Emergency & Disaster Medicine

Includes the clinical practices in the emergency department as well as disaster medicine (physician preparedness and physician response). Addresses natural disasters, terrorist events, pandemics, and nuclear/biological/chemical disasters.

SMJ Article | Original Article

Telesimulation to Improve Critical Decision-Making in Prehospital Airway Management: A Feasibility Study

Objectives: Telesimulation, in which learners and evaluators use technology to connect remotely to simulation-based learning activities, is effective for skills and decision-making review. Historical models in which learners are colocated with the simulation equipment have inherent issues, especially for emergency medical services (EMS) providers. This feasibility study placed the evaluators...

May 24, 2021

Wound Care Insight

Wound care is a large part of our day in the Burn Center. It’s not unusual for us to spend several hours completing one dressing change. In fact, we perform so much wound care,that it often becomes second nature. Remove the dressing, bathe the patient, assess the wound, re-apply the...

SMJ Article | Original Article

Prehospital ABC Score Accurately Forecasts Patients Who Will Require Immediate Resource Utilization

Objectives: Scoring systems, such as the Assessment of Blood Consumption (ABC) Score, are used to identify patients at risk for massive transfusion (MT, ≥10 U red blood cells in 24 hours). Our aeromedical transport helicopter uses ultrasound to perform the Focused Assessment with Sonography for Trauma (FAST) examination. Our objective...

SMJ Article | Original Article

CME Article: Historical Alternans in the Emergency Department (H.A.t.E.D.) for Pain: An Analysis of Patient Pain Descriptors to Attending and Trainee Clinicians

Objectives: The concept of “historical alternans” (HA), a teaching folklore term referring to different descriptions of patient histories to trainees versus attending clinicians, can cause disjointed care and be a source of frustration for the trainee. Increased focus on the proper evaluation and treatment of pain in the emergency department...

SMJ Article | Original Article

National Estimates of Noncanine Bite and Sting Injuries Treated in US Hospital Emergency Departments, 2011–2015

Objectives: Injuries resulting from contact with animals are a significant public health concern. This study quantifies and updates nonfatal bite and sting injuries by noncanine sources using the most recent data available (2011–2015) from the National Electronic Injury Surveillance System-All Injury Program with the purpose of using these updates to...

April 9, 2020

How COVID-19 is improving health care for the future

Could the current pandemic lead to long-term advances in medicine, producing better outcomes, quality, and lasting innovation? As I write, the situation regarding COVID-19 in the United Kingdom is increasingly severe day by day: 51,608 individuals have now tested positive, 17,911 have been admitted to hospital with the virus, and 5,373...

Podcast | Practice of Medicine | March 25, 2020

Fireside Chats with the Troops on the Frontline of COVID-19 Pandemic: Childhood Food Insecurity

SMA President Dr. Philip Hartman is joined by Dr. Holly Danneman who shares her experiences of working with GO Pantry, a nonprofit organization that provides food for children in Northern Kentucky when schools are not open. She offers insight into how these types of programs have been affected in multiple ways by the COVID-19 pandemic, as well as physicians’ roles in feeding children within their communities.

Podcast | Practice of Medicine | March 20, 2020

Mental Health Perspective on Coronavirus

Dr. Anandhi Narasimhan will discuss issues related to mental health during the coronavirus pandemic. Topics include managing anxiety, how to deal with social distancing and isolation, how to talk to children about coronavirus. Also will discuss how treatment can be optimized so that mental health services are available to those who need it virtually.

Posted in: Mental Health4

SMJ Article | Original Article

Changes in Proportions of Emergency Department Patients with Mental Illness Noted in the National Hospital Ambulatory Medical Care Survey, 2012–2015

Objectives: The primary objective of this study was to determine whether there was a change in the rate and types of patients with psychiatric illnesses being seen in the emergency department (ED) from 2012 to 2015 using the National Ambulatory Care Survey. A secondary objective was to determine what if...

Posted in: Emergency & Disaster Medicine5 Mental Health22

SMJ Article | Original Article

Increasing Comfort with Sensory Processing Difficulties in the Prehospital Setting: Pre-Post Study of Education and Sensory Tools in EMS Providers

Objectives: Interfacing with patients with sensory processing difficulties is challenging to healthcare providers and even more problematic for emergency medical services (EMS) personnel in the acute care setting. Sensory training may be an effective nonpharmacologic method to deal with these patient populations. The purpose of this study was to evaluate...

Posted in: Emergency & Disaster Medicine5

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