Month: January 2017

Patient Satisfaction

Patient satisfaction is getting lots of bad publicity these days, and I think it’s gone too far. Certainly, patient satisfaction surveys have the potential cause multiple adverse outcomes, and we’ve all heard about the study linking patient satisfaction with mortality. However, there are some aspects of patient satisfaction that are undeniably good patient care, and that is what I want to focus on today.

Sepsis (Critical Diagnosis)

Today we are talking about one of the most dangerous disorders a patient can have… Sepsis. There is a lot to cover with this including the history of sepsis management, definitions, and a modern day approach. We will cover each of these things and more in this week’s episode.

Rural Medicine (Interview)

Thank you for downloading our first EM Bolus episode! These episodes are intended to give a more in-depth look into the real world of Emergency Medicine and your future career. This week’s episode is dedicated to all of our PA listeners. Chip Lange, PA-C, creator of the TOTAL EM podcast will be joining us to discuss what it’s like working in a rural emergency department where he has to take care of critically ill patients, miles away from a major academic center, and with minimal to no sub-specialty backup. It is the ultimate test of a providers clinical skill set.

Dental Pain

Get excited the next time you have a patient with dental pain! Because this is one of those chief complaints that will give you tons of points on your SLOE as long as you can articulate your way through it. This is also one of those rare opportunities where you get to demonstrate procedural skills by doing an inferior alveolar nerve block. So never roll your eyes at these patients, because they are an opportunity for you to stand out from the pack and earn high clinical scores!


There are two big categories of vertigo: central and peripheral. And your entire exam should be focused around identifying which type the patient has. Central vertigo is typically the one we get most concerned about in the ED because it is caused by abnormalities in the brain. Peripheral causes tend to be much less critical and located in the ear. Today we will cover both types, with a specific focus on identifying the life threats.

Hyperkalemia (Critical Diagnosis)

Hyperkalemia is the single most important electrolyte abnormality you need to know for your clerkship. It is very deadly, and you need to act quickly or the patient will might go into cardiac arrest. If your patient has hyperkalemia, get and EKG and give calcium. That is the most important thing you need to remember for this week.

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