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Practice Changers

  • Stop Prescribing Antibiotics for Diverticulitis

    Not all patients with acute, uncomplicated diverticulitis need antibiotics. This practice is not cutting-edge—it is ready for...
  • High Dose Nitroglycerin in Acute Heart Failure Goes Mainstream

    The current acute management of patients with acute decompensated heart failure (ADHF) in florid pulmonary edema barely...
  • The Reperfusion Guidelines Finally Catch Up

    “Time is myocardium.” Emergency, prehospital, and regional systems have been built around this slogan and are designed...

Stop Prescribing Antibiotics for Diverticulitis

March 21, 2023 - Lauren Westafer, MD - 2 Comments

Not all patients with acute, uncomplicated diverticulitis need antibiotics. This practice is not cutting-edge—it is ready for…

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High Dose Nitroglycerin in Acute Heart Failure Goes Mainstream

January 31, 2023 - Lauren Westafer, DO, MPH, MS - 0 Comment

The current acute management of patients with acute decompensated heart failure (ADHF) in florid pulmonary edema barely…

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The Reperfusion Guidelines Finally Catch Up

December 9, 2022 - Lauren Westafer, DO, MPH, MS, FACEP - 1 Comment

“Time is myocardium.” Emergency, prehospital, and regional systems have been built around this slogan and are designed…

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Reader: “Rumors of Diphenhydramine’s Death Are Greatly Exaggerated”

September 9, 2022 - Michael E. Mullins MD, FACEP, FAACT - 0 Comment

Dear Editor, Dr. Westafer’s commentary on diphenhydramine makes several valid points about some misuses (e.g,. sleep aid)…

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Stop Performing Routine Pulse Checks During CPR

August 2, 2022 - Lauren Westafer, DO, MPH, MS, FACEP - 0 Comment

“Time to pause for a pulse check.” Although this refrain is uttered during cardiac arrests across the…

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The Death of Diphenhydramine

July 9, 2022 - Lauren Westafer, DO, MPH, MS, FACEP - 6 Comments

Diphenhydramine (Benadryl), is ubiquitous in the emergency department (ED) and has historically been a component of many…

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Decoding Pulmonary Embolism Evaluation in Pregnancy

May 12, 2022 - Lauren Westafer, DO, MPH, MS, FACEP - 0 Comment

Pulmonary embolism (PE) in pregnancy is quite uncommon, estimated to occur in 0.02–0.1 percent of pregnancies and…

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New Guidelines Aim to Help the Evaluation of Chest Pain

September 15, 2021 - Lauren Westafer, DO, MPH - 0 Comment

Emergency department evaluations for chest pain are common, accounting for approximately 5 percent of all ED visits….

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Outpatient Management of Pulmonary Embolism

June 15, 2021 - Lauren Westafer, DO, MPH - 1 Comment

Historically, patients diagnosed with pulmonary embolism (PE) initially have been managed as inpatients. This practice stemmed from…

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How COVID-19 Has Changed How Research Is Published and Consumed

May 18, 2021 - Lauren Westafer, DO, MPH - 0 Comment

The need for expedient knowledge translation became apparent early in the course of the COVID-19 pandemic. Clinicians…

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