The A Fib Chicken and Egg - III Recap

The A Fib Chicken and Egg - III Recap

This is the first in a series of 3 blog posts recapping our residency’s most recent asynchronous small group exercise.  For these posts, we’ll start with a case vignette and then highlight some key aspects of the presentation and cover some key learning points. You can also take a listen to the accompanying podcast for a slightly more in depth look at the case.

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A Weakness in the HEART?

A Weakness in the HEART?

In this month’s Journal Club Recap we take a look at some recently published literature about common heart related complaints in the ED. First, we look at the now nearly ubiquitously used HEART pathway. In a US population, do the benefits of decreased health care utilization sustain themselves to a year out of an index visit? Then we turn our attention to atrial fibrillation with RVR. Does the utility infielder of ED medications, Magnesium, actually help with more rapid rate control? And, should the results of a consensus panel sway us to treat A fib with RVR as an outpatient?

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Grand Rounds Recap 2.14.18

Grand Rounds Recap 2.14.18

This weeks Grand Rounds was started off with our guest lecturer, Dr. Esther Choo, who gave a compelling talk regarding gender disparities in medicine and the effects of gender bias in our profession and every day practice.  This was followed by Dr. Owens and Ventura giving their evidence based approach to the management of A-Fib, as well as previewing their upcoming algorithm for Tamingthesru.com.  Our pediatric EM colleague Dr. Valentino then walked us through current recommendations on the approach to the febrile infant.  In the last hour, Dr. Iparraguirre gave us a lecture on the approach to rashes in the ED.  The conference then concluded with an R4 clinical soap box lecture by Dr. Dang on the history of cannabis and medical marijuana, as well as the research behind its current use.  

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Grand Rounds Recap 11.8.17

Grand Rounds Recap 11.8.17

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. 

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Grand Rounds Recap 02.15.17

Grand Rounds Recap 02.15.17

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.

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Grand Rounds Recap 11.16.16

Grand Rounds Recap 11.16.16

This week, Dr. Grosso led us through some fascinating case review during M&M. We had a fantastic, practical review of minor-care related hand complaints led by our R3s Drs. Teuber, Gorder and Plash. We learned about injury management in resource-limited settings during Global Health Grand Rounds with Drs. Roche, Lagasse, Teuber. Dr. Soria and Dr. Riddle gave us their R2 and R4 case follow-ups, respectively.

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