Contrarian ideas and commentary on important topics in emergency medicine drawn from the experience of 35 years of practice as an emergency physician. Published monthly, the lessons discussed will be controversial and relevant to the practicing clinician.
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Podcast of ExBem: Episode 68 : Closing the "Sale"
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I once thought that having made a diagnosis and recommended its treatment that I could now move to the next patient. Experience has taught me however, that it is now that the crucial work begins.بقلم Donald W Crowe MD
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Podcast of ExBem: Episode 67 : Why Artificial Intelligence Can't Do my Job (Yet)
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Ready or not artificial intelligence is here. Does this mean that physicians are soon to be out of a job? On this episode I explain why our positions are secure, at least for now....بقلم Donald W Crowe, MD
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Podcast of ExBem : Episode 66 : Lessons From My Patient Experience
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After a month to process my emergency appendectomy, on this episode I describe my "take aways" from my encounter, or should I say collision, with modern American medicine.بقلم Donald W Crowe MD
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Podcast of ExBem: Episode 65 : The Other End of the Stethoscope- When the Doctor Needs a Doctor
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I have had little experience being a patient... until now. On this episode I share what it was like on the other end of the stethoscope, or in my case the scalpel.بقلم Donald W Crowe, MD
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Podcast of ExBem: Episode 64 : The "Product" That We Sell
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Hospital administration continually reminds me that emergency medicine is a business. If so, this begs the question - what are we selling? On this episode I describe why my recent experience suggests that what we are selling is not really what our patients are looking to buy.بقلم Donald W Crowe, MD
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Podcast of ExBem: Episode 63 : What an Emergency Physician is Not
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Enormous pressure is being applied to turn emergency departments and the specialists who run them into something the were not meant to be. This shift in focus threatens both our medical system and our patients. On this episode I describe these changes and their origins.بقلم Donald W Crowe, MD
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Podcast of ExBem: Episode 62 : Requiem for a Pandemic
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On this episode I present an epitaph for the Coronavirus pandemic. I describe how and why it ended and discuss how we were convinced to make sacrifices and fight in a war that never existed.بقلم Donald W Crowe, MD
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Podcast of ExBem: Episode 61 : A Remedy for a Sick Society
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After two episodes spent defining the problem, on this offering I outline a prescription to treat our sick society. We have the tools, do we have the will to try something new?بقلم Donald W. Crowe, MD
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Podcast of ExBem: Episode 60 : The Illness Sickening Our Society
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If recent events reflect an American society that has become sick, what is the illness affecting us and how did it arise? On this episode I argue that our attempts to engineer a " Great Society" have collided with human nature and the results have not been those expected.بقلم Donald W Crowe, MD
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Podcast of ExBem: Episode 59 : Curing a Sick Society
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Do recent events prove that our society is sick? I believe that they do. Does 40 years of experience caring for sick individuals justify my comentary discussing why it is sick and what can be done to cure it? Decide for yourself.بقلم Donald W Crowe, MD
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Podcast of ExBem: Episode 58: Burnout Revisited
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Emergency physicians report the highest levels of burnout among medical specialities. So how am I still tolerating and even enjoying (sometimes) going off to work after forty years? On this episode I explain why I've been lucky.بقلم Donald W. Crowe MD
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Podcast of ExBem: Episode 57: The Voice of Authority
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Things seem to go more smoothly when the "voice of authority" can be trusted to guide us along. But can it? Not if opposing viewpoints are ignored or repressed.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 56 :The Butterfly Effect
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Can insights inspired by butterflies help us avoid the chaos that too often reigns in our emergency departments? On this episode I discuss "the butterfly effect" and why respecting it can help protect emergency physicians and patients alike.
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Podcast of ExBEM: Episode 55 : An Unexpected Education, Part Two
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An emergency physician must know what to do under trying circumstances. But before this can be done , he must first know what is happening and when to do something must be done. On this episode, I relate how I began to learn these skills working a part time job in medical school.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 54 : An Unexpected Education, Part One
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As I struggled to become an effective emergency physician, I realized that my only hope was to put into practice the many lessons I had learned along the way. I now realize that everything I needed to know, I did not learn in medical school alone. On this episode I discuss other experiences that gave me the tools that I now use every day in my prac…
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Podcast of ExBEM: Episode 53 : Remembering Why I Go To Work
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On this episode I kick off the fifth year of the podcast by reflecting upon what has made spending my adult life practicing emergency medicine a satisfying endeavor. After several offerings recounting concerns about my specialty, it is time to celebrate some of the reasons I go to work.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 52- Emergency Medicine: Heading the Wrong Direction? Part 4: Finding the Zebras or Herding the Horses?
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What percentage of the patients that we admit to the hospital do we harm? On this episode I reveal why when those charged with making the decision to admit forget the answer to this question, our specialty and our whole medical system pay the price.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 51- Emergency Medicine: Heading the Wrong Direction? Part 3
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The hypothesis: Emergency physicians are providing less effective care now than twenty years ago. The Proof: longer wait times, more overcrowding, more cost, less job satisfaction. Who's to blame: us (among others) In this episode I take a hard look inward and discuss where emergency medicine has sabotaged itself.…
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Podcast of ExBEM: Episode 50- Emergency Medicine: Heading the Wrong Direction? Part 2
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Covid 19 has exposed a dirty little secret that emergency physicians have helped keep for decades- there is not enough to go around. Unfortunately the way things are headed, those best equipped to deal with the reality of limited medical resources are being pushed aside - with predictable consequences.…
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Podcast of ExBEM: Episode 49 - Emergency Medicine: Heading the Wrong Direction?
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The specialty of Emergency Medicine sprang into being in order to fill a need. I'm concerned that we've lost sight of that need as we train those to whom we will pass the torch. On this episode I begin a discussion of how and why our specialty developed and why keeping our fragile medical system afloat rests on our shoulders.…
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Podcast of ExBEM: Episode 48 - Is There Really an "Opiate Crisis"? -Part 3
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Pretending that there exists an "opiate crisis" obscures our society's real, much more difficult health crisis. On this episode I discuss what these real problems are and why accepting the delusion that opiates are the issue is leading us down a treacherous path.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 47 - Is There Really an "Opiate Crisis"? -Part 2
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Overdose deaths have tripled since our society acknowledged and declared war on an "opiate crisis". Not surprising since much bigger problems are to blame. In this episode I outline why beginning with the false premise that opiates are to blame only obscures our understanding of our troubles and thwarts our efforts to achieve positive change.…
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Podcast of ExBEM: Episode 46 - Is There Really an "Opiate Crisis"?
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Unquestionably Americans are tragically dying of drug overdoses each day. In this episode I explain why calling this an "opiate crisis" is a smokescreen that obscures the problem making it more difficult to solve and perhaps making it worse.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 45- Coronavirus: Lessons Learned in 2020- Part Four
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What will be the aftermath of the coronavirus pandemic? On this episode I offer predictions regarding what to expect as we survey the post Covid 19 landscape. The central theme : we ain't seen nothing yet...بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 44 - Coronavirus: Lessons Learned in 2020- Part Three
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One year ago there was no data or experience to guide us as we struggled to defend ourselves against the Covid 19 pandemic. We therefore relied on our leadership's best guesses. In this episode I argue that it is time for individuals use the lessons learned in 2020 to replace guesswork and decide for themselves how best to protect themselves and th…
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Podcast of ExBEM: Episode 43 - Coronavirus: Lessons Learned in 2020- Part Two
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In the year since the first patients with Covid 19 arrived in our emergency departments, physicians have learned some hard lessons about treating this disease. In this second installment of my "state of the pandemic address" I discuss what works...and what doesn't.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 42 - Coronavirus: Lessons Learned in 2020- Part One
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Data collected in 2020 has allowed us to paint an objective picture of the Covid 19 pandemic that seems quite different than the portrayal fed to us by the mainstream media. What this data shows and why it is distorted by the evening news are explored on this months offering.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 41 - How People Die : Part Two
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The rate of successful resuscitation of patients having a cardiac arrest in the hospital have not improved during the last 40 years that hospital personnel have been relying on ACLS protocols. In this episode I discuss why ACLS fails and what it will take to move forward.بقلم Donald W Crowe, MD
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Podcast of ExBEM: Episode 40 - How People Die : Part One
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Ever thought in detail about how people die? I suppose that for most this morbid subject is not dwelled upon, but for 40 years it has been a big part of my job. Experience has taught me that people die in many ways. And this is a problem since most medical personnel are trained to understand one model of the dying process and it is one that they ar…
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Podcast of ExBEM: Episode 39 - ACLS and the Myth of Cardiac Arrest
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What happens when non emergency specialists provide recommendations to guide emergency care? Spoiler alert: ...nothing good. And no better (or worse) example of this exists than ACLS.بقلم Donald W. Crowe, MD
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Podcast of ExBEM: Episode 38 - Corona Crisis 10- The 2020 Crisis Is Over!
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The Coronavirus Crisis is over. The justification for its existence has evaporated. Ignorance and fear have been replaced by data and reason. All that was left was for someone to declare it dead. And on this episode I do just that.بقلم Donald W. Crowe, MD
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Podcast of ExBEM: Episode 37 - Corona Crisis 9- Achieving Safety from Covid 19
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As Americans struggle to return to normalcy, we are constantly told what we must do to be safe. These instructions come at us from all directions and are numerous, wide-ranging, and inconsistent. In this episode I reveal the secret to safety from Covid 19 (and everything else).بقلم Donald W. Crowe, MD
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Podcast of ExBEM: Episode 36 - Corona Crisis 8- Purging the Propaganda to Get Real
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The media continues to sow fear by distorting the truth. As the coronavirus pandemic predictably and inevitably spreads, the misconceptions resulting from these lies poisons rational decision making both in individuals and society as a whole. Emerging evidence supports an understanding of the pandemic contrary to the doomsday scenarios popularized …
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Podcast of ExBEM: Episode 35 - Recovering from Colorblindness
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As an old white guy , I haven't had to consider how racism has shaped me. But an odd thing happened as I became agitated watching the recent unrest....I started to sense that the protesters might be right. They compelled me to revisit my beliefs, and on this episode I discuss some that have crumbled under the scrutiny.…
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Podcast of ExBEM: Episode 34 - Corona Crisis 7- America Awakens - Ready or Not , Here We Come!
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Despite significant concerns, our nation is reopening. Now is the time to employ the "doctors best test" as we share the environment with corona virus. There will be rough water ahead, not simply a second wave. But by allowing ourselves not to be certain we can adjust our course frequently and keep our heads above water.…
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Podcast of ExBEM: Episode 33 - Corona Crisis 6 - The Wrong Reasons for Doing the Right Thing
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Americans are asking "when is enough enough"? If we are to successfully unlock our national lockdown , we must first unravel the twisted truths used to convince us to support this policy. In this episode I illuminate the "little white lies" that became the wrong reasons for doing the right (and ultimately successful) thing.…
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Podcast of ExBEM: Episode 32 - Corona Crisis 5 - The "life-saving" ventilator?
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We see them on the newscasts, our emotionally distraught politicians, pleading for ventilators - our "missiles in the war against Coronavirus". Without expanding our supply people will die. So with enough of them people will live, right? On this episode I reveal how this lie, that is being fed by the media to a public hungry to trust its leaders, i…
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Podcast of ExBEM Episode 31: Corona Crisis 4 - How the Media Has Failed on Testing
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The internet and TV report that corona virus tests are crucial but also scarce - so they must give an advantage to individuals trying to survive the pandemic, right? (kind of like having lots of toilet paper). Testing is important but not for the reasons that the media implies and misconceptions about testing continue to abound. So here is a realit…
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Podcast of ExBEM Episode 30: Corona Crisis 3 - The Real Reason to Stay Home
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Whether or not it is the medias's intent to distort the truth, the fact that it does has left most Americans encumbered with misconceptions that block an effective understanding of all things Corona. In this episode I discuss the lockdowns enforcing social isolation, that are necessary for now, but not for the reason that people have been led to be…
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Podcast of ExBEM Episode 29: Corona Crisis 2 - How the Media Twists the Truth (And Why You Should Care)
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If your window on the world is provided by popular media, then the chances are great that your initial contact with the Corona Crisis has left you infected with misconceptions about the pandemic. In this presentation I discuss how this happens and why being burdened with these misconceptions is harmful.…
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Podcast of ExBEM Episode 28: Coronageddon! What's Old is New Again, or Something Different?
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The Corona virus crisis has gripped, perhaps strangled our society. Is this event the unprecedented medical apocalypse that the evening news and our political leaders are portraying? It is a big deal but some historical perspective is necessary to balance our understanding of this pandemic. I present observations from the trenches we are preparing …
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Podcast of ExBEM Episode 27 : Flawed Medical Thinking: Part 3 - Hypertension as a Future , Not Immediate, Risk
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بقلم Donald W Crowe, MD
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Podcast of ExBEM Episode 26: Flawed Medical Thinking: Part 2 - The Myth of the Bad Blood Pressure
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بقلم Donald W Crowe, MD
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Podcast of ExBEM Episode 25: Flawed Medical Thinking: Part One -Effect or Cause? ( Why vital signs can't be treated)
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بقلم Donald W. Crowe, MD
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Podcast of ExBEM Episode 24 : The Physical Exam : Integral or Archaic (Part 2)
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Can a non critically ill patient's physical exam yield information that is not more precisely derived from laboratory testing, imaging, or other technology? Certainly. In this episode, I discuss aspects of the physical exam that remain not only clinically relevant, but essential to understanding a patients pathology.…
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Podcast of ExBEM Episode 23 : The Physical Exam : Integral or Archaic?
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If we are being honest, most emergency physicians will admit that our physical exams have become subservient to technology as we evaluate our patients. Does this mean that the physical exam is now just an archaic ritual? Not so fast, my friends. In this episode I describe those aspects of my physical examination I still fine crucial as I care for c…
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Podcast of ExBEM Episode 22: Forty years of change in Emergency Medicine- The Bad (Part 3)
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The big reveal! The top two negative changes to befall the practice of emergency medicine are finally unveiled. How these have evolved and why they constitute a powerful malignant influence is examined.بقلم Donald W. Crowe, MD
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Podcast of ExBEM Episode 21: Forty Years of Change in Emergency Medicine- The Bad (Part 2)
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I move on to discussion of the "big ticket item" changes that have impacted the practice of emergency medicine one the last four decades. I outline what drives these changes and how they errode the quality of care provided in our emergency departments .بقلم Donald W. Crowe, MD
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Podcast of ExBEM Episode 20 : Forty Years of Change in Emergency Medicine - The Bad (Part 1)
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Forty years of experience have allowed me to develop skills and acquire knowledge that make the practice of Emergency Medicine a bit easier. Thank goodness for that, since many other factors have appeared through the years that have had the opposite effect. So with this episode, let the bitchin' begin!…
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Podcast of ExBEM Episode 19: Forty Years of Change in Emergency Medicine-The Good
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During four decades of emergency medicine practice much has changed. In this podcast I describe what my experience has taught are some of the most beneficial changes that have improved the day-to-day practice of emergency medicine.بقلم Donald W. Crowe, MD
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