Episode 51 Effective Patient Communication – Managing Difficult Patients

If you believe that coping with some of the people we deal with in emergency medicine is difficult or impossible, you’re not alone. We all feel this way from time to time. Managing difficult patients can be a challenge to the health care provider and to the entire ED. The hostile aggressive patient, the demanding patient, the know-it-all, the excessively anxious patient, and the incessant complainer, are some of the folks that we need to know how to manage effectively. If we fail to handle these patients appropriately, they may receive suboptimal care, grind patient flow to a halt, and delay care of other patients. If the staff has to deal with a multitude of these patients on a given shift, there’s a sort of swarm-based escalation in frustration and sometimes, unfortunately, a total breakdown of effective patient communication and care.

But don't fret. In this one-of-a-kind podcast on effective patient communication and managing difficult patients, Dr. Walter Himmel, Dr. Jean-Pierre Champagne and RN Ann Shook take us through specific strategies, based on both the medical and non-medical literature, on how we can effectively manage these challenging patients. As a bonus, we address the difficult situation of breaking bad news with a simple mnemonic and discuss tips on how to deliver effective discharge instructions to help improve outcomes once your patient leave the ED.

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The post Episode 51 Effective Patient Communication – Managing Difficult Patients appeared first on Emergency Medicine Cases.

#FOAMed Review 14th Edition

Welcome to the fourteenth edition of the #FOAMed Review! The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Each review will include highlights from the highest yield blog, podcast, video and web sources around. Over a year's span we will be sure to include topics from all core EM content areas...even the ones that may not be the coolest. Check out our indexing section #FOAMexplore which allows you to view previous #FOAMed review by edition or by selecting from CORD curriculum categories.

Onto the FOAMed.

SURGICALLY ALTERED AIRWAYS [VIDEO]: Great lecture on how to manage disasters in the surgically altered airway at Maryland CC Project. 

THE HEART SCORE FOR CHEST PAIN [BLOG]: Ryan Radecki discusses a validation study of the HEART score and how this may be a useful score for predicting low risk patients. 


ULTRASOUND GUIDED BLOCK FOR MEDIAL FOREARM [BLOG]: Excellent post from Highland Ultrasound on performing an US guided block to deliver anesthesia to the medial forearm for laceration repair or abscess drainage. 

More FOAMed.

Urologic Disorders

POSITIVELY PAINFUL PRIVATE PARTS [BLOG]: Three part blog series from PEM Blog on acute scrotal pain in children.

Part 1          Part 2          Part 3 

Infectious Disorders

APPROACH TO THE IV DRUG USER IN THE ED  [BLOG]: The IVDU is a patient that we know well in the ED, be sure to learn about all the complications and how we should approach these patients at Emergency Medicine Ireland. 

Toxicologic Disorders

TRICYCLIC ANTIDEPRESSANTS & SODIUM CHANNEL BLOCKADE  [PODCAST]: Excellent podcast review from FOAMcast covering right axis deviation and what it means, as well as delving into the management of sodium channel blockade from tricyclic antidepressant OD. 

Infectious Disorders 

HIGH RISK BACK PAIN [BLOG]: Read about spinal epidural abscess, a rare but potentially catastrophic cause of lower back pain. You don't want to miss this. 

See you next week. 


#FOAMed review is brought to you by Michael Macias. If you want to recommend content you think should be added to our curriculum, send me an email, I would love to hear from you. 


Lab Case 34

A 35 year old female presents to your Emergency department with vaginal bleeding and low abdominal pain. Her last normal menstrual period was 6 weeks ago. She is prone to recurrent vaginal spotting. She looks anxious and distressed. Vitals: BP … Continue reading

Video: How to use the LUCAS 2

Last week we featured an instructional video describing how to use the Autopulse. At The Alfred we also have access to a LUCAS 2 mechanical CPR device, which is used preferentially for patients who have in-hospital arrests and need to be taken straight to the cath lab.



More information on instructions for use are available from the manufacturer’s website.

The post Video: How to use the LUCAS 2 appeared first on INTENSIVE.