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How to Think Like an Emergency Physician Part 4
Manage episode 353694618 series 3428836
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In emergency medicine we use a top-down approach. What does the patient need? Not, what does the patient have?
4 Responsibilities of the Emergency Physician:
Resource stewardship - Not a lot of control over this variable
Customer service - Evidence based medicine doesn’t equal good customer service. You must be able to communicate well with your patients and manage expectations appropriately.
Symptom relief - Don’t forget to address the pain or symptom that the patient came in for while thinking through DDX and orders.
Patient safety - Most of our time is spent here.
Patient safety is resuscitation and identifying dangerous conditions
Dr. Strayers system:
Identify patients needing resuscitation and triage appropriately
Identify dangerous conditions using HPI, physical exam, testing. This list is narrowed down by each step in the process.
Have a plan for a negative workup as a positive work up will usually dictate a plan on its own.
Run the board frequently and after seeing new patients.
Place orders before charting
Manage interruptions with a method that works for you. Multitasking isn’t possible.
Expand work up if the HPI and physical exam are limited.
Huge thanks to Reuben Strayer! Check out his website EMUpdates.com
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