Riskology

Risk-management is a foundational competency of not only the emergency physician, but the department (ED) as a whole (future essay). Utilizing a suite of tools and processes, the department aims to identify and stratify - often surreptitious - risk in an environment that is time, attention, and informationally constrained. It is tasked to rule-in/rule-out high-morbidity… Continue reading Riskology

Windows to the Soul

The development of technologies such as the telescope and microscope were transformational events in human history. They extended human perception to the far and the small, to the big and the near. Thereby upending our understanding of the universe and our place within it. Similarly, radiological imaging has extended our power of perception, not to… Continue reading Windows to the Soul

in the Shadows, between the Lines

It has been estimated that an emergency physician makes 10,000 decisions in an 8 hour shift. I am not sure how that statistic was derived, but as an emergency physician I can experientially attest to the feeling of decision fatigue during many shifts. Many and the most salient of those decisions revolve around what tests… Continue reading in the Shadows, between the Lines

In the beginning…

The life-cycle of the sea squirt is unique and instructive. As a free-swimming larva it has a three-hundred cell nervous system with sensors, a spinal cord, and an organ of balance which helps it find a suitable location for reproduction. Upon finding such a location, it lodges itself into the sand and proceeds to most… Continue reading In the beginning…