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What’s New In EM
Aadil Vora, OMS-IV NSUCOM The Pediatric Sedation State Scale to assess pediatric procedural sedation (July 2017) Scales that seek to describe the level of sedation achieved during procedural sedation focus largely on physiologic depth, primarily airway and cardiovascular impairment. But a new tool c [...]
Fatigue and Poor Appetite In An Elderly Female
Dhimitri Nikolla, DO AHN Saint Vincent Hospital, Erie, PA CASE An 86 year-old female with a past medical history of chronic congestive heart failure with a dual-chamber pacemaker, hypertension, severe mitral regurgitation, and dementia was sent to the emergency department (ED) by family via ambulanc [...]
The Business Of Healthcare: How Patient Satisfaction Plays A Role
Alexander Torres, DO Comanche County Memorial Hospital, Lawton, OK Patient satisfaction and its impact on healthcare and health outcomes dates back to the 1950s, where relationships between patients and healthcare providers were examined.1 These relationships have become extremely complex as the hea [...]
An Ode to Osler: A Physician Profile
Dominic Williams OMS-IV LECOM - Bradenton “Medicine is a science of uncertainty and an art of probability.” Have you ever wondered why, as a third-year medical student, you’re cast out into the hospital to fend for yourself among patients? Have you ever stopped to think about which creative genius c [...]
Wellens Syndrome: The Forgotten Diagnosis
Frank Wheeler, OMS-IV LECOM-Bradenton Introduction A middle-aged male complaining of resolved chest pain presents to the emergency department (ED). His physical examination is normal. His electrocardiogram (EKG) is seen in Figure 1 and cardiac enzymes were normal as well. The patient is determined t [...]
Lead From The Front
Christina Powell, OMS-III LECOM-Bradenton In the past, a sentiment existed among some emergency physicians that arriving on time and covering the shift with 100% effort was sufficient for success. However, in the face of increasing competition in the field, changing insurance models, and expanding e [...]
Happiness In Residency And Beyond
James Chapman, DO Kent Hospital, Warwick, RI Residency is full of tasks that make life busy. Working shifts, studying at home, preparing for weekly lectures, and attending journal club are all part of residency life. On top of this, you are encouraged to do research, travel and present at conference [...]
Letter From The Editor- Fall 2017
Welcome back! The fall edition is here with an exciting line up of articles. From acute myocardial infarction to physician burnout to violence in the emergency department, The Fast Track covers a gamut of topics you want to be familiar with as a resident or student in emergency medicine. Hopefully, [...]
A Letter From The ACOEP-RSO Presidents
Welcome to The Fast Track! This year has been a time of major shift here at ACOEP. As your resident and student leadership, we have been working to provide you with the most exciting and educational emergency medicine experience we can offer. Many of you will be reading this letter from the comfort [...]
Owning That Away Rotation In Residency
Dhimitri Nikolla, DO, PGY-II ACOEP-RC Secretary AHN Saint Vincent Hospital, Erie, PA While many of us spent more time on away rotations than home rotations during medical school, doing an away rotation as a resident may be like learning to ride a bike again. As residents, we work hard every day to n [...]