Even in the face of this disease, new and from which we are learning day by day, despite even our own fears, we have an incredible opportunity to make a difference.
I state that I want EM to remain a broad based speciality, it is our real strength, but in doing so we need to maintain our breadth of practice that extends into the resus room. We should not let managers, systems or specialists make us unwelcome in our own house.
I decided to change things up a bit to start off 2021. Ryan Radecki, MD, an EM colleague, podcaster, EBM expert, and Twitter hot-taker, up and moved his family and career from Portland to New Zealand during the pandemic. He offers a fascinating perspective on emergency medicine and life in general.
We are a life and death subspecialty. While most may argue that cardiology is the best doctor for the heart and anesthesia is the best doctor to manage the difficult airway, I would dissent. An emergentologist does not have the luxury of meeting their patients in a clinic where they can casually sip coffee as the patient provides a thorough and detailed history.
Why is it fat fertile female 40 for cholecystitis when there are so many men with it? Or the worst headache of your life for subarachnoid hemorrhage, not sudden-onset headache? Or reheated rice for Bacillus cereus or clindamycin for Clostridioides difficile diarrhea? (Some of these may ring true in your experience, while others don't at all. I reheat my rice all the time and happily risk every bite.)
When I come on to my shift, I don’t have any clue what I’m going to see. The entire shift is going to be a mystery until I get into it. And not knowing what’s coming through the door is part of the fun of what I do.
With the era of Generation Y doctors, open-source publishing, micro-blogging, ‘stumbling’ and ‘tweeting’ upon us, now is an important time to review the implications of the internet age on emergency medicine.
... patients primarily seek care at emergency departments for non-emergency medical events. Chest pain is by far the most common reason diagnosis at hospital ERs.