Boston City EM

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 →

Step-by-Step Approach: New tool for febrile infants?

By: Nancy Rixe, MD Background: Febrile infants are one of the scariest populations that enter the emergency department for several reasons. First, they remind us all how old we really are and how much we have aged since starting medical... Continue Reading →

Sono Nuggets

Check back here for posts on interesting Ultrasound cases and how POCUS can lead you to the right diagnosis and treatment plan. Stay tuned! Also consider this resource for learning emergency ultrasound:

Conference Learning 11.30.16

By: Jeffrey Rixe, MD Knee Dislocation -Tibio-femoral dislocation (50% anterior, hyperextension) (25% posterior, high impact mechanism) -40% popliteal artery injury -25% peroneal nerve injury -"Dimple" Sign: medial condyle of femur stuck in joint capsule (needs OR reduction) -50% self reduction.... Continue Reading →

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