Potential Pitfalls While Finding the Needle in the Haystack

JOHN SHUFELDT, MD, JD, MBA, FACEP It’s nearly midnight on Saturday and I am between patients in an ED on an unseasonably cold November evening in Phoenix, Arizona. Among the head bleeds, overdoses, MI’s, and strokes, I have had these chief complaints thrown at me: “Smoke inhalation after blowing out a candle” “I can’t stop playing with my number one.” “I’m here for my 40-year-old physical.” (The patient was 43.) “I fell asleep at a …

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