The Dangers of Alarm Fatigue

Clinical Corner by Scott Giles It’s Sunday morning. A patient checks in just before dawn, complaining of chest pain. She’s rushed into an EKG, but it doesn’t show any alarming ST elevation and the initial troponin is negative. Your team decides to monitor the patient and repeat the troponin level at four hours – a […]
Announcing Quick Response Force

Emergency rooms: they are the last, most urgent, point of care for us all. Car accidents, burns, strokes, gunshots, heart attacks – when an unexpected medical event happens, we all depend on the skills of the closest ED team to save us. But what happens when there is no team? No physician, no experienced provider […]
The Case for Simulation Training

Clinical Corner by Vikram Shankar, MD Recently, I missed out. Tribal Health’s Nurse Supervisor Jamie Keppel and Security Officer Ken Franks led a simulation training. They simulated the case of a patient with organophosphate poisoning presenting to our Emergency Department. I wasn’t in the ED at the time, and I feel guilty for not being […]