This week, Dr. Carleton talks logistics, tips and tricks of lower extremity regional anesthesia. We had a sim on the challenges of afib control in the hypotensive patient, reviewed rare trauma populations in oral boards and Dr Richardson discussed hospice and palliative care in the ED.
Read MoreThis week we had the distinct privilege to learn about empathy from Dr. Ope Adeoye who explored what empathy looks like from the patient's perspective - and why it's difficult to be truly empathic as a young physician. We puzzled over a CPC case of severe chest pain in a young woman. Dr. Harty taught us about the not-so-elusive TACO and TRALI among other transfusion reactions. Finally, Dr. Wurster-Ovalle gave us some pointers on management of unvaccinated children with fever in the ED.
Read MoreAsthma and COPD are 2 of the more common ailments responsible for patients presenting to an Emergency Department with complaints of shortness of breath. Last week, we met as a residency and, led by Dr. Lauren Titone, Dr. Walker Plash, and Dr. Rob Thompson, discussed some newer literature for the treatment of these often intertwined conditions. Take a listen to the podcast within to hear our thoughts and read the summary after the jump for the breakdown.
Read MoreThis week's Grand Rounds welcomed Dr. James Hoekstra to discuss changes in the Emergency Medicine landscape and hospital reforms. Dr. Colmer discussed difficult to control pulmonary injuries and Dr. Habib reviewed the differential of a child with a limp.
Read MoreEmergency Medicine is frequently identified as a specialty with a particularly high degree of physician burnout. The etiology of burnout is multifactorial – but is there any evidence for a means of combatting it?
Read MoreDue to the fear of toxic shock syndrome (TSS), it has long been considered the standard of care to prescribe antibiotics as prophylaxis for patients who receive packing to treat anterior epistaxis. But do these patient's really need antibiotics? How real is the threat? What if you are only packing for a short time?
Read MoreThe evolution of the healthcare system in the US carries us toward an exciting future. The ACA, in particular, has brought about a multitude of changes affecting healthcare cost, access, and quality. It remains to be seen how the healthcare system will evolve in the next several years, but we in the ED are well positioned to leverage our skills and capabilities to deliver high quality and valued care in an integrated manner.
Read MorePreviously, in the first of a 3-part series on health policy and the ED, we discussed the health system’s historical development and climate surrounding the development and implementation of the ACA. Here, in Part II, we discuss how the ACA has impacted the health care system in general and more specifically the ED.
Read MoreWe are excited to bring you the first installment of an exciting three-part series focusing on health policy as it impacts the ED. With the collaboration of the illustrious Dr. Seth Trueger, we are planning a deep-dive to understand the health care climate around the time of the passage of the Patient Protection and Affordable Care Act (PPACA, or simply, ACA), how the ACA has impacted health care and the ED, and what the future holds, particularly with respect to this nation’s leadership transition. Part 1 explores the history of health care in America and how it lead to the development of the ACA.
Read MoreDr. 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 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.
