Language Matters

I picked up the next chart during my fast track shift. I read the triage note: Back pain, ESI 4. Possibly a herniated disc or some other kind of musculoskeletal back pain…

Continuous Pulse Oximetry in Bronchiolitis: The Harm of Knowing Too Much

A previously healthy, fully immunized 8-month-old boy presents to the emergency department (ED) with increased work of breathing. The patient developed rhinorrhea, a non-productive cough, and increased congestion two days before presentation…

Naltrexone for Alcohol Use Disorder

Alcohol is a leading cause of death in the United States. It contributes to 18.5% of emergency department visits. However, initiation of safe, evidence-based pharmacotherapy for alcohol use disorder is rarely, if ever, prescribed in the ED…

Harm ReductionMichael TcheyanMay 1, 2023Alcohol Use Disorder, Naltrexone, Harm ReductionComment

Whistling Past the Graveyard: Humor In Medicine

Though to outsiders it may seem strange, for staff in the emergency department (ED), humor is as common as chest pain or dizziness…

Emergency Medicine, WellnessSean ReidApril 14, 2023Emergency Medicine, coping mechanisms, humor, stress reduction, humanismComment

Acute Paronychia: The Dark Side of Nail-biting

A 36-year-old female with no significant past medical history presents with pain and swelling to her right middle finger that has worsened over the last 3 days…

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