Lisa Hoffman
This blog serves as a bulletin board for ED staff to share unusual and interesting photos of life in the ED.
It is also a partner with our Instagram account, @em_news, where you can find these photos on the go.
Have a clinical photo to share? Make sure it meets these criteria:
  • You must have taken the photo yourself. No “borrowing” from someone else or another website.
  • You must have written permission to submit someone else's photo. Send us the photographer’s name so we can give credit.
  • Sending a photo of a patient? You need his written permission to take it and to send it to us.
  • Be sure to obscure the patient’s face and identifying details even if you have permission (HIPAA, you know).
  • Send us the particulars about your photo: the patient’s symptoms, history, tests performed, therapies started, disposition, and outcome.
Send your entries to emn@lww.com.

Latest Entry: 7/28/2017 Only Time and MRI Will Tell

Larry Mellick, MD
The M2E Too! Blog by Larry Mellick, MD, presents important clinical pearls using multimedia.

By its name, M2E Too! acknowledges that it is one of many emergency medicine blogs, but we hope this will serve as a creative commons for emergency physicians.

Latest Entry: 7/3/2017 Survival of a Torsed Testicle

James R. Roberts, MD & Martha Roberts, ACNP, PNP

Renowned emergency physician James R. Roberts, MD, and his daughter, Martha Roberts, ACNP, PNP, are teaming up to create a new EMN blog, The Procedural Pause.

The blog will focus on procedures that emergency medicine residents and midlevel providers are often called on to perform in the ED. Each case will cover the basics, the best approach for treatment, and pearls and pitfalls.

The Procedural Pause publishes anonymous case studies that required an ED procedure. The site welcomes all providers to share their ideas about emergency medicine, procedures, and experience with similar cases. Application of the information in this blog remains the professional responsibility of the practitioner.

Like all texts, manuals, support guides, and blogs, this site conveys personal opinions and experiences. Providers may approach a patient or procedure in many ways, and this blog is not a dictum nor is it meant to dictate standard of care. It is a clinical guide, not a legal document; do not reference this site in court or as a defense. It is your responsibility to follow your hospital’s procedures and protocol and to practice under the guidelines of your professional license.

Latest Entry: 7/3/2017 Back-to-Basics for Strains and Sprains: ACE Wraps, Aircast, and Velcro

Charles Bruen, MD
Spontaneous Circulation focuses on advanced ECG interpretation, cardiac pharmacology, hemodynamic assessment and resuscitation, and managing acute coronary syndrome. It is devoted to translating the best evidence-based treatments from critical care, resuscitation, and trauma for bedside use in the emergency department.

Latest Entry: 8/3/2015 Ahead of Print: Demystifying the Pediatric ECG

Loice Swisher, MD

Dr. Loice Swisher’s daughter had five episodes of unexplained vomiting without a fever in just one month during 1999. Thinking through the files in her mind, she was unable to shake the memory of a young child with the same complaint 12 years before. The well-looking child had been bounced out of the ED four times with "viral syndrome" and "gastroenteritis." The diagnosis was a posterior fossa tumor.

“How did this happen?” she asked. The attending shrugged, offering up various possibilities. It was a difficult diagnosis because the symptoms at first are nonspecific. It is uncommon. The prior docs probably didn't get her up to walk or look in her eyes. They probably didn't think of it. He concluded, "To an ER doc, unexplained vomiting is a brain tumor until proven otherwise."

That single phrase altered the course of her life. A "reassurance MRI" showed a 5 cm brain cancer, a medulloblastoma. Her daughter navigated a course of radiation, chemotherapy, and multiple complications, and Dr. Swisher started an entirely new medical education in the art of diagnosis.

Amal Mattu, MD, reminds those of us in emergency medicine to be on the lookout for lions and tigers and bears, not horses and zebras, Dr. Swisher explained. As an emergency physician and mother, she knows the profound impact this approach has on a patient's life. Using real cases, this blog aims to expose the lions and tigers and bears out there ready to bite.

Latest Entry: 7/3/2017 Hidden Hip Fractures

Gregory S. LaSala, MD; Rita G. McKeever, MD; and Jolene Yehl, MD
The Tox Cave will dissect interesting ED cases from the perspective of a toxicologist, focusing on applying up-to-date management of the poisoned patient. The name Tox Cave was coined by a former toxicology fellow to describe our small office space, likening it to the Bat Cave. The Tox Cave is where Drexel toxicology fellows and attendings have gathered to discuss the nuances of toxicology over the years.

Latest Entry: 7/3/2017 A Buggy Case

Rick Pescatore, DO

Welcome to Little White Coats!
Little White Coats is the brainchild of Richard M. Pescatore II, DO, the assistant director of emergency medicine research for the Inspira Health Network in Vineland, NJ. He completed his residency at Cooper University Hospital in Camden, NJ, and is a graduate of the Philadelphia College of Osteopathic Medicine.

Dr. Pescatore has served as an EMS and law enforcement medical director and advisor throughout New Jersey and Pennsylvania. He was graduated from the U.S. Naval Academy with a degree in aerospace engineering, and had planned to pursue a career as a nuclear submarine officer until an EMS run five years ago took him to a familiar but unexpected place. That call made him realize that EMS was more than a hobby and that his future was in medicine.

Read more about how Dr. Pescatore ended up as a "little white coat" in his first blog post, "Changing Course," and don't forget to sign up for the RSS feed for this blog to read his new entries.

Latest Entry: 5/21/2017 Goodbye, Little White Coat

Lisa Hoffman

Welcome to the Case Files!
The Case Files is an anecdotal collection of emergency medicine cases to enable physicians and researchers to find clinically important information on unusual conditions.

Case reports should focus on:

  • Unusual side effects or adverse interactions.
  • Unusual presentations of a disease.
  • Presentations of new and emerging diseases, including new street drugs.
  • Findings that shed new light on a disease or an adverse effect.

Comment on a case or submit your own case following the instructions in the Submissions box to the right.

Latest Entry: 7/25/2017 A Rare Gas-Producing Infection of the Renal Pelvis

Alissa Katz
Read breaking news and articles published ahead of print. Tell us what you think and comment on your colleagues’ views about EMN articles.

Latest Entry: 7/3/2017 Q&A: Vitamin C, Hydrocortisone, and Thiamine for Sepsis

Lisa Hoffman
This blog focuses on the latest products, devices, and ideas to improve emergency medicine practice. Brief news releases and photographs are welcome, and must be submitted electronically. Images must be 300 dpi, in tiff, jpeg, or eps format, and at least 4“x4” in size. Please send information to emn@lww.com.

Latest Entry: 4/18/2017 Vein Visualization Aids Providers

Thomas Cook, MD

The Going Global blog is an opportunity for emergency physicians to share their experiences practicing and teaching outside the United States. Submit an article about your experience to EMN at emn@lww.com. Be sure to include a brief biography and photographs of the authors. Photos taken during time spent abroad are also welcome, and should be 300 dpi and in jpg, tif, or gif format.

This blog was started by the emergency medicine residents of Palmetto Health Richland in Columbia, SC, who travel the globe on medical missions. The program is under the direction of Thomas Cook, MD, who oversees one of more than 40 academic departments of emergency medicine that sponsors Global International Emergency Medicine Fellowships.

Latest Entry: 5/5/2017 Expanding Access to Ultrasound in Tanzania

Alice S.Y. Lee, MD

Alice S.Y. Lee, MD, shares what she has learned as an emergency physician in a high-acuity, high-volume hospital over her 25-year career in Emergency Medicine News’ newest online feature. Join her each month for a screencast — a podcast coupled with slides — covering tangible emergency medicine skills such as hip reductions, following guidelines, and suturing as well as the intangible ones such as medical decision-making, collaborating with colleagues, and handling difficult patients and consultants. The tangible ones, she says, are teachable; the intangible ones less so, but they can be absorbed with practice.

Dr. Lee is an emergency physician in Phoenix, an assistant professor of emergency medicine at the University of Arizona College of Medicine in Phoenix, and a graduate of the Maricopa Medical Center emergency medicine residency. She said she was motivated to share her most interesting cases to impart, instruct, and inspire emergency physicians who are out there day after day, shift after shift, just doing their job. Those three Is give the screencast its name: iCubed. The screencast will impart knowledge to apply to everyday emergency medicine practice, instruct on the subtle and individual variations of compassionate bedside patient care, and most of all, inspire excellence in the practice of emergency medicine.

“I still love the medicine after all these years of practice. What we do really matters, but once we have finished our formal training, which is very organized and regimented, we are out in the real world,” Dr. Lee said. “The difference between academic and clinical emergency medicine can be quite confusing and frustrating. My hope is to demonstrate how in real practice one goes about giving the best patient care possible. I will do this by walking through a real case each month, discussing the thought process as we go through the case.”

It’s all about the starfish on the beach, Dr. Lee said. Don’t know that story? Read it here: http://bit.ly/StarfishonBeach. In short, it’s about making a difference.

Find iCubed under the Videos navigation tab on www.em-news.com. You can also read Dr.Lee’s blog at https://azerdocmom.wordpress.com, follow her on Twitter at @azerdocmom, and read more about her in the MedPage Today feature, "10 Questions," at http://bit.ly/1S0gHG7.

Latest Entry: 7/3/2017 If the Patient is Sweating, You Should be Too

Lisa Hoffman
Emergency Medicine News’ own survey delves into all the factors that affect the day-to-day practice of emergency physicians. We’ll look not just at salary, but at how the specialty breaks down by gender, age, years in practice, and much more.

Latest Entry: 11/8/2016 Ahead of Print: Emergency Physicians Are Staying Put

Alberto Hazan, MD and Jordana Haber, MD
The husband-wife team of Alberto Hazan, MD, and Jordana Haber, MD, are interested in medical education, and will use this blog to reflect on the way emergency physicians practice.

Latest Entry: 8/11/2015 Should Medicine Have A Cosmological Constant?