Physician advocacy has been instrumental in reducing tobacco-related mortality, preventing ozone layer degradation, reducing sugar consumption in the United States, and improving air quality. The blueprint exists for addressing climate change to improve public health. At the 2025 Medical Society Consortium on Climate and Health (MSCCH) in Washington, D.C., emergency physicians, doctors from several other…
A 12-year-old boy presented after a fall from his bicycle with an injury to his right long finger. Should the nail be removed? Should the nail be replaced? Figure 1. Crush injury to distal phalanx with laceration and subungual hematoma. Photos: David Effron, MD. (Click to enlarge.) Nail bed injuries vary in complexity from a…
Since the inception of emergency medicine in the 1960s and its subsequent establishment as a medical specialty in 1979, the emergency physician has long been seen as the “jack of all trades, master of none.” From this we have grown to the “master of resuscitation,” and further to “the master of nearly anything,” through a…
Authors: Kamoga Dickson, MD (EM Resident Physician, Makerere College of Health Sciences, Kampala, Uganda); Kakande Reagan (Senior Medical Student, Mbarara University of Science and Technology, Mbarara, Uganda); Akan Otu, MD (Senior Lecturer in Infectious Diseases, Department of Internal Medicine, University of Calabar, Calabar, Nigeria); Jessica Pelletier, DO, MHPE (APD/Assistant Professor of EM/Attending Physician, University of…
This episode delivers a deep dive into awake nasotracheal intubation / nasal intubation with a bronchoscope. We cover when to choose the nasal route, how to prepare the patient and equipment, and how to avoid common pitfalls. We break down nostril selection, airway preparation, tube and scope choice, pharmacologic adjuncts, topical anesthesia techniques, and operator…
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed, a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM, and sign up for email updates here. #1: How Good are SAH Rules? Spoon…
(and what I learned from watching it all unfold) A St. Emlyn’s retrospective I’m writing this on a beautiful Somerset evening in September 2038, just back from work, on the eve of my 63rd birthday. Nearly forty years in emergency medicine – nine in South Africa, 28 in the UK, 25 in global health –…
As your organization grows, so does your responsibility. For an operations manager or safety director, what starts as managing a single automated external defibrillator (AED) in one office can quickly become a logistical nightmare across dozens or even hundreds of locations. Tracking battery life, pad expiration dates, and readiness status for every device requires a…
Author: Chuck Pilcher, MD FACEP (Editor, Med Mal Insights) // Reviewers: Alex Koyfman, MD (@EMHighAK) and Brit Long, MD (@long_brit) Here’s another case from Medical Malpractice Insights – Learning from Lawsuits, a monthly email newsletter for ED physicians. The goal of MMI-LFLis to improve patient safety, educate physicians, and reduce the cost and stress of…
Choosing an automated external defibrillator (AED) for your organization is more difficult than simply comparing different products. It’s a decision that reflects your entire approach to workplace safety. Are you aiming for baseline compliance, or are you building a high performance emergency response program designed to maximize the chances of a life saved? This guide…