In the ED, your words can be as powerful as your meds. In this episode, PGY-3 Dr Kotei unpacks the science of placebo and nocebo, showing how communication shapes patient outcomes—and how small shifts in framing, empathy, and reassurance can turn talk into treatment.
Read MoreWhile esophageal injuries are relatively rare, they can be devastating if missed. Join Dr Fitz as she discusses various pathologies involving esophageal trauma, including the larger tears of Boerhaave syndrome to the mucosal lacerations of Mallory-Weiss. In the emergency department, prompt diagnosis and management can mean the difference between a full recovery and rapid decompensation, so knowledge on this low occurrence high acuity disease process is key.
Read MoreAnnals of B Pod is a publication with a rich history that mirrors that of our department. What started as a word document of interesting cases written by Dr. Aaron Bernard (Class of 2007) in 2003 has turned into a professional publication that allows us to learn from the unique pathology our co-residents have seen. Moreover, Annals of B Pod has instilled in us a continual curiosity about how to best care for our patients, provided a creative outlet for numerous physicians, and developed many authors into accomplished academic writers. This year marks the 55th anniversary of University of Cincinnati Emergency Medicine as well as the 40th anniversary of Air Care. In this edition of Annals of B Pod, we celebrate the physicians who paved the way for our success and whose willingness to step outside the box has propelled our specialty (and manuscript) forward. To help honor our storied program, this special edition will feature previously published AOBP articles in addition to new cases. I hope this collaboration serves as a reminder of the shared experiences that have tied generations of UCEM physicians together and how far our program has come. This publication would not have been possible without the recruitment of the brightest physicians in our field and the ingenuity they demonstrated in progressing our education.
Read MorePyelonephritis is a commonly treated diagnosis in the emergency department. With resistance rates climbing to the first-line recommended fluoroquinolones and Bactrim, are other antibiotics appropriate in treating pyelonephritis? Join Dr Gabor, a PGY-3, as she discusses this article and its treatment recommendations for outpatient pyelonephritis with cephalosporins and how it compares to treatment with the more traditional fluoroquinolones / bactrim route.
Read MoreSeptic shock remains a leading cause of pediatric mortality, but the choice of first-line vasoactive agent has long been debated. Dr Newton, a PGY-3, discusses this single-center retrospective cohort study comparing epinephrine and norepinephrine as initial infusions in children with septic shock.
Read MoreCan’t remember the full physical examination of a shoulder joint? Or all the techniques and their names for reducing a dislocated shoulder? Join us for a special consultant edition of TTSRU - Dr Nana Simpson, a recent graduate of orthopedic surgery residency, and Dr Charlie Brower, a recent graduate of our EM residency, discuss a full approach to the shoulder exam and management of the dislocated shoulder. This is part 2 of a 2 part post.
Read MoreCan’t remember the full physical examination of a shoulder joint? Or all the techniques and their names for reducing a dislocated shoulder? Join us for a special consultant edition of TTSRU - Dr Nana Simpson, a recent graduate of orthopedic surgery residency, and Dr Charlie Brower, a recent graduate of our EM residency, discuss a full approach to the shoulder exam and management of the dislocated shoulder. This is part 1 of a two-part post.
Read MoreWhen a child walks into the ED with an abnormal gait, the challenge begins—not just in identifying the cause, but in knowing which limps signal something more serious. Join Dr Huang as she walks us through a structured approach to the limping child, highlighting key history and exam findings, critical diagnoses you can’t afford to miss, and the importance of considering non-accidental trauma in your workup.
Read MoreThe cornea is the window to the soul and/or retina. Given this importance it is a critical aspect of Emergency Care and why you should join Dr. Carroll on a dive into corneal pathologies you need to know.
Read MoreDr. Gabor reviews normal anatomy and pathology of the Bartholin gland, and discusses multiple treatment strategies to manage this condition.
Read MoreLung-protective ventilation (LPV), characterized by low tidal volumes and appropriate PEEP, is a cornerstone in managing patients with acute respiratory distress syndrome (ARDS). However, its application in patients with severe acute brain injury raises concerns. The potential for lung protective ventilation to increase intracranial pressure due to hypercapnia and elevated PEEP levels necessitates a closer examination of its safety and efficacy in this unique patient population.
Read MoreJoin Dr Amin as she describes the challenges, treatment, and sometimes life-saving interventions for patients presenting with caustic ingestions in the emergency department. From rapid assessment to tailored treatment strategies, she breaks down the essentials every clinician must know.
Read MoreIntimate partner violence (IPV) is a widespread public health problem. By definition, IPV refers to actual or threatened psychological, physical, or sexual harm by a current or former partner or spouse. The exact scope of the issue is difficult to ascertain given that a large proportion of incidents go unreported but is estimated to affect over 12 million people in the United States every year. The Emergency Department often serves as a first point of contact for survivors of intimate partner violence. Studies have shown that women experiencing intimate partner violence are more likely to seek medical care than to seek assistance from social services or criminal justice agencies, and it is estimated that approximately 6% of patients presenting to the Emergency Department have experienced IPV within the past year.
Read MoreMany clinical decision rules exclude elderly patients from the derivation cohorts. So the question remains unanswered do all elderly patients need cervical spine CTs in the setting of trauma? What if they have no symptoms? This recap of a journal club article explores the incidence of significant cervical spine fractures in elderly patients.
Read MoreIt is well known that ultrasound has exploded in its application in both diagnostics and procedures and has ultimately revolutionized the way we practice medicine. With its growing use, more and more providers are comfortable using ultrasound for both identification of anatomy/pathology and to guide procedures that were previously only done with landmarks. While having the skills to perform landmark guided procedures is incredibly important, there is much value in being able to visually confirm anatomy to avoid procedure complications, especially when landmarks are difficult to palpate / identify in certain individuals. This recap of a recent journal club article covers a paper looking into the use of POCUS to help perform cricothyrotomy.
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.
