access block Archives - Emergency Medicine Cases

Ep 191 The Future of EM – Systems Thinking

In order fix EM, each of us needs to understand systems issues and systems thinking, and advocate for a better system based on sound systems principles and specific solutions. In this main episode EM Cases podcast Anton is joined by Dr. Alecs Chochinov and Dr. Davie Petrie, two systems thinkers and leaders in EM. They discuss solutions for how to fix EM in 5 spheres: having a coordinated mission, optimizing access points, accountability, disaster preparedness and adaptation/evolution. They answer questions such as: What can we glean from how EM has evolved in the last few decades to help shape the future? How can we utilize virtual care to make it work for us and our patients well? How can we improve our EMS systems? How can we change the system to prevent emergency provider burnout? How can we integrate systems thinking into the daily operations of EDs to improve patient flow and outcomes? and many more... -Support EM Cases with a Donation https://emergencymedicinecases.com/donation/

By Anton Helman|2024-02-13T11:44:56-05:00February 13th, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: access block, accountability failure, disaster preparedness, Dr. Alecs Chochinov, Dr. David Petrie, ED overcrowding, health care system, virtual health care|0 Comments

Ep 174 Is Less More? Saving EM and Traumatic Pneumothorax – Highlights from CAEP 2022

Emergency Medicine has undergone many changes over the last couple of decades and especially during the COVID pandemic. Most of these changes have been very positive, but increasing volumes, staff shortages, aging populations, increasing breadth of responsibilities and better access to more imaging have made some of us question how we should define the scope of our practices. In this main episode podcast, highlights from CAEP 2022 conference, Anton discusses the article 'Saving EM: Is Less More?' with Dr. Paul Atkinson and Dr. Grant Innes and offer some solutions to this current state of affairs in EM. In another CAEP highlight, trauma team leader Dr. Mathieu Toulouse delivers the latest on management of traumatic pneumothorax. He answers such questions as: Do all patients with a traumatic pneumothorax require tube thoracostomy? How do CXR and CT differ in determining which patients require a chest tube? Do all patients receiving positive pressure ventilation require a chest tube for their traumatic pneumothorax? Does the presence of hemothorax necessitate placement of a chest tube? Are 14Fr pigtail catheters adequate for all traumatic pneumothoraces? and many more...

By Anton Helman|2023-02-15T11:34:33-05:00September 27th, 2022|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Trauma|Tags: access block, overcrowding, pigtail catheter, pneumothorax, PPV, PTX, tube thoracostomy|2 Comments

WTBS 26 COVID-19 Pandemic Lessons on Designing a Better Health Care System: What Does it Mean for Emergency Medicine?

Thomas Friedman’s book The World Is Flat is an exploration of how globalization and modern communications technology have changed the world. Our emergency care systems entered the pandemic on decidedly bumpy terrain; can we use technology and innovation to flatten and protect them—to make them more resilient?

By Dr. Howard Ovens|2021-03-09T12:45:30-05:00March 9th, 2021|Categories: EM Cases, Emergency Medicine, Medical Specialty, Waiting to be Seen|Tags: access block, COVID, ED crowding, patient flow|0 Comments

WTBS 27 What Emergency Medicine Network Connections and Coverage Look Like in a Resilient Health Care System

When you apply the same principles of a resilient system (integration, adaptation, self-regulation, diversity, and situational awareness) to stabilizing and innovating emergency medicine care networks, this could also have a broad reach and positive effect on improving outcomes for the populations we serve. Reframing service delivery redesign in a resilient systems context opens a wider spectrum of potential solutions and should seed some more creative and yet pragmatic approaches to closing the large FTE gap in emergency medicine. As COVID-19 has demonstrated, we cannot afford not to....

By Dr. Howard Ovens|2021-03-09T12:36:26-05:00March 9th, 2021|Categories: EM Cases, Emergency Medicine, Medical Specialty, Waiting to be Seen|Tags: access block, emergency medicine administration, health care design, overcrowding|0 Comments

Ep 129 ED Overcrowding and Access Block – Causes and Solutions

Howard Ovens, Grant Innes, Sam Campbell and Anton discuss the root causes, challenges and some of the solutions of one of the defining characteristics of emergency medicine in the 21st century - overcrowding. It is absolutely in the interest of every single ED provider to understand how this problem came to be, and what we can do about it. As citizens of the medical community, becoming aware of the issues that drive ED overcrowding will be a powerful asset in the drive for change. We hope to equip you with the knowledge and actionable moves to effect change on your next shift at the individual level, at the ED level, and even at the hospital and government levels…

By Anton Helman|2022-08-04T20:21:12-04:00August 27th, 2019|Categories: Clinical Practice, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: access block, accountability failure, Dr. Grant Innes, Dr. Howard Ovens, Dr. Sam Campbell, ED crowding, lean thinking, physician burnout, physician efficiency, reverse triage|1 Comment