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Boston City EM

Night School – BNP

An evidence based analysis of the commonly ordered and frequently misunderstood lab test: BNP. First post in a new series titled: "Night School" at the Old Boston City Hospital, by emergentologist, educator and nocturnist: Dr. Steve McGuire. There are only a few... Continue Reading →

SOB with clear lungs: POCUS for the win!

Case: 49 year-old woman with past medical history of HTN presented to the ED with approximately four days of malaise, myalgias, a feeling of “coming down with something” accompanied by mild shortness of breath.  She developed dyspnea while climbing stairs... Continue Reading →

Life and Death

By: Elizabeth Mitchell, MD From the moment you arrive I know you are on the tightrope between life and death. Here and not I see you balanced high above me on the wire where you rock and teeter your skin... Continue Reading →

SEP-1: Severe Sepsis by the Numbers

By: William Baker, MD THINK SEPSIS: SAVE LIVES Scope of the problem Approximately 1 million patients in the United States are affected by severe sepsis (SS) annually Most common cause of death among critically ill patients in non-coronary intensive care units (1)... Continue Reading →

Go Left, Go Right

By: James Felman, MD I have often wondered what the Nazi doctors felt like when they donned their white coats and stood on the platform directing new arrivals at the concentration camps to life or death. How did their value... Continue Reading →

Winter 2017

By: Allie Gips, MD  Outside they are marching in pink pussy pointed caps while inside I am in my own power pantsuit: baggy unisex blue scrubs and a ponytail listening to my patient tell me that it’s not personal but... Continue Reading →

The Apology

By: Elizabeth Mitchell, MD I apologize a lot at work. "I'm sorry it took so long for you to be seen" "I'm really sorry about the hallway sir, we don't have any open rooms.” "No ma'am I don't know when they... Continue Reading →

EMergence Arts Intro

  This section of the blog is a home for everything that doesn’t fit into the typical categories of clinical pearls, cutting edge research, and traditional medical education. It is intended as a space for the world beyond the hard... Continue Reading →

Thoracic Trauma: Rib Fractures

By: Elizabeth Wallace, MD Broken Ribs? Who cares? Many trauma victims sustain injuries to their ribs, but these are an afterthought to the initial resuscitation. Providers correctly focus on the ABCs, along with major organ injury or extremity deformity, at the expense... Continue Reading →

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