Dr. Betham started off Grand Rounds with this month's Morbidity and Mortality Conference, where we learned about Gout, ITP, Stroke, and Hyperkalemia in ESRD patients. Dr. Teuber walked us through the varying recommendations regarding ED Thoracotomy and Dr. Banning taught us how to handle neonatal urgencies. Leadership Curriculum wrapped up this week's conference with a session on how to pitch an idea.
Read MoreThis week's Grand Rounds started off with a stress-inducing sim written by the R4s that included a pregnant trauma patient with a positive FAST, an imminent delivery and neonatal resuscitation! Drs. Paulsen and Continenza faced off in a great CPC and Dr. DeVries walked us through the history of US use in ED patients. Dr. Golden rounded out our day with a lecture focused on foot and ankle injuries.
Read MoreEver have a patient present with foot or ankle pain? In case you have, here is a refresher on the radiographic anatomy of the foot as well as the test characteristics and viability of the use of the Ottawa Rules in the ED setting by Dr. Golden.
Read MoreThis week we learned about aortic dissection, the acute management of heart failure, hypertension in the emergency department, ophthalmologic emergencies, non-accidental trauma, and analysis of pleural and peritoneal fluid.
Read MoreParacentesis and thoracentesis are relatively common procedures in the Emergency Department but the analysis of the fluid can always but a touch confusing. In this post, PGY-1 Dr. Michael Klaszky walks us through the analysis of pleural fluid and ascitic fluid.
Read MoreThe Knights of the (Grand) Rounds Table led us on our educational adventure this week. Dr. Andrew Knight brought us his expertise on teams within the healthcare system. Dr. Ryan Knight MARCHed us through an approach to trauma and lent his perspective and expertise on REBOA. Dr. William Knight rounded out the day with a great lecture on concussion.
Read MoreWe all instinctively know hugging a loved one can make us feel better, but there is science behind the beneficial effects of hugging. Studies have shown that hugs increase levels of the hormone oxytocin.
Read MoreAs 2016 comes to a close, Dr. McKean taught us about transfusion related lung injury, PEs, TCA overdoses, and the use of platelets in ICH during M&M. We learned the basics about the renal panel with Dr. Owens. Drs. Betz and Summers battled it out over drug-induced hepatitis and Dr. McKee taught us about Crypococcal Meningitis in her case follow-up. The year wrapped up with another Levy Cup Pre-season battle lead by Drs. Boyer and Winders.
Read MoreHave you ever wondered what is actually being measured when you order a renal panel/BMP/serum electrolytes? Well grab your nearest pumpkin spice latte and put your Gilmore Girls Netflix binge on pause because we are about to get a little basic . . . science!
Read MoreThis week we started out with a great presentation updating our Emergency KT and approach to alcohol withdrawal from Drs. Soria and Whitford. Drs. Brent and Curry updated us on the Southwest Ohio EMS Protocols and Dr. Neel gave us a wonderful overview of approach to peripheral neuropathies. We rounded out the day with Peds Simulation addressing CAH, congenital heart disease, and treating malnutrition in a remote setting.
Read MoreThis week in the Grand Rounds Recap, Dr. Richardson gives us the quick and dirty of constipation, Drs Jarrell and Kircher discuss cases of laboratory study interpretation in liver disease. In addition, Dr. Carleton reviews the anatomy of femoral nerve blocks and Dr. Klasky discusses how we should be approaching non-hemorrhagic anemia in the ED.
Read MoreIn this Winter 2016 edition of Annals of B Pod, we focus on cardiovascular emergencies and their management in the Emergency Department and beyond. In our new Air Care column, we write about the prehospital management of patients with profound cardiogenic shock requiring intra-aortic balloon pumps. In our recurring pharmacology column, we discuss the ED management of hypertensive emergency. Back in B Pod, Dr. Scanlon writes about a rare complication of renal failure in a patient with a large uremic pericardial effusion, and in our new procedure piece, we walk through the technical steps required to perform an emergent pericardiocentesis. On the back page, our EKG corner goes over the modified Sgarbossa criteria. This issue of Annals of B Pod gets back to the heart of it all, highlighting what makes residency so rewarding: interesting pathology, challenging procedures and clinical excellence.
Read MoreThe third Annals of B Pod December Issue highlights a new section - highlighting cases on the front lines in the helicopter. The intra-aortic balloon pump (IABP), first developed in the 1960s, is one of the most widely-used cardiac assist devices. Placed in critically-ill patients with cardiogenic shock, it increases coronary blood flow and decreases afterload. Patients with IABPs are frequently transferred to tertiary referral hospitals via helicopter emergency medical services (HEMS) transport. As such, prehospital and ED providers must become comfortable with the management of these patients and be aware of complications from these devices, we will take a look at two Air Care cases with IABPs.
Read MoreThere are many groups of patients that alter how we must evaluate and interpret our diagnostic studies in the setting of baseline chronic laboratory abnormalities, which is often challenging. One especially challenging patient population are patients with chronic liver disease, and in this post Dr. Jarrell will take us into how their disease process creates chronic and acute on chronic derangements of which we need to be aware in daily and emergent management of these patients.
Read MoreThe second installment from the December Issue of Annals of B Pod, Dr. Ham presents a female patient with no past medical history who presents to the Emergency Department shortly after stepping through a picture frame that was propped up on her floor at home. The glass shattered, lacerating the posterior aspect of her left lower leg. She is complaining of difficulty walking, but denies loss of sensation distal to the injury...
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
