We take the same approach as any other physician. I don't think you can be very holistic in the ER, you can take a good history and try to look at all of the factors that led to the illness, but that is what any good physician would do. The holistic thing is thrown around alot by D.O.'s, truth is that M.D.'s are just as holistic. The old school D.O's that teach us OMM try to nail that into the ground week after week about how we are the best doctors b/c we are holistic. I think medcine has enough problems without the two different degrees arguing over who is more holistic or who is not. Look at Dr. Andrew Weil M.D. he is as holistic as they come. The OMM training may help you figure out a diagnosis or help with some muscle, neck or back pain complaints. There is very little OMM used in the ER. It's hard to work with people on stretchers and usually you are not seeing the type of compaints that warrant the use of it. I've personally only heard of muscle energy post whiplash and L5 correction on low back pain being done in the ER.
