We had an excellent Grand Rounds this week! Dr. Yates led our monthly Morbidity & Mortality Conference discussing pathology ranging from Dabigatran overdose to acute limb ischemia. We had an exciting CPC with hypomagnesemia presenting as new onset psychosis with Drs. Joshi & Lang. Finally, Dr. Gallen led a lecture and small group discussion on tracheostomies and their complications.
Read MoreJoin us for our last grand rounds before Thanksgiving as Drs. Finney and Diaz discuss AKI management in the ED, Dr. Gobble discusses blunt cardiac injuries, Dr. Gawron tells the story of a young man presenting with a STEMI, and Drs. Connelly and Lane give us pointers on taking care of patients in the air.
Read MoreThe paradigm of STEMI vs NSTEMI is one of the most well known in Emergency Medicine. Could a change in thinking shift this paradigm to OMI vs NOMI and result in a more complete identification of patients with significant morbidity and mortality?
Read MoreThis week’s Grand Rounds started off with Dr. Paulsen walking us through how to create an enriching learning environment for our students and junior residents in the Emergency Department. Dr. Gleimer then presented an inspirational R4 Case Follow Up of a v.fib cardiac arrest that lived to tell the tale on his experience and second lease on life. Lastly, Drs. Gottula and Skrobut skillfully demonstrated best practice patterns for managing STEMI patients in helicopter EMS transport.
Read MoreFor this week’s Grand Rounds, Dr. Paulsen covered mentorship, an active process, as part of UCEM’s longitudinal leadership curriculum. Dr. Lang covered the history, educational theory, and future of simulation and gamification to help us spruce up our next lecture. To cap it off, Dr. Iparraguirre led an excellent simulation on refractory V-Fib requiring ECPR activation given UCMC’s newly released protocol.
Read MoreEnjoy this weeks Grand Rounds Summary. We had a great small group session on conflict resolution presented by Dr. McDonough and Leenellett of the leadership curriculum team. Next, Drs. Iparraguirre and Li taught us about an evidence-based approach to epistaxis. We completed our morning going through a great simulation on Acute Myocardial Infarction requiring Thrombolysis with Drs. Colmer, Mckee, Harrison, and Continenza.
Read MoreCheck out this week’s recap of Grand Rounds! Dr. Tim Murphy took us through some fascinating cases with Morbidity and Mortality Conference. Next, we got to dive deep into toxicology. Dr. Kelli Jarrell led us through a case she had of a TCA overdose, Dr. Shawn Hassani taught us about Beta Blocker and Calcium Channel Blocker overdose, and Dr. Woods Curry took us through a oral boards session during Quarterly Sim reviewing Aspirin toxicity. Quarterly Simulation also had an oral boards case discussing inferior STEMI complicated by complete heart block, as well as an awesome simulation teaching the fundamentals of teamwork and closed loop communication by having a lucky R3 run a code with a blindfold on. We’re excited to share the learning highlights with you!
Read MoreThis week's Grand Rounds opened with year directives focused on residents as teachers for the junior residents and life as a junior faculty for the senior residents. Next Dr. Fermann discussed implementation of our PE response team (PERT). Dr. Li led a great group discussion on EKG toxicology, Dr. Golden then unsuccessfully tried to stump Dr. Hill with his CPC on phenytoin toxicity, and finally Dr. Gorder gave a fantastic discussion on NSTEMIs.
Read MoreIt is early October and you are the flight doc in C-pod on a brisk but clear Saturday morning. The day starts out with several challenging patients with vague complaints and has just begun to ramp up in volume when a patient rolls into your pod by EMS, restrained face-down to the cot, covered in feces and urine, screaming about hearing voices. You begin to take report from EMS when, as if by divine intervention, the tones drop and you are dispatched for an inter-facility transfer. You gleefully (almost too gleefully…) give a brief patient sign-out to your staff, grab the blood cooler, and head to the roof...
Read MoreCases reviewed were from the month of August. We saw greater volume in 2015 than 2014 with longer ED hold times. We reviewed multiple cases including:
Acute Inflamatory Demyelinating Polyneuropathy
You are the Pod doc overnight on a particularly quiet Sunday night. You have been looking for an excuse to leave the pod and do anything other than treat abdominal pain for the past several hours when the tones drop. You thank whatever celestial being you believe in and grab the blood and run out of the department full of glee. In route to the helipad you are told it is a Code STEMI. At this point, even that seems more interesting than sitting in C Pod.
You buckle into the helicopter and take a quick flight to the outside hospital. You grab a set of gloves and unload the cot carefully and walk inside.
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.
