He entered the emergency department clutching his stomach. Triaged as a nonurgent case,
he sat and waited to be seen. Forty-five minutes later, when he looked as if he might vomit …

A 20-year-old, previously healthy restaurant manager was seen in the emergency room. He
had headache, photophobia, fever (39), chills, a nonproductive cough, nausea, severe …

The crime of Procrustes appears as common in clinical medicine as in general society. We
may fit the facts to our opinions instead of our opinions to the facts. 1 Procrustes ''the …

All clinicians are aware of the importance of reaching the correct diagnosis. It is impressed
on every medical student and trainee from the outset. Khuller et al argue that diagnosis is …

Problems in diagnosis have gained increasing attention in discussions about the safety of
care. 1 This attention is long overdue, but much like the general body of research on patient …

This older gentleman has suffered from sudden collapse/loss of consciousness while in a
seated position. The lack of a prodrome and the fact that this event was not provoked by …

Decision aids are more and more common in emergency medicine, to the point that there is
almost no bone in the human body that does not have one or more decision aids for …

In this issue of Academic Emergency Medicine, White et al. 1 attempt to identify common
causes of adverse outcomes from emergency department care by analyzing risk …

The most refined logical model for clinical reasoning is the combination of Bayes' theorem
and expected utility theory. Briefly put, it implies that the probabilities of an exhaustive list of …

Decisionmaking is the engine of human behavior; it drives everything we do. From the
moment we awake until we sleep, an intermittent stream of decisions emanates from both …