5.
cnn.com/2024/10/16/politics/โฆ
What are your next steps in treating a cardiac arrest patient after achieving ROSC? Temperature control, cath lab activation, and post-ROSC hypertension control are just a few of the topics covered when ECG legend Amal Mattu (@amalmattu) joins Swami (@EMSwami) for this discussion of ED management and treatment of post-arrest patients this week on EM:RAP.
#EMRAPShow#MedicalEducation#EMRAP#EM#EmergencyMedicine#ER#EmergencyRoom#Cardiology#ROSC
Today I spoke on HR 323 recognizing Civic Health Month. As a physician-legislator, I recognize that health is much more than the delivery of clinical care. My fellow health professionals have an obligation to advocate on all the issues that affect our community's health.
For nearly two years, Pennsylvaniaโs richest man has lied about my & other @PaHouseDemsโ record. His goal is to defund public schools. Those who accept his contributions know this, but hide their radical views. Voters will now decide what future we want.
penncapital-star.com/campaigโฆ
Every doctor who actually understands clinical medicine warned that this would happen
When laws are created to restrict women's choices on reproductive health, women will die
bit.ly/3TwgCkK
I get asked why, as a physician-legislator, do I elevate the importance of abortion rights.
It is because of cases like these - women who shouldnโt have died.
I wish this wasnโt political, but politics is what threatens my patientsโ health.
Vote Pro-Health. Vote Pro-Choice.
New: At least two women in Georgia died after they couldn't access legal abortions and timely medical care in their state, ProPublica has found. This is one of their stories. propub.li/3N7xPgN
As an ER Doc and State Rep, I grieve for Louisiana women and health professionals. This will cost lives.
.@realDonaldTrump and his judges did this by ending federal guarantees of reproductive rights.
We must elect @KamalaHarris and pro-choice candidates to end this tragedy.
BREAKING: Lifesaving medication for postpartum hemorrhaging is being pulled off emergency carts because of new Louisiana law reclassifying misoprostol as a controlled dangerous substance. My first @pulitzercenter StoryReach article for @IlluminatorLAlailluminator.com/2024/09/03โฆ
A 6-week abortion ban is a complete ban. Most women do not know they are pregnant at 6 weeks.
.@realDonaldTrump ripped away a federal right to an abortion & now wonโt protect a state right.
Only voting for @KamalaHarris and pro-choice candidates can protect reproductive rights.