Tim Horeczko's guest appearances

Tim Horeczko

EM Basic

Coda Change

Chris Fox

Chris Nickson

John Hinds

Paul Marik

Zack Shinar

Joe Bellezzo

George Kovacs

Bryan Hayes

Rich Levitan

Karim Brohi

Sara Gray

Ashley Shreves

Sheyna Gifford

Jason Brooks

Darren Braude

OwlTail

 Myths persist because they are essential to the human experience and our development as a society.  They fill the gap between what we know and what we think we know.  Where does this gap hurt us the most? In our vulnerable populations, for example, in our care of children.  The “myth incarnate” in medicine: defective dogma. Not all dogma is bad – after all, dogma means “that which is believed universally to be true”. The problem with medical dogma is that our critical thought processes are curtailed by wholesale acceptance.  Medical dogma is a special kind of myth, because it’s difficult to define. We repeat defective dogma for three reasons:  “It is known”. Sometimes the dogma is all that is known on the subject, or it is simply the majority consensus. Be careful with this one – because there may be a reason for this specific teaching – not all dogma is bad.  Dogma is sentimental. We learned from our teachers who learned from their teachers. We want to honor those who taught us, and we get attached to some ideas. Sometimes – even subconsciously – we allow our attachment to an idea to give it more credence than it deserves.  The third driver of dogma is insecurity. “I know what I know”. In other words, “don’t make me reveal my limitations.”  Myth: “They’re all fine” Remedy: Remember to look for the subtleties in children. Early warning signs are there, in the history or in the physical exam. If it doesn’t add up, investigate.  Myth: “Only pediatricians are experts” Remedy: Don’t delegate decisions. You can do this. You sometimes are the only one that can.  Myth: “I will break them” Remedy: Children are not another species. Use all of your skills for all of your patients”  Powered by #FOAMed – Tim Horeczko, MD, MSCR, FACEP, FAAP

<p> Myths persist because they are essential to the human experience and our development as a society.  They fill the gap between what we know and what we think we know.  Where does this gap hurt us the most? In our vulnerable populations, for example, in our care of children.  The “myth incarnate” in medicine: defective dogma. Not all dogma is bad – after all, dogma means “that which is believed universally to be true”. The problem with medical dogma is that our critical thought processes are curtailed by wholesale acceptance.  Medical dogma is a special kind of myth, because it’s difficult to define. We repeat defective dogma for three reasons:  “It is known”. Sometimes the dogma is all that is known on the subject, or it is simply the majority consensus. Be careful with this one – because there may be a reason for this specific teaching – not all dogma is bad.  Dogma is sentimental. We learned from our teachers who learned from their teachers. We want to honor those who taught us, and we get attached to some ideas. Sometimes – even subconsciously – we allow our attachment to an idea to give it more credence than it deserves.  The third driver of dogma is insecurity. “I know what I know”. In other words, “don’t make me reveal my limitations.”  Myth: “They’re all fine” Remedy: Remember to look for the subtleties in children. Early warning signs are there, in the history or in the physical exam. If it doesn’t add up, investigate.  Myth: “Only pediatricians are experts” Remedy: Don’t delegate decisions. You can do this. You sometimes are the only one that can.  Myth: “I will break them” Remedy: Children are not another species. Use all of your skills for all of your patients”  Powered by #FOAMed – Tim Horeczko, MD, MSCR, FACEP, FAAP</p>

Paed-Iconoclasm: Breaking the Myths without Breaking Your Patient - Tim Horeczko

EM Basic is back with a re-broadcast from the awesome podcast Pediatric Emergency Playbook by Dr. Tim Horeczko.  Tim is a double boarded in EM and Peds EM and works at Harbor-UCLA hospital.  This was the first episode he published at the beginning of September and it is pure gold.  Tim goes beyond the febrile neonate and talks about how to consider all possible causes for a sick infant- not just anchoring on sepsis the whole time!  Tim presents a rational and systematic approach on how to deal with these young sick patients that get our anxiety and our adrenaline levels through the roof.

<p>EM Basic is back with a re-broadcast from the awesome podcast Pediatric Emergency Playbook by Dr. Tim Horeczko.  Tim is a double boarded in EM and Peds EM and works at Harbor-UCLA hospital.  This was the first episode he published at the beginning of September and it is pure gold.  Tim goes beyond the febrile neonate and talks about how to consider all possible causes for a sick infant- not just anchoring on sepsis the whole time!  Tim presents a rational and systematic approach on how to deal with these young sick patients that get our anxiety and our adrenaline levels through the roof.</p>

The undifferentiated sick infant by Dr. Tim Horeczko