A recent multi-center clinical trial funded by the National Institute for Diabetes and Digestive and Kidney Diseases, revealed no significant support for the use of tamsulosin for kidney stones. The results, published in JAMA Internal Medicine, found no significant effect of patient-reported passage or capture of the stone.
Drones in Telemedicine, PoC Ultrasound in Detecting SBOs, and a chohort trail for single-handed US-guided vascular access.
Looking at an Outpatient Pathway for Atrial Fibrillation in the Emergency Department Setting in Academic Emergency Medicine and Prescription Drug Monitoring Programs in the Emergency Department in Western Journal of Emergency Medicine.
This post tackles "Complications & Discharge Care Plans;" outlining potential complications of splinting, key points to include in patient discharge instructions, and some of the pharmacological adjuncts to aid in recovery.
Dr. Buckland contributed a chapter entitled "Differences in Physician, Engineer, and Life Scientist Training, Practice, Problem Solving, and Approach to Failure." Some of which came from writings he did for MedGadget.com.
The article outlines the work of the Wellness Think Tank, an online, resident community consisting of 142 residents from 100 EM residencies in North America and, a 15-person subgroup (13 residents, two faculty facilitators) that met at the 2017 Resident Wellness Consensus Summit (RWCS) to develop a public, central repository of initiatives for programs, as well as tools to assist programs in identifying gaps in their overarching wellness programs. The results of which can be found in a centralized, searchable, online database open to the public along with a contributor form for future submissions on ALiEM's website.
A 3-year, five-ED retrospective study of non-fast-track visits evaluated primarily by physicians, they reported each provider's observed LOS, as well as each provider's ratio of observed LOS/expected LOS (LOSO/E). And, found that the LOSO/E for physicians with the lowest LOSO/E at each site averaged approximately 20% less than predicted, and that the LOSO/E for physicians with the highest LOSO/E at each site averaged approximately 20% more than predicted.