We started off this week with a lecture and small groups discussing different leadership styles. This was followed up by a fantastic discussion on interpersonal and community violence with Drs. Jarrell and Kimmel. We then reviewed all things early pregnancy ultrasound with the one and only Dr. Stolz and ended with a great review of landmark studies in EM with Dr. Freiermuth.
Read MoreWater on the knee? Dr. De Castro walks us through knee arthrocentesis. Join us as we discuss procedural pearls, ultrasound versus landmark guided approaches, and more!
Read MoreIn patients with cirrhosis and ongoing bleeding, it can be challenging to determine whether or not patients are hyper or hypocoagulable. Traditional markers of coagulation status like INR can be difficult to interpret in patients with abnormal synthetic function and potentially increase consumption of coagulation factors. Can TEG (thromboelastography) be a helpful too in these situations? In this journal club recap, Dr. Grisoli recaps a recent article by Rout et al that addresses this issue.
Read MoreJoin us for the last Grand Rounds of the academic year! We discuss organophosphate toxicity and bubble CPAP in low-resource settings for Global Health Grand Rounds, a CPC case of acetaminophen toxicity, cardiac pacing, and a case of methemoglobinemia caused by pyridium!
Read MoreIn this journal club recap, Dr Sarah Moulds recaps a recent meta-analysis of papers looking at the therapeutic effect of TXA in patients with severe trauma. Are their higher rates of thromboembolic complications? Is mortality improved? This article by Fouche et al attempts to answer these questions.
Read MoreOut of hospital cardiac arrest (OOHCA) represents a great cause of morbidity and mortality. Approximately 350,000 cardiac arrests occur in North America annually and 20% can be attributed to Ventricular tachydysrhythmias (i.e. ventricular tachycardia [v fib] and ventricular tachycardia [v tach]without a pulse). In this journal club recap, Dr Kelly Tillotson recaps an article comparing different ways of defibrillation and their effect on outcomes in OOHCA
Read MoreJoin Dr. Stark for M&M tips from the last session of the academic year. Also we have electrical storm management, ethical considerations of patient care, neck injury management.
Read MoreNot every bradycardic patient needs a transvenous pacer… but some do! Join Dr. Sookdeo as she parses through when and how to transcutaneously and transvenously pace your bradycardic patients.
Read MorePalliative care? Methemoglobinemia? False positive pregnancy tests? Dr. Lauren Gillespie takes us through a multifaceted journey, ranging from the end-of-life ethics in the setting of organ transplantation to discussing cool facts our residents have looked up on shift!
Read MoreCan clean gloves (those in the box in the room) be used safely during the repair of traumatic lacerations in the ED? Should we break open the package of sterile gloves each time? This Journal Club recap covers a recent paper examining the use of clean vs sterile gloves for wound repair in the ED.
Read MoreJoin Dr. Ann Wolski as she takes us through a fascinating case of uterine incarceration causing acute urinary retention.
Read MoreAnother week, another great Grand Rounds line-up at UCEM. We start off with our monthly Mortality and Morbidity Conference led by Chief Resident Dr. Finney. This session covers cases from the month of April- including the treatment of a canine in the SRU. One of our SRU leaders, Dr. Chhabria, shares the changing landscape of cardiac arrest management using ECMO. Next up, Dr. Thompson helps us reflect on the self-talk that we engage in on a daily basis and offers advice on how to improve our mindset- especially when we are on-shift. We learn from Dr. Kotei how to better ED proceduralists when encountering patients with ascites and/or pleural effusions. We end with Dr. Hajdu challenging Dr. Baez to solve a puzzling case of progressive vision loss in a otherwise healthy young patient.
Read MoreDr. Boyer walks us through nuances and management of the highly morbid condition of severe hypothermia.
Read MoreWe started off this Wednesday with guest lecturer Dr. Susan Wilcox who joined us for Air Care ground rounds. This was followed by the top 10 Air Cases of the academic year presented by Drs. Tillotson and Hinckley. This was followed by Dr. Kletsel’s thoughtful R4 capstone, and we wrapped up with R3 small groups with Drs. Glenn, Haffner, and Jackson who covered topics from in flight emergencies, venomous snakes, and environmental emergencies.
Read MoreIn this post we examine one of the etiologies behind a frequent ER chief complaint (shortness of breath). Specifically, we take a look at pleural effusions and how to manage them in the emergency department with thoracentesis procedure.
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.
