Discourse in Emergency Medicine and Population Health

Reply to Comments Regarding “Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department”

Volume 16, Issue 1, January 2015
Benjamin A. White, MD et al.

We very much appreciate the interest of our colleagues in this important topic, one that has yet to fully mature in the pantheon of emergency medicine literature. We also recognize and noted in our manuscript that the single-site nature of our work is a limitation. However, we disagree that this limitation makes scientific exploration and publication of this nature a fruitless endeavor as implied.

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Discourse in Emergency Medicine and Population Health

Simulation for Professionals Who Care for Bariatric Patients: Some Unanswered Questions

Volume 15, Issue 4, July 2014
Kieran Walsh, FRCPI

Gable et al have presented an interesting study into the effectiveness of an educational intervention involving simulation and didactic teaching.(1) Certainly the problems with caring for obese patients are not going to go away quickly – so it is vital that we have adequate numbers of fully-trained staff that can care for them.

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Discourse in Emergency Medicine and Population Health

In Response to “Temperature and Violent Crime in Dallas, Texas: Relationships and Implications of Climate Change”

Volume 14, Issue 5, September 2013
Matt N. Williams, MA, et al.

To the editor:

We were interested to read Gamble and Hess’s study finding that the daily incidence of violent crime in Dallas increased with temperatures up to 90°F (32.2°C), but decreased above this threshold. On this basis, their abstract surprisingly concludes that “higher ambient temperatures expected with climate change…. are not likely to be accompanied by markedly higher rates of violent crime” (p.239). This conclusion contrasts with the findings of previous studies.1–3

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Discourse in Emergency Medicine and Population Health

In Response to “Education on Prehospital Pain Management: A Follow-up Study”

Author Affiliation Kieran Walsh, FRCPI  BMJ Learning, London, United Kingdom To the Editor: French et al should be congratulated for reporting their study of the effects of an educational intervention on prehospital care management of pain.1 Following the educational intervention paramedics certainly improved their management of pain– but there remain some unanswered questions on the intervention […]

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Discourse in Emergency Medicine and Population Health

Sedation-assisted Orthopedic Reduction in Emergency Medicine: The Safety and Success of a One Physician/One Nurse Model

We applaud Vinson and Hoehn for eloquently demonstrating that the performance of sedation assisted procedures in the emergency department (ED) does not necessarily require a 2 physician team. From a Canadian perspective, where single physician coverage in smaller EDs is common, this has important implications in terms of efficiency of patient care, reduction in the need for patient transfer and decreasing the time to definitive treatment for ED patients.

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Contact Information

WestJEM/ Department of Emergency Medicine
UC Irvine Health

333 The City Blvd. West, Rt 128-01
Suite 640
Orange, CA 92868, USA
Phone: 1-714-456-6389


ISSN: 1936-900X
e-ISSN: 1936-9018

ISSN: 2474-252X

Our Philosophy

Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.