This week, we started things off with a great Quarterly Sim led by our faculty. The oral boards cases, led by Drs Stettler and Roche, involved an acute presentation of holiday heart, a post-partum patient with flash pulmonary edema, and a very questionable spider bite. The simulation, led by Drs Fernandez, Hill and Stolz, focused on two patients that were in shock: one due to a ruptured ectopic pregnancy and one due to a pericardial tamponade. We then moved on to the pediatric side of things, where Dr. Gleimer discussed neonatal rashes, and we took a look at pediatric syncope with Dr. Fananapazir.Read More
Dr. Stolz started Grand Rounds off with a great talk on lung ultrasound. Our consultant of the month, Dr. Hebbeler-Clark, gave a talk on patient safety and swarms. Dr. Lipshaw, a Peds-EM fellow, discussed the differential, evaluation, and management of congenital heart disease babies in the Emergency Department. Finally, Dr. Teuber ended with an interesting discussion on priapism.Read More
In our first Grand Rounds of the academic year, we started with Dr. Pancioli teaching us about the history of Emergency Medicine. Dr. Palmer discussed team work and the case for building social capital and Dr. LaFollette worked through the disposition of patients with chest pain. Our clinical pharmacist Chris Droege, PharmD discussed the evolving landscape of agents we have to reverse oral anticoagulants.Read More
This week we learned about all the hardware that can go into our patient's CNS and how it can go wrong. We also heard about complications of Varicella infection, set out to optimize visualization of a needle on US, learned to give better feedback to the difficult learner, heard about ED super-utilizers and strategized about ventilator management.Read More
This week's Grand Rounds included M&M where we learned all about bleeding and how to stop it, listened to a Case Follow-up about the Neurological Complications of Infective Endocarditis, and had lectures on BRUE, Hand Injury management in the community, and Impostor Phenomenon.Read More
This week we got an operations update with some new markers of quality and new guidelines on HIV testing. We were reminded about patient literacy and the advantages of keeping it simple. Dr. Hill also taught that every shift our biases and decision making do affect patient care, it is our duty to recognize and use them to our patients' advantage.Read More
Professionalism is a belief system.
Management of the Red Eye in a Community ED.
Case #1: 28 yo M who was poked in the eye while wrestling. Small periorbital ecchymosis, conjunctival erythema, reactive pupils, consensual photophobia, fluorescein negative. Normal IOP bilaterally.Read More