All tagged Internal Medicine
In this EM Ed lecture we discuss the mindset that is needed when approaching an undifferentiated patient. This is the mindset that is used in the emergency department given that most patients seen in the ED are undifferentiated when they hit the door. It is important to start with the default mindset that all patients in the emergency department is critical. You can always deescalate from this position after you evaluate the patient. Understand that you have limited data when determining whether your patient is sick or not sick. You are a detective trying to figure out what is going on. Rule out badness first.
In this lecture we discuss the approach to calling up admissions and consults. It is important to be straight to the point, concise, and precise with what you say. Push back often occurs when there is a misunderstanding or a failure to effectively communicate what is going on with the patient. In this lecture we provide a template to help you focus your sign outs or consults.
In this EM Ed lecture we review the approach to the pulseless patient. We go over the the initial interventions that need to happen to get ROSC.
In this lecture we discuss wild cards. These are features in the history that tip the provider off that the patient may not present the same way as other patients with badness. As a result the provider should lower his/her threshold to perform a more thorough history, physical, and work up.