Ultrasound of the Month: Can you use Pocus for pneumonia?

Ultrasound of the Month:  Can you use Pocus for pneumonia?

In the emergency room, shortness of breath and cough are common complaints, and chest x-rays are frequently ordered to evaluate for pneumonia.  However, what is the sensitivity and specificity of chest x-ray for pneumonia?  Is it a "rule out" test?  Is there a role for point of care ultrasound (hint...yes!)? 


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Journal Club - Racism is a Public Health Problem

Journal Club - Racism is a Public Health Problem

In the United States, racism is a critical public health problem, permeating everyday systems including educational and health care systems; criminal justice and legal systems; financial, housing, and economic systems; environmental issues and beyond to create differential health outcomes that adversely affect Black, Indigenous, and other people of color. This pervasive system of power is based on the socio-politically constructed notion that non-Hispanic white people are inherently superior to people of color (Black, African American, Indigenous, Native American, Alaska Native, Native Hawaiian, Pacific Islander, Asian, Latine, Hispanic) and this ideology operates across multiple levels (individual, interpersonal, institutional) to unjustly advantage non-Hispanic white people, unjustly disadvantaging people of color. We recognize that racism is an important cause of health disparities and that, as health care providers, we have a responsibility to educate ourselves about racism so that we will be prepared to acknowledge the impact of racism on our patients’ health and work towards more equitable systems in support of health equity. One important component of that education is learning how to engage in productive conversations about race and racism. In service of that goal, we chose Ijeoma Oluo’s book, So you want to talk about race, as our common read for this special Journal Club session.

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Journal Club - Optimal Pharmacology for Alcohol Withdrawal

Journal Club - Optimal Pharmacology for Alcohol Withdrawal

Alcohol abuse is common in the United States with 14.1 million adults estimated to have some degree of alcohol use disorder. Emergency physicians will encounter this quite often, either as the primary presenting problem or as a complicating factor in a patient’s care. Unfortunately, alcohol consumption appears to be increasing, with the World Health Organization projecting ongoing increases through at least 2025. As a result, it is becoming increasingly important that we understand the serious and potentially life-threatening consequences of alcohol withdrawal syndrome (AWS) and the treatment options that exist in order to best manage these patients. The following three journal club articles sought to investigate potential clinical benefits for the use of phenobarbital in the emergency department (ED) for the treatment of AWS.

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Advice from a Resident: Virtual Interviewing and Transitioning to Residency

Advice from a Resident: Virtual Interviewing and Transitioning to Residency

Interviewing and beginning your career in medicine comes with challenges! Dr. Sarah Bunting, MD is a PGY-1 emergency medicine resident at Maine Medical Center. Listen in to hear her advice on transitioning from medical school to residency, virtual interviewing, and what to look for in a residency!

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Ultrasound of the Month: A Case of Unilateral Knee Swelling

Ultrasound of the Month: A Case of Unilateral Knee Swelling

Welcome back to the first installment of the Ultrasound of the Month in the new year! After reviewing our cases from January we have selected a case of unilateral knee swelling to highlight the use of ultrasound in this extremely common ED chief complaint. The amazing images with obtained by Dr. Hadley Gunnell, anouther one of our stellar interns!


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Pathways to Emergency Medicine: What to Know Early in the Career Exploration Process

Pathways to Emergency Medicine: What to Know Early in the Career Exploration Process

How and when do medical students become interested in emergency medicine? In this post we review how Tufts University School of Medicine’s 2021 class of EM-bound students reflect on the circumstances behind how they first became interested in the field and what experiences were most important in their decision to pursue EM.

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Ultrasound of the Month - Not all veggies are good for your health

Ultrasound of the Month - Not all veggies are good for your health

We're back with some more exciting and beautiful echocardiogram images this month! This case and images are courtesy of Dr. Sarah Bunting, a rising ultrasound star within our program. Here she has obtained some uncommon images of an unfortunately more and more prevalent disease process. So grab your warm holiday drink of choice and enjoy our ultrasound of the month.

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Journal Club - Emergency Department Initiated Buprenorphine for Opioid Use Disorder

Journal Club - Emergency Department Initiated Buprenorphine for Opioid Use Disorder

Recent data from the National Center for Health Statistics reveal that in the 12-month period ending in April 2021, more than 100,000 Americans died of an overdose, a staggering increase of nearly 30% the prior year. While the ongoing COVID-19 pandemic has contributed to overdose deaths and taxed constrained ED resources, it has also clarified the important role that emergency physicians have in expanding access to life-saving medications to treat opioid use disorder. In this journal club, we review the evidence on ED-initiated buprenorphine, including barriers to implementing ED-buprenorphine here in rural Maine.

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Ultrasound of the Month - Is your probe marker switched?

Ultrasound of the Month - Is your probe marker switched?

This is the inagural installment of our monthly series recognizing some great point of care ultrasound images performed in our department. This case will highlight some beautiful echocardiogram images obtained by the one and only Dr. Nicholas Fling, one of our chief resident physicians. Echo is a basic ultrasound skill that all EM docs need to have, and making sure your probe marker is set up appropriately on the screen is a great first step. The apical four-chamber view of Dr. Fling's would make anyone double check that!

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Journal Club - Physician Depression and Suicide

Journal Club - Physician Depression and Suicide

Suicide is disturbingly prevalent among patients we care for in the Emergency Department. It is unfortunately also common among physicians. Most estimates suggest that approximately 400 physicians die by suicide annually. Physicians also have a higher rate of suicide than the general population. Male physicians have a 40% increased risk of suicide compared to their age-matched peers and female physicians have a 130% increased risk. We chose this topic for Journal Club with the goals to raise awareness around these shocking statistics, discuss etiologies behind these high rates of suicide and to normalize the discussion around physician mental health.

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