Annals of B Pod - Ovarian Torsion
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When an ovary decides to play a game of twister, it’s time for the emergency medicine physician to intervene. Join us as Dr. Urbanowicz recounts a tale of an ovarian torsion.
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A Fix for a Stinging Heart - Pericarditis Treatment in the ED
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Pericarditis is inflammation of the pericardial sac. Classically, pericarditis presents with sharp and pleuritic chest pain which is relieved by sitting up and forward. Pericarditis has multiple etiologies, but is most commonly idiopathic, assumed to be viral, in developed countries (1). Treatment of pericarditis should be targeted to the underlying etiology if possible (1). For presumed viral, idiopathic causes, most patients are treated with non-steroidal anti-inflammatory drugs (NSAIDs) and colchicine (1).
Read MoreGrand Rounds Recap 9.9.2020
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The week started off with an anxiety inducting lecture on medical malpractice. Not to be outdone our PEM colleagues gave us a simulation with a 29 week premature delivery. This was followed by a review of different long term tubes that are in our patients. We were honored to have Drs. Mallory and Unaka give us a lecture on structural racism and how this has impacted racism in medicine, as well as how we can do better.
Read MoreKetamine Potpourri
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In our most recent journal club, we took a look at 3 articles focused on the use of ketamine in the Emergency Department. When treating pain with ketamine, does a rapid administration of ketamine result in more dysphoria? When used for RSI, is ketamine more hemodynamically stable than etomidate? When using ketamine for procedural sedation in adult patients, does pre-treatment with versed or haldol decrease clinically significant emergence agitation?
Read MoreMastering Minor Care: Auricular Hematoma
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You are finally done with your initial trauma assessment when you see a purple, swollen ear. You know this auricular hematoma needs to be evacuated but where to start? What’s the latest on bolstering? Join Dr. Ijaz as he goes through the basics and the latest on auricular hematoma management.
Read MoreGrand Rounds Recap 9.2.2020
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This week were treated to the story of stroke evaluation and treatment. An interesting case series was presented showing the importance of aortic stenosis. Dr. Gillespie dove into the literature on the treatment modalities for non-specific low back pain. Dr. Ijaz could not stump Dr. Roche with a case of chronic salicylate toxicity. The importance of what words we use, how we use them, and why we use them was presented by Dr. Hughes. Lastly our R3’s showed us all things ENT in small groups.
Read MoreUltrasound Tips: Always, Always, Always ...
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Do you include the bladder view in your renal ultrasounds? Check both eyeballs? Check for flow in your abscesses? Join Dr. Meaghan Frederick, our new editor of Ultrasound of the Month, as she dives into 10 things to keep in mind every time you pick up the probe.
Read MoreBack to Basics: Treatment of Acute Low Back Pain in the ED
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How do you treat acute low back pain that comes into the ED. Do you have a ‘cocktail’? Do you have any injections / stretching that you recommend? Is there data behind any of that?? Join Dr. Gillespie on an evidence-based look at the therapeutics of low back pain in the ED.
Read MoreGrand Rounds Recap 8.26.2020
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This week we have domgalysis with Dr. Hall, discussing rectal exams in trauma, skeletal traction and repeat head imaging in TBI. We also have a fantastic set of learning pearls from M&M cases with Dr. Li and a case of myesthenic crisis with Dr. Urbanowicz. Finally we have a literature review surrounding the impending Qi/KT algorithm on peritonitis with Drs. Ramsey and Mullen
Read MoreAnnals of B Pod - Infantile Botulism
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Wondering what to do with a floppy baby that rolls into the ED? Perhaps one that has been snacking on the family’s fresh honey collection? Look no further than this case of infantile botulism, as told by Dr. Habib.
Read MoreAir Care Series: Status Epilepticus Update
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The diagnoses and treatment of status epilepticus continutes to evolve. Review the latest evidence for status epliepticus management in the critical care transport medicine environment, including an evolving role for Ketamine!
Read MoreGrand Rounds Recap 08.12.20
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This week’s Grand Rounds started off with Dr. Minges walking us through how to perform ultrasound-guided regional anesthesia. Drs. Curry and Ryan then presented the first Year Directives of the academic year discussing EMTALA criteria and how to negotiate a contract. Drs. Wosiski and Iparraguirre expertly discussed the literature behind angioedema management. Drs. Crawford and Doerning battled it out on a case involving hiccups (read to find out more about this fascinating case). And lastly, Dr. Stratton from our PEM division walked us through how to approach the pediatric patient and pearls on how to determine “sick” from “not sick".”
Read MoreSwelling out of the Blue - Angioedema in the ED
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Angioedema is like urticaria in that both are transient swelling of well-demarcated areas. However, angioedema involves swelling of deeper tissues, producing nonpitting edema of the dermis and subcutaneous layers. It is most often seen in the eyelids and lips, and sometimes in the mouth and throat. While it is not pruritic it may be painful. In the US, angioedema accounts for approximately 100,000 ER visits annually (1). Across the world, 35% of prescriptions written for hypertension are for ACE-inhibitors (>40 million people). With a reported incidence of angioedema in 0.1–0.7% of those patients on ACEI, there are approximately 40,000 cases of ACEI-associated angioedema worldwide annually (2).
Read MoreGrand Rounds Recap 08.05.20
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This 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 MoreUS case of the month - Lung Sonography in CoVID-19
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Lung sonography is a useful imaging modality in an age where minimizing staff exposure to potentially infectious patients has moved to the forefront of our minds. Join Dr. Gleimer as he tackles the lung pathology of CoVID-19 and a logistical approach to obtaining and interpreting images.
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