How to use Paraspinous Injections for Complex Headaches
“Who in their right mind would take an inch and a half needle, fill it…
They Tased Me, Doc!
Are Tasers a safe alternative to lethal force, or are they dangerous weapons associated with…
Marriage, Poverty and the Pope
This month I present a potpourri of concepts and Quixotic explorations of ideas mostly brought…
Medical Ethics: Admissions and Omissions
Burning belly pain awakens Marcus at 2 AM. Having it multiple times before, he’s tired…
Dying, Naturally, in the Emergency Department
Mr. B presented to the ED acutely septic, likely secondary to an underlying pneumonia. He…
Say Hello to the New Tax Laws
You’ve heard that taxes are going to increase and you’re waiting for the hammer to…
“Lipid Rescue” for Pediatric Overdose
When a toddler is brought in with an accidental overdose of tricyclic antidepressants, the poison…
Setting Systems in Place for Emergency Department Efficiency
Dear Director, We’ve tried LEAN techniques and “thin slicing” but our average productivity still lags…
Case Study: Demented 72 Year Old with Distended Abdomen
“I need a breath of fresh air,” your senior resident states. He has had a…
Margin for Error
“Can we pleeease feed that little girl in room two,” the nurse pleaded. “Her mother…