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You are here: Home / Emergency medicine / Wink Wednesday #006 – Friday edition…

Wink Wednesday #006 – Friday edition…

February 15, 2013 By David Marcus Leave a Comment

Logging new and noteworthy linkage from the endless Twitter feed, and other ephemera of the past week.  But first, some thoughts from Patrick Gilbreth and Manrique Umana:

I feel Canadian. Sending people home to live out course of disease in dignified fashion. Will always feel wrong but it's right #comfortcare

— Patrick Gilbreth (@patrickgilbreth) February 15, 2013

@umanamd Even now, even when I see pt dying of natural causes at right time, when they're in ER, I feel need to intervene. It's ok to die!

— Patrick Gilbreth (@patrickgilbreth) February 16, 2013

Now, for the meat of it:

  • AAEM2013 just concluded – find all the Tweets, storified, by @MBond007 here.
  • Ethics, Med-Ed and Doctoring
    • Do Oncologists Lie to Their Patients? Hopetimism…
    • Can a novel med school curriculum improve doctor-patient communication? (Longitudinal Curriculum)
    • Is there a cure for corporate crime in the drug industry? (BMJ Editorial)
    • Patient respect drops when doctors diagnose with computer.
    • Is Physician “Shadowing” a Shady Practice? 
    • Changes to ssisted suicide in Canada (15 minute interview with @PicardonHealth on recent legislation).
  • Why Not to Get a Urine Drug Screen (except for altered mental status with truly no known explanation, unexplained new seizures, and if looking for cocaine):
    • Academic Life in EM (Peeing into the Wind Part 1, and Part 2)
    • MDAware’s take here
    • And a literature review forwarded by PharmERToxGuy
  • Hemostasis
    • Acute Management of Bleeding in Patients on Novel Oral Anticoagulants (European Heart Journal. Subscription required, haven’t read it yet – caveat emptor).
    • Blood transfusions can be harmful or deadly in some GI bleeds (commentary by PulmCCM.org on this recent NEJM article)
  • Resuscitwitter
    •  Decoding twitter: Surveillance and Trends for Cardiac Arrest and Resuscitation (Resuscitation. Subscription required).
  • Advanced Illness/End of LIfe
    • ePrognosis – Check it out.  (thanks, Graham Walker!)
  • #EMTOT
    • Not quite a trick of the trade, but something to know nonetheless – Perimortem C-Section, by Simon Carley at St. Emlyn’s.

And a moment of Zen from Professor Amal Mattu, as quoted by Prof. Joe Lex:

When troponin was a lousy assay, it was a great test. Now that it's a great assay, it's a lousy test – Amal Mattu #AAEM13 #FOAMed

— Joe Lex (@JoeLex5) February 11, 2013

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Filed Under: Emergency medicine, Ethics, FOAM, Professionalism, Wink Wednesday Tagged With: AAEM, bleeding, drug test, emergency medicine, links, meded, medical education, narrative medicine, Palliative, Social Media, Twitter, UDS, urine

About David Marcus

I'm an Emergency Physician and Internist at the LIJ Medical Center (Queens, NY) where I also serve as an attending physician in the Division of Medical Ethics. Obsessed with ED Critical Care, bedside sonography, medical ethics, and all kinds of outdoor stuff.

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