September 18, 2020

Grand Rounds Recap 09.16.20

September 18, 2020/ Guest User

Join us as we explore our EMS Grand Rounds with Dr. Gray, discussion of pain management in pediatrics with Dr. Bryant, and the evidence-based approach to pericarditis treatment with Drs. Stevens and Jensen. Drs. Chuko and LaFollette then go head-to-head in our beloved CPC, Dr. Martella takes us through the diagnosis and management of myasthenia gravis, and Dr. Berger outlines the importance of taking care of our critically ill patients with humanity and kindness in his R3 Taming the SRU lecture. Lastly, Dr. Gottula wraps up with a discussion on how to excel at the little things during his R4 Capstone.

September 15, 2020

Annals of B Pod - Ovarian Torsion

September 15, 2020/ Guest User

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.

September 14, 2020

A Fix for a Stinging Heart - Pericarditis Treatment in the ED

September 14, 2020/ Jeffery Hill, MD M.Ed

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).

September 09, 2020

Grand Rounds Recap 9.9.2020

September 09, 2020/ Guest User

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.

September 09, 2020

Ketamine Potpourri

September 09, 2020/ Jeffery Hill, MD M.Ed

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?

September 07, 2020

Mastering Minor Care: Auricular Hematoma

September 07, 2020/ Guest User

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.

September 05, 2020

Grand Rounds Recap 9.2.2020

September 05, 2020/ Guest User

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.

September 02, 2020

Ultrasound Tips: Always, Always, Always ...

September 02, 2020/ Ryan LaFollette, MD

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.

August 31, 2020

Back to Basics: Treatment of Acute Low Back Pain in the ED

August 31, 2020/ Ryan LaFollette, MD

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.

August 30, 2020

Grand Rounds Recap 8.26.2020

August 30, 2020/ Guest User

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

August 25, 2020

Annals of B Pod - Infantile Botulism

August 25, 2020/ Guest User

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.

August 17, 2020

Air Care Series: Status Epilepticus Update

August 17, 2020/ Guest User

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!

August 14, 2020

Grand Rounds Recap 08.12.20

August 14, 2020/ Guest User

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".”

August 10, 2020

Swelling out of the Blue - Angioedema in the ED

August 10, 2020/ Jeffery Hill, MD M.Ed

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).

August 07, 2020

Grand Rounds Recap 08.05.20

August 07, 2020/ Guest User

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.

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