Dr. Ashley Shreves from Ochsner Medical Center led off Grand Rounds this week with a great lecture on why Emergency Medicine physicians should be good at Palliative Care and then taught us a step-wise approach to code status discussions in the Emergency Department. Drs. Ronan and Kreitzer brought us the latest installment of the Leadership Curriculum, where we learned about and practiced different styles of communication.
Read MoreKnow your CAP from your HAP from your HCAP? The language of pneumonia is changing and Dr. Owens takes us through a B Pod case to demonstrate some nuances to the 2016 ISDA/ATS guidelines that will change the way we define, and treat, pneumonia.
Read MoreA female in her 20s comes in with reported overdose 4 hours prior to arrival. Anxious appearing she seizes on arrival to the pod. What's your differential and once diagnosed how do you do to manage this critically ill serotonin syndrome?
Read MoreSpring is in the air, the clocks have sprung forward, and each day has slightly more sunshiny hours than the last... but you are on a string of nights, trying to avoid the siren’s call of a verdant spring day and get some much needed rest.....
Read MoreCentral Venous Catheters are part of every Emergency Provider's skill set, yet knowing what is inside that plastic can change your management. Dr. Baez takes us through various CVCs and what they can offer our patients in the first article from the upcoming spring issue of Annals of B Pod.
Read MoreThis week Dr. Axelson took us through great DKA in pregnancy, hyponatremia tips, and prioritization in UGIB in this month's M&M. Critical Care bound Dr. Renne laid out some intra-arrest tips and Dr. Brown from Cincinnati Children's talked about Adult Congenital Heart Disease. Small groups covered everything from ACLS logistics to shoulder US to Minnesota tube insertion.
Read MoreThis 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 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.
