In summary, it is legal and permitted to text clinical information, but do so with the utmost respect for the law and patient privacy in general. Texting clinical information has substantial advantages to phone calls. In addition to avoiding painful games of phone tag, texting can also eliminate ambiguity associated with phone conversations; sometimes we misspeak or cannot hear a colleague because our work environment is too loud. Texting is a clear record of what everyone said. This can be very helpful and may even minimize the potential for mistakes.
Explore This IssueACEP Now: Vol 36 – No 08 – August 2017
Our next three shows were daily reviews from the annual Social Media and Critical Care conference (SMACC), which was held in Berlin, Germany. Now in its fifth year, SMACC (and its #DasSMACC hashtag) accumulated over 67,000 tweets in the month of June, which were posted by more than 6,500 individual participants, though only around 2,500 people attended the actual conference. SMACC has become a family reunion for the #FOAMed world as well as anyone who is interested in cutting-edge critical care.
Because SMACC is an unusual conference in that it is attended not just by physicians but also by nurses, emergency medical technicians, physician assistants, social workers, students, and professors, the organizers must strike a balance between talks that highlight progressive and even leading-edge critical care that might be enjoyed by ED and ICU physicians and those that might resonate with our non-physician colleagues.
Thus, for every talk about endocarditis, somehow made entertaining and high-yield by Canadian emergency physician David Carr, MD (@DavidCarr333), of the University Health Network in Toronto, or resuscitation of the recent post-cardiac surgery patient (spoiler: According to Australian heart and lung surgeon Nikki Stamp, FRACS [@DrNikkiStamp], they should not die without a thoracotomy, albeit not in the emergency department), there were talks about how to give feedback to students, which is not so different than breaking bad news to patients, according to researcher Jenny Rudolph, PhD (@GetCuriousNow), assistant clinical professor of anesthesia and executive director of the Center for Medical Simulation at Harvard Medical School in Boston, or how to make complicated work environments more simple via psychological “hacks” by Christopher Hicks, MD (@HumanFact0rz), an emergency physician at St. Michael’s Hospital and a clinician-educator at the University of Toronto.
Our two favorite talks of the conference demonstrate the breadth covered at SMACC. In a brilliant talk James Rippey, MPPS (@theSonoCave), an emergency physician at the University of Western Australia in Perth and an ultrasound enthusiast, reminded us that point-of-care ultrasound is not so unlike any other test we may choose to perform. Although it can have tremendous utility, it can be overused. Dr. Rippey presented data on the incidence of incidental findings on ultrasound. In one study, 26 percent of eFAST exams performed by EM residents elicited incidental findings, and the authors noted that some of these can lead to unnecessary work-ups, just like CT scans or MRIs.