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You don’t need labs to medically clear a psych patient

PEMBlog

When should the emergency physician obtain lab tests to medically clear such patients? They carry existing diagnoses and are followed by outpatient mental health providers. There is abundant evidence showing that routine lab tests in such patients have a very low yield and are not indicated, in adults as well as in children.

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What is primary care? Part 2

Noreta Family Medicine

Some family doctors work in a residency training program where they may see patients in the hospital, out of the hospital, and deliver babies. Other family doctors only see patients in their clinics. I love family medicine because as family physicians, we can be trained to provide care for patients in many different settings.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

Clinical Case You are a senior resident working in the busy emergency department on an overnight shift. Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Look for the underlying cause renal disease leads the list in kids.

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What can we learn from simulations? Amber Barnato

GeriPal

Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. Alex: We are delighted to welcome Amber Barnato, who’s a palliative care physician and health service researcher, and she’s director of the Dartmouth Institute for Health Policy and Clinical Practice.

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Exploring the Nature of Chronic Pain with Haider Warraich

GeriPal

Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. And I wonder as you think about that and as you think about pain being a vital sign, every shift in the hospital people are asking if they’re having pain, we’re going in there asking people, “Are you hurting?