October 6, 2022

Don’t ignore severe back pain!

Always consider serious spinal pathology whenever a patient presents with severe back pain. The following is a real malpractice case with some dates/info changed to fit the format. The case settled for $2.75 million. That part has not been changed. Case: On Monday, a patient
January 4, 2022

Keep Calm and Work it Up

When a patient gets injured while in the room or shortly after being discharged, be extra vigilant in ruling out new pathology.
November 5, 2018

Take a Closer Look

Studies have shown that the average ER physician is interrupted once every six minutes. In a 12-hour shift, that comes out to over 100 times! Learning to work under such circumstances is just an expected part of the job. One of the most frequent interrupters
August 31, 2018

The Difference Between Wrong and Negligent

For some patients, no matter how much time you spend interviewing and examining them or how many tests you order, you will simply not reach a final diagnosis. It’s not the job of an emergency medicine provider to diagnose everyone, and it’s a fine line to
May 29, 2017

Don’t use the ‘L’ word

An infant presented to the ER with vomiting. Mother noted the child had less energy than usual and vomited twice in the last 24 hours; twice more while in the ED. He was afebrile, and per the ED note, this is what was free-texted under the
April 9, 2017

A Baffling Malpractice Settlement

A recent verdict in a New Jersey medical malpractice case has me shaking my head in bewilderment. Here’s the setup: A 2 month old infant was brought to the ER. Mother reported that the child was unable to straighten his leg and would cry when
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