This week Dr. Koehler has great teaching points on epistaxis, PRES and more during M&M. Dr. McMullan recounts a harrowing tale of compassion in a case follow up. Dr. Wosiski-Kuhn gives a timely reminder on carbon monoxide and cyanide toxicities followed by Dr. Roblee’s acidotic arrest case and Dr. Lane wraps up with some business need-to-knows of EM.
Read MoreThis week Dr. Hughes took us through the months Morbidity and Mortality cases. Dr. Shaw taught us what he has learned from the television show Scrubs. We learned about nausea and vomiting in pregnancy from Dr. Ferreri and ended the day with a minor care themed R3 small groups.
Read MoreDr. Freiermuth kicked off this week’s Grand Rounds with a recap of how to approach research in EM. Dr. Leech demonstrated the value to hemorrhage control and fistula complications. Drs. Harty and Comiskey faced off in a CPC case of DRESS syndrome and finally Drs. Gottula and Skrobut gave our quarterly Air Care Grand Rounds on HEMS stroke management.
Read MoreTreating pain in pregnancy can be… well… a pain. With limited non-teratogenic options in the prepartum patient, Dr. Finney takes a dive into the evidence behind what you can use the next time you have a gravid patient who needs your help.
Read MoreIn times of COVID, a Dimer of 3000 is nothing to look twice about, however there was an earlier (and future) time where the D Dimer is the hallmark of pulmonary embolism risk stratification. Dr. Comiskey breaks how how this once dichotomous tool has recent data to increase its specificity in elderly patients, pregnant patients and those with low pretest risk factors. Take a look, and when this whole pandemic is over your quiver will be fuller of Dimer tips.
Read MoreFrom an incidental notice of an elevated pressure to fulminant pulmonary edema and seizures, the spectrum of hypertension in pregnancy is broad and Dr. Roblee is here to break it into an easy diagnostic path.
Read MoreThis week Dr. Gottula gave us a great in-depth explanation into alloimmunization and the use of RhoGAM in the ED. Dr. Owens and Faryar participated in a CPC centered around a sickle cell patient with knee pain. Dr. Asghar from orthopedics discussed the management of spine fractures in the ED. Our visiting professor Dr. Gail D'Onofrio discussed the ongoing opioid abuse issues facing the country. Dr. Hall discussed industrial injuries while Dr. Polsinelli wrapped things up with a discussion about how to use EMR to report core measures.
Read MoreThe risk of alloimmunization in pregnancy is one the EP faces every day, but what are we preventing? when do we need to consider increasing our RhoGAM dosing? and do you really need a type and screen for the same patient in the same pregnancy? Dr. Gottula gets to the bottom of the type and screen and presents a rational algorithm for working up the Rh status of the pregnant patient in the ED.
Read MoreDr. McKinney from our MFM service started us off with some pearls of 2nd and 3rd trimester complications and management. Drs Murphy, Liebman, McKee and Whitford taught small groups about tips and tricks of extensor tendon repair, hip ultrasound and compartment pressures. Dr. Hughes gave us a talk on plain film utility in the ED and finally Drs. Scanlon and Doerning faced off in a CPC of a case of HELLP syndrome.
Read MoreIn this week's Grand Rounds, we led with our first Morbidity and Mortality conference of the year. Dr. Lagasse walked us through cognitive biases, the management of early obstetric emergencies, and the management of skin and soft tissue infections in the diabetic foot. In our leadership curriculum, Drs Hill and Stettler discussed the fundamentals of being a leader, and we got to hear from a panel of accomplished physicians within our department about their own leadership journey. Finally, in our Consultant of the Month series, Dr. Martha Ferguson discussed the management of ano-rectal conditions in the Emergency Department.
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 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 included our first every chalk-talk about antibiotics focusing on beta-lactams. We had our quarterly AirCare grand rounds where we learned about some special tools we carry on the aircraft including point of care lab testing and specialized suction devices. We also did a high fidelity hemorrhagic shock simulation. In two case follow-ups we learned about some special considerations in ACS and for pregnant patients in trauma. Read on!
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.
