Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

22 results

Page 1 of 2

  • 18 - Clinical Pearls

  • from Section 2 - Clinical Pearls
  • Edited by Alex Koyfman, University of Texas Southwestern Medical Center, Brit Long, San Antonio Military Medical Center
  • Book:
    Emergency Medicine Thinker
    Published online:
    14 March 2025
    Print publication:
    27 March 2025, pp 141-173

  • Summary

    Be curious. Always be a skeptic and confirm what you read and hear. Don’t fall prey to confirmation bias. The best work a physician can do is at the patient’s bedside. If initial synthesis of information doesn’t make sense, get up and gather more data, including from the patient, family/friends, EMS, and/or nurses. Consider this the second H&P. Ask the patient about the biggest concern that brought him/her to the ED at this moment. It’s incredible what you’ll learn. Their reason for being there may not match the chief complaint. Review the triage note(s) and nursing documentation during the patient’s stay. Nursing notes can make or break a case. Always acknowledge and explain discrepancies. Review prehospital information. Even better: take time to listen to their focused report. They were at the scene and may have picked up on other important information. Thank them and highlight positive behaviors. Listen, don’t anchor, and confirm data offered.

  • Introduction

  • Edited by Alex Koyfman, University of Texas Southwestern Medical Center, Brit Long, San Antonio Military Medical Center
  • Book:
    Emergency Medicine Thinker
    Published online:
    14 March 2025
    Print publication:
    27 March 2025, pp 1-2

  • Summary

    No matter how we slice it, Emergency Medicine (EM) is a young field. In the 1960s, the U.S. public began to clamor for the need of its existence. In September 1979, it became the 23rd recognized medical specialty (note: ‘23’ is a pretty special number in sports history). In 1980, the first American Board of Emergency Medicine certification examinations were offered. In September 1989, EM received primary board status. In comparison, Internal Medicine (IM) was recognized in 1936 and Surgery in 1937. As one can imagine, as medical schools were filling their ranks, the predominant teaching faculty trained in IM and Surgery. The clinical approaches and thought processes taught across the four years were unsurprisingly IM- and Surgery-centric and mostly still are. We can all easily agree that EM calls for a different approach. The hope of this book is to explore and leave the reader with an understanding of EM decision-making and as an advocacy tool for our crucial field.

Emergency Medicine Thinker
  • Pearls for the Frontlines
  • Edited by Alex Koyfman, Brit Long
  • Published online:
    14 March 2025
    Print publication:
    27 March 2025
  • 'Emergency Medicine Thinker' is a practical pocketbook that provides important considerations for the practice of emergency medicine. Based on the popular website created by the authors, 'emDocs.net', it covers practical thinking rules that can be applied on an emergency medicine shift and provides approaches to common and life-threatening diseases in the ED that physicians see on a regular basis. Easy to read with quick access to information, and full of essential tips and pearls from experts on the emergency frontlines, this is a handbook that can be used at the bedside on shift. Part 1 of the book explores the EM decision-making process and why it's important from a myriad of central and talented emergency physicians. Part 2 features over 170 pearls for the frontline EM clinician. This book is a must-have for anyone working in emergency medicine.

  • Just the Facts: Ovarian torsion in the emergency department setting

  • Brit Long, Elisha Targonsky, Alex Koyfman
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 22 / Issue 6 / November 2020
    Published online by Cambridge University Press:
    11 September 2020, pp. 756-759
    Print publication:
    November 2020
    • Article
      • You have access
    • PDF
    • HTML
    • Export citation

  • A 23-year-old female presents with right lower quadrant pain that has been intermittent for the past several days. The pain suddenly worsened 1 hour ago. She denies vaginal bleeding or discharge, dysuria, fever, and back pain, but she has had several episodes of nausea with nonbloody, nonbilious vomiting. On examination, she is tender in the right lower quadrant, but her abdomen is not rigid.

  • Just the Facts: Diagnosis and management of small bowel obstruction

  • Brit Long, Elisha Targonsky, Alex Koyfman
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 22 / Issue 5 / September 2020
    Published online by Cambridge University Press:
    22 June 2020, pp. 648-651
    Print publication:
    September 2020
    • Article
      • You have access
    • PDF
    • HTML
    • Export citation

  • A 63-year-old female patient presents with abdominal pain, vomiting, and abdominal distention. She has previously had a cholecystectomy and hysterectomy. She has had no prior similar episodes, and denies fever, hematemesis, or diarrhea. She takes no medications. Vital signs include blood pressure 123/61 mm Hg, heart rate 97, oral temperature 37.2°C, respiratory rate 18, oxygen saturation 97% on room air. Her abdomen is diffusely tender and distended.

  • Just the Facts: Diagnosis and management of rhabdomyolysis

  • Brit Long, Elisha Targonsky, Alex Koyfman
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 22 / Issue 6 / November 2020
    Published online by Cambridge University Press:
    11 May 2020, pp. 745-748
    Print publication:
    November 2020
    • Article
      • You have access
    • PDF
    • HTML
    • Export citation

  • A 32-year-old male presents with diffuse myalgias, weakness, and dark urine for 1 day. The patient states he recently started a new exercise program. He is hemodynamically stable, and his physical examination reveals diffuse muscle tenderness. His creatine kinase (CK) returns at 8,000 international units per liter (IU/L), and his urinalysis reveals blood but only three red blood cells (RBCs) on microscopy.

The Emergency Medicine Trauma Handbook
  • Edited by Alex Koyfman, Brit Long
  • Published online:
    23 August 2019
    Print publication:
    17 October 2019
  • Trauma is a leading cause of death and disability around the world, and the leading cause of death in those aged under forty-five years. Conditions such as airway obstruction, hemorrhage, pneumothorax, tamponade, bowel rupture, vascular injury, and pelvic fracture can cause death if not appropriately diagnosed and managed. This essential book provides emergency physicians with an easy-to-use reference and source for traumatic injury evaluation and management in the emergency department. It covers approaches to common, life-threatening, and traumatic diseases in the emergency department, for use on shift and as a reference for further learning. Each chapter includes a succinct overview of common traumatic injuries, with evaluation and management pearls and pitfalls. Highly illustrated with images from one of the busiest trauma centers in the US, and featuring expert contributions from a diverse set of attending physicians, this is an essential text for all emergency medicine practitioners.

Page 1 of 2