Emergency Medicine Rosen
Billie Kjergaard
Dr. Rosen mentored hundreds of emergency physicians and had many more thousands of admirers. Equal parts intellectual and indelicate, he furnished his colleagues and disciples with a lifetime of memorable quotations, both amusing and poignant. His insights, quips, and bon mots are often repeated, passed down from one generation to the next, making him a kind of modern-day Osler.
I have asked Dr. Richard Wolfe to provide some personal recollections.
Dr. Faust is ACEP Now Medical Editor in Chief.Peter Rosen died on the evening of Nov. 11, 2019, slipping off quietly, his wife and best friend, Ann, at his side, as she had been throughout their 60-year marriage.
Medically, his death came as no surprise. He had long suffered from coronary artery disease and ischemic cardiomyopathy. In the last year of his life, he was on dialysis, had become frail, and used a wheelchair to get around. But until the end, his mind remained brilliant, incisive, and iconoclastic. To all of us who knew him, his death still feels untimely.
Dr. Rosen was the one person I have always respected and admired. My only meeting with him was many decades ago when he administered my oral board exam.
Thank God I chose to study chose textbook for my oral exam.
I was fortunate that a large portion of my nursing career was practiced in the ER of DGH. Dr. Rosen was a striking influence during those years. He promoted a team approach to provide the best care possible to all of the patients at every level of need.
I had the chance to meet Dr. Rosen as a resident while at Cook County Hospital in Chicago while working with another Giant in medicine Dr. Quentin Young. He was indeed an impressive Humanitarian and dedicated to the proposition that Emergency physicians must be the best specialist outside of every other specialty and know every other specialty to a degree sufficient to do their job if necessary.
Offers the most immediately clinically relevant content of any emergency medicine resource, providing diagnostic and treatment recommendations and workflows with clear indications and preferred actions.
Contains eight entirely new chapters covering coronaviruses/COVID-19, the morbidly obese patient, human trafficking, sexual minority (LGBTQ) patients, social determinants of health, community violence, and humanitarian aid in war and crisis.
Includes new information across the spectrum of emergency care, such as adult and pediatric airway management, shock, pandemic disease, emergency toxicology, sepsis syndrome, resuscitation, medical emergencies of pregnancy, the immunocompromised patient, child abuse, pediatric sedation, pediatric trauma, and more.
Provides access to more than 1,200 questions and answers online to aid in exam preparation, as well as two dozen new video clips showing how to best perform critical emergency procedures in real time.
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Dr. David Rosen has been practicing Emergency Medicine in New Mexico since 2007. Prior to that, he served as Clinical Assistant Professor in the Dept. of Emergency Medicine at Drexel University School of Medicine/Hahnemann University Hospital. Dr. Rosen received his board certification by the American Board of Emergency Medicine in 1999.
Dr. Rosen has a diverse background: he served as a Peace Corps Volunteer in West Africa in the 1980's, then worked for the US State Department in Emergency and Disaster Relief Operations. Upon returning to the United States, Dr. Rosen completed duel Master's degree program at Columbia University's School of Public Heath and School of International and Public Affairs. Dr. Rosen pursued a career in International Public Health, working in over 25 developing countries in areas related to Disaster Relief, Economic Development, and Child Survival. He has worked for and collaborated with organizations including: USA for Africa, UNICEF, WHO, Helen Keller International, and most recently, the International Rescue Committee in Eastern Congo.
Dr. Rosen completed Medical School at the University of Rochester School of Medicine and Dentistry and finished his residency in Emergency Medicine at the Medical College of Pennsylvania. After training, he briefly went to Turkey to assist with Emergency Earthquake Medical Relief Operations before returning to Philadelphia to practice Emergency Medicine.
In 2004, Dr. Rosen became a Certified Physician Acupuncturist through a Stanford University affiliated training program. He has been teaching/practicing acupuncture as part of his emergency medicine practice since that time.
Dr. Rosen currently serves as the Medical Director for the Santa Fe Community College Emergency Medical Services Institute, a training program for EMS providers. He is also the Medical Director for Santa Fe County EMS, CareFlight Helicopter Service, and the Tactical EMS program with the New Mexico State Police.
Dr. Rosen lives in Santa Fe with his lovely wife, Yiwen. In his spare time, he enjoys Bikram Yoga, skiing, and hiking with his Great Dane, Maestro.
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In 1979 Peter Rosen, MD, a leading academic figure in the developing field of emergency medicine (EM), wrote an article, "The Biology of Emergency Medicine," in response to criticism from other specialties and medical leaders that there was no unique biology of EM that would qualify it as a legitimate medical specialty. This essay received much attention at the time and served as rallying cry for emergency physicians (EPs) who were trying to find their places in the house of medicine and especially in medical schools and academic teaching hospitals. Thirty years later, the opposition that prompted many of Rosen's strongly worded impressions and observations on the biology of EM, clinical emergency department (ED) practice, education, and research has largely faded. Many of Rosen's predictions on the eventual success of EM have come true. However, core issues that existed then continue to present challenges for academic EM and clinical emergency practice.
Rely on Rosen's Emergency Medicine for the latest answers on every facet of emergency medicine practice. For decades, this medical reference book has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority - to help you put the latest and best knowledge to work for your patients in the ER.
Johanna Rosen completed her medical training at Virginia Commonwealth University School of Medicine, and her pediatric residency and pediatric emergency medicine fellowship at UPMC Children's Hospital of Pittsburgh. She developed a special interest in Quality Improvement, and completed the Intermediate Improvement Science Series at Cincinnati Children's Hospital. Since then she has enjoyed the challenges and team building experiences of Quality Improvement at Children's. She is especially grateful for the opportunity to care for the sick and injured children of Pittsburgh with her colleagues in the Emergency Department.
Lauren Alessi, Holly Warmus, Erin Schaffner, Sajel Kantawala, Joseph Carcillo, Johanna R. Rosen, Christopher M. Horvat. A Computational Definition of Sepsis Facilitates Screening and Performance Improvement Tracking. Pediatric Quality and Safety: March/April 2018, Volume 3, Issue 2, p e067.
Dr. Rosen is a nationally recognized expert in geriatric emergency medicine. He currently serves on the Board of Governors for the American College of Emergency Physicians' (ACEP) recently launched Geriatric ED Accreditation process. He is a core faculty member of the Geriatric ED Collaborative and is a contributor to the NIH-funded Geriatric Emergency Care Applied Research (GEAR) Task Force. From 2019-2020, he served as president of the Academy of Geriatric Emergency Medicine.
Dr. Rosen led the development of a Department of Emergency Medicine-based multi-disciplinary Vulnerable Elder Protection Team (VEPT) to assess, treat, and ensure the safety of elder abuse and neglect victims while collecting evidence and working closely with the authorities. His work with collaborators also explores the optimal role of prosecutors in elder abuse response.
Dr. Rosen received his medical degree from Weill Cornell Medical College and completed his residency in 2014 through the NYP Cornell & Columbia Emergency Medicine Residency Program. He completed a Geriatric Emergency Medicine Fellowship at WCM in 2016, and has a master's degree in public health from UCLA.
Harwood-Nuss' Clinical Practice of Emergency Medicine presents a clinically focused and evidence-based summary of emergency medicine. Chapters are templated to include the clinical presentation, differential diagnosis, evaluation, management and disposition, with highlighted critical interventions and common pitfalls. Management and disposition are especially critical in the emergency department, and their emphasis is unique to Harwood-Nuss. Often, a diagnosis can not be made, given the constraints of an ED evaluation; thus, effecive management of the patient, with or without a confirmed diagnosis, is key. Also distinct to Harwood-Nuss is the High-Risk Chief Complaints section, which covers the key presentations in the ED: chest pain, abdominal pain, shortness of breath, altered mental status. When patients present in the ED, they don't present with a known diagnosis; this chapter walks the physician through possible differential diagnoses and the evaluation and management of these patients so that they can be stabilized and treated quickly and effectively.
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