What does suicidal ideation really mean? It comes down to mindset and intent. For example: wrist cutting. Is it a suicide attempt, a stress relief, a way to get attention? It could be any of those. The behavior, often called the WHAT, needs to be connected to the WHY. There can be a bad injury, the ‘what’, but it’s […]
What do lung nodules have to do with emergency medicine? Weʼd like to see ourselves as full time resuscitationists and while thatʼs one of our master skills, much of our job involves taking care of non-critical patients and, even more so, having conversations with patients and their families. But arenʼt pulmonary nodules someone elseʼs problem, […]
What is the best way to evaluate a pregnant patient in whom you suspect pulmonary embolism? There is no definitive guideline, but there is no shortage of opinions. Jeff Kline and I work through the evidence and lack thereof. http://traffic.libsyn.com/ercast/PE_Preg_podcast.output.mp3 DIRECT DOWNLOAD What is the fetal radiation exposure from CT pulmonary angiogram and ventilation perfusion […]
Is it safe to cardiovert a hemodynamically stable patient with recent onset atrial fibrillation? The evidence says yes, but not everyone is a believer.
A review of the TRAAPPED SILO SAFE mnemonic for Suicide Risk Stratification
Do risk factors for chronic coronary artery disease play a role in helping to predict whether or not the emergency department patient presenting with chest pain has an acute coronary syndrome?
Suicide risk assessment in the emergency department