If you have spent any time working in an emergency department in the last 10 years, you have undoubtedly come across a conversation about wellness and burnout in medicine. Despite increasing awareness, the data is bleak: Emergency Medicine (EM) physicians experience burnout more than any other specialty.1 As we consider that EM was the second most popular Match in 2017, it’s important to focus on collaborative efforts and ensure that the increasing number of EM trainees does not lead to a generation of burned out EM providers.2
Robust and comprehensive studies now support specific management guidelines for patients presenting with different intracranial hemorrhages (ICH). From the Emergency Department perspective, the primary dilemmas involve specific blood pressure goals and whether seizure prophylaxis with phenytoin is necessary. The Brain Trauma Foundation provides an excellent summary of the current guidelines.1
Difficult airways, including those that are edematous, burned, soiled, or traumatic, pose one of the greatest procedural challenges for emergency physicians. Furthermore, unanticipated difficult airways represent 5-15% of intubations in the ED. Emergency medicine residents gain experience with difficult airways largely through hands-on practice while caring for critically ill patients. The relatively low frequency of complex intubations, however, necessitates an educational model that extends beyond the ED and can be shared with multiple learners.
“The part can never be well unless the whole is well.” – Plato
The rigors of post-graduate training can strain even the most stoic of residents – the next task, the next project, the next shift. These reduce our resiliency to stressful situations. The likelihood is that your program has worked very hard to develop new and innovative initiatives to improve resident wellness and resiliency. And chances are, they have done this in-house. It takes tremendous efforts, however, to create and revise the efforts. In this digital age of social media, this siloed approach no longer is necessary because programs can easily get feedback and share their experiences with others.
Welcome to the Psychobehavioral Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index the ALiEM AIR Team is proud to present the highest quality toxicology content. Below we have listed our selection of the 2 highest quality blog posts within the past 12 months (as of June 2017) related to Toxicologic emergencies, curated and approved for residency training by the AIR Series Board. More specifically in this module, we identified 0 AIRs and 2 Honorable Mentions. We recommend programs give 1 hours (about 30 minutes per article) of III credit for this module. As of June 2017, the AIR series is now being used by over 125 residency programs with over 1,200 residents completing at least one module in the 2016-2017 academic year.
Dr. Chaiya Laoteppitaks is an emergency physician practicing in Philadelphia. When he’s not busy with his Assistant Program Director duties at Einstein Medical Center, he can be found mastering the art of cooking for his family and friends. Planning his days and weeks, ensures that he maintains his balance, and makes time for his wellness and family too! Here’s how he stays healthy in EM!
We are proud to announce the return of the Annual ALiEM Awards! Started in 2016, this was the first in its kind to officially recognize the hard work and creative energy that is required in the generation of social media educational content. We are excited to bring it back to shine the spotlight on another year’s worth of high performers and game changers in medical education!