Effective and accurate communication is of critical importance when transferring patients between healthcare providers. The accuracy of handover information transmission during these encounters has...
Read ItPatients presenting to the emergency department with dyspnea after recent coronary artery bypass graft (CABG) present a unique diagnostic challenge. There have been no previous reports in the lite...
Read ItBoyer’s framework of scholarship was published before significant growth in digital technology. As more digital products are produced by medical educators, determining their scholarly value is of i...
Read ItMedical students and residents often seek advice on a variety of topics from more senior physicians. Herein, I share the collected wisdom of 40 practicing physicians on topics of general interest t...
Read ItTwitter is a useful medium for the exchange of ideas, but it is not well suited to a thorough exposition of complex topics. In one recent exchange, I engaged author and journalist Peter Hitchens (@...
Read ItIn this letter I review evidence showing that the current definition of asthma as chronic airway inflammation is not scientifically substantiated. Importantly, this problematic definition is distra...
Read ItA 2 month old boy is brought into the resus room of your community hospital looking completely blue. The mother rather anxiously states that they have been followed at the large pediatric hospital ...
Read ItA feisty 3 year old tripped, cut her lip, and is now politely refusing your colleague's attempts at suturing. You hear these polite refusals from across the department, and wander over to offer you...
Read ItYou are chatting with your triage nurses on a slow night shift when a car pulls up to the front doors. A 34 year old woman G5P4 at 39 weeks gestation is wheeled up to triage by a slightly panicked ...
Read ItYou are proceeding with the precipitous delivery described in the previous post. You have just delivered the head, but it seems to pull back. No further progress is being made. As you stare down at...
Read ItA 34 year old woman G5P4 at 39 weeks gestation is wheeled into your department, and your nurses tell you to get ready: she is crowning! You examine the patient, and sure enough she appears to be cr...
Read ItOnce again, a 34 year old G5P4 woman at 39 weeks gestation is wheeled into your resus room in what appears to be precipitous delivery. You perform a quick exam, but instead of encountering the pres...
Read It