Cognitive Bias and Decision Making

Author: Dr. Dave Hill

Thinking about a recent M&M case and the roles that bias plays in how patient care is delivered, I don’t think I could say it better than the Drs. at EM Ottawa (emottawablog.com).

“Clinical decision making is an extremely complex process, and healthcare professionals often develop adaptive mechanisms [heuristics or biases] as we are faced with repeated similar experiences in a busy clinical environment.”

Meningitis

Author: Dr. Trevor Landas Defined as inflammation of the meninges, or covering layers of the central nervous system, meningitis has a high morbidity and mortality if not identified and treated promptly. The incidence is approximately 1.38 per 100,000 people. Clinical Presentation: Presenting symptoms include the classic triad of fever, neck stiffness, and altered mental status,

Migraine Cocktail: over IV fluids or neat?

Author: Dr. Calloway Pichette Article: IV Fluids for the treatment of Emergency Department patients with migraine headache: a randomized controlled trial  Background: Headache, a common complaint in the ED. Many times a day we see patients with migraine headaches in the ED. Give them a migraine cocktail (sadly, no martinis involved…) and then viola! They

COPD

COPD is one of the more common respiratory issues we encounter in the ED. It affects approximately 5% of the US population and is the 3rd leading cause of death and 12th leading cause of morbidity in the US.

Sickle Cell Fever

Basics First off…what is sickle cell anemia? Who gets it? What does the spleen even do?? Calm down, we’ll get to all of that. Let’s start with. The. Basics. So… sickle cell anemia is an autosomal recessive disease that results in a mutation in the Beta chain of hemoglobin, resulting in an amino acid change

NSTEMI, STEMI, ACS

Author: Catherine Buckley MD There are about 8 – 10 million ED visits with the chief complaint of chest pain per year in the US. (Owens et al.)10 billion dollars are spent on chest pain, 10% of which goes to the work up for ACS diagnosis. Yet somehow despite these millions we still miss 1-2%