In this AirCare case, Dr. Murphy eloquently details his experience in managing something every emergency physician fears - the need for a crash airway in a patient with severe airway injuries. Dr. Murphy discusses both the technical evaluation of a patient for a potential cricothyrotomy as well as his personal thoughts and reflections following the procedure.
Read MoreThis week's Grand Rounds were jammed packed with Ultrasound Guided Regional Anesthesia pearls, first from Dr. Carleton and then from Drs. Dang and O'Brien. Drs. Thompson and Lagasse walked us through can't miss x-rays during small groups. Dr. Nagle taught us about pediatric EKGs.
Read MoreWhile compartment syndrome of the extremities is a much feared complication - what happens when you get compartment syndrome of the abdomen? Does this mean you really shouldn't trust your gut? In this article, Dr. Harty discusses through the evaluation and management of abdominal compartment syndrome in this week's issue of Annals of B-Pod.
Read MoreIt’s a typical shift in your community shop when you see a patient on the board that makes you nervous. 2 year old male with syncope. It’s been awhile since you have treated someone born in the 21st century and you know this child’s workup will likely involve an EKG. The closest pediatric hospital is 2 hours away. How comfortable do you feel interpreting the squiggle lines generated by this little heart?
Read MoreAs emergency medicine physicians, we are expected to put our best foot forward in the thorough evaluation of lower extremity injuries. In this Quick Hit, Dr. Banning walks us through the identification and management of a relatively rare but important podiatric injury.
Read MoreDr. Ventura discusses the value of head CT and risk factors of CNS complications in HIV. Dr. Goel discussing the cognitive biases that drive decision making in EM. Dr. Stettler taught us that framing feedback can be as important as giving it and finally our CCHMC colleagues run through some difficult tox and airway cases. Plenty of learning to go around this week!
Read MoreLast week our Journal Club focused on the treatment of hemodynamically significant pulmonary emboli. These are pulmonary emboli causing either frank hypotension (sometimes called massive or high risk PEs) or causing significant right heart strain as evidenced by CT findings, cardiac biomarker elevation, or bedside Echo findings. Drs. Grace Lagasse, Kari Gorder, and Claire O'Brien led us in a discussion of the 3 papers linked in the article. Read the papers yourself, listen to the podcast, read the summaries and get caught up on all things PE.
Read MoreThis week Airway Guru Dr. Carleton walks through the perils of peri-intubation hemodynamic instability, and how we can use changes in pre-oxygenation and induction methods to reduce the chance of intubation M&M. Afterwards, Dr. Riddle covers terminology, dogma and how to care of our LGBT patients.
Read MoreDr. McKean led off with a breakdown of perforated viscous, Dr. Neel of neurology gave cases of complex neuropathology and Dr. McKee presents a case of hypercalcemia with Dr. Hill in this week's CPC. Also Dr. Banning covers cases and basics of LFT analysis with plenty more in this week's Grand Rounds Recap
Read MoreJuly is coming like a freight train. Just when we are finally comfortably cruising in our ruts, everything is about to change. R1s are about to run their own pod, fly solo and step into the SRU....
Read MoreIf the chief complaint of your patient is abdominal pain, altered mental status, overdose, generalized weakness chances are you at least considered ordering a hepatic panel. In fact, studies show that the hepatic panel is the third most common laboratory test ordered in the emergency department only behind the CBC and renal panel. If emergency medicine physicians are so quick to order this test, it is important to also know how to interpret all the little red arrows that often accompany your results. For this we will review each component and even (wait for it) … a little biochemistry!
Read MoreGrand Rounds kicked off this week with Dr. Axelson's final M&M of the year where we learned about hypertensive emergencies, 2nd & 3rd trimester vaginal bleeding, the care of the sick asthmatic, which bronchiolitics can go home and how exactly to treat the many forms of UTIs. Drs. Kircher and Murphy-Crews continued the learning with a case follow-up about intubating patients with airway stents and pediatric head injury, respectively. Our joint EM-Peds lecture rounded out the day with visual diagnoses in peds.
Read MoreThis week in Grand Rounds: We started with a grab bag of oral boards cases, Whitney Bryant lead us in a discussion of the broad scope of global health and why it should be important to emergency physicians, and Dr. Bernardoni lead us through a case of hyperkalemia and A fib with RVR.
Read MoreThis week's Grand Rounds served as our annual EMS Disaster day, where we tried on our HazMat gear, ran a mock mass casualty incident (MCI), and heard from Dr. Otten about his experience with multiple MCIs over the course of his career.
Read MoreWorking in the Emergency Department, we often encounter patients with either pre-existing renal disease or an acute compromise of their renal function who also have a disease process necessitating a contrasted radiology study. So what do we do with that patient with a creatinine of 1.8 who has a possible vascular dissection/traumatic injury/infection? What is the risk of contrast to that patient? Should you compromise your diagnostic evaluation to avoid a harm to the patient's renal function? Dr. Nick Ludmer, Dr Michael Miller, and Dr. Amanda Polsinelli recap 3 articles recently published looking into contrast induced nephropathy. Take a listen to the podcast and read the blog post to get yourself acquainted with the current state of the literature.
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.
