Concussion: Inside the Head (Part 1)

Head injuries are commonly seen in the emergency department and a large group of these patients will subsequently be diagnosed with a concussion. In this three-part series, we will summarize the most up to date definition of a concussion (Part 1), review how to make the diagnosis and provide concussion counseling to your patients (Part 2), discuss the complications of […]

Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 Pluymaekers NAHA, et al. N Engl J Med. 2019 Mar 18.  Editorial: The RACE to Treat Atrial Fibrillation in the Emergency Department.  Question and Methods: This multicenter, randomized, open-label, non-inferiority trial compared delayed vs early cardioversion for emergency department patients with recent-onset, symptomatic atrial fibrillation. Findings: Sinus rhythm at four weeks […]

Code Orange: Lessons Learned from the Westboro Bus Collision

A Code Orange is a hospital-scale response to any event or group of events that results in a patient influx that outstrips available hospital resources. It realigns the way the hospital functions to support the emergency department and rapidly increases the number of staff available to care for patients. It also functions to create appropriate clinical space to treat patients. […]