This week we had a Grand Rounds jam packed with clinical knowledge. When was the last time you considered the differential diagnosis of an elevated troponin? It's not just ACS! Read on to learn more about thyroid storm, refractory Vfib and Vtach, lithium toxicity, inflammatory markers, and more. As well as a special clinical soapbox about how Ohio became the epicenter of the nation's heroin epidemic.
Read MoreLast week we had our first Journal Club of the year and had an excellent discussion of the evidence surrounding the use of amiodarone, lidocaine, and procainamide for ventricular dysrhythmias. Take a listen to the podcast below and read up on the details of the papers below that!
Read MoreWorking in the ED one day you seem to hit a run of patients in whom consultants have asked you to order an ESR, CRP. First, podiatry asked for them for a patient with 1st metatarsal osteomyelitis. Spine surgery wanted the same for a patient with diskitis. And, ortho wanted them for a possible septic. You think to yourself, “what am I or my consultant going to do with these test results?” “What are these inflammatory markers anyhow?” And, “what patient’s should I be ordering them in.”
Read MoreDr. Axelson kicked off Grand Rounds this week with a look at DKA, hypercalcemia, suicide in the ED and more during M&M. Then we learned about Hereditary Angioedema, Thyroid Emergencies, Concussions, NIPPV and got a chalk talk about setting end goals of resuscitation from Dr. Dave Norton.
Read MoreAutumn is here -- the air is getting crisper, the days are getting shorter, and there’s no better time to get outside. It will likely come as no surprise that a sedentary lifestyle negatively impacts mood.
Read MoreThis week we learned about all the hardware that can go into our patient's CNS and how it can go wrong. We also heard about complications of Varicella infection, set out to optimize visualization of a needle on US, learned to give better feedback to the difficult learner, heard about ED super-utilizers and strategized about ventilator management.
Read MoreHave you ever looked down the blade of a laryngoscope and said to yourself, “Damn! This airway is just too dry!” I thought not. Rather, we often look down the blade into a mucky swamp of secretions that drip from the pharyngeal walls like drool from a big, sloppy dog, and often obscure familiar landmarks and goop-up our optical and video adjuncts. Is there no solution? There is! Let us review an illustrative case...
Read MoreThis week we had a special visit from Dr. Darren Braude from the University of New Mexico Department of Emergency Medicine to speak on special topics in airway management. He introduced us to the idea of Rapid Sequence Airway (RSA) and other novel thoughts on extraglottic devices. We then had a chance to dive in to our regularly scheduled program with topics ranging from tuberculosis to ED operations to complex febrile seizure. Enjoy!
Read MoreIn the Emergency Department, we frequently encounter patient's with facial fractures and associated lacerations. The orthopedic surgery literature strongly supports the use of antibiotics for open fractures. The facial surgery literature, however, does not have extensive publications addressing the use of antibiotics in open facial fractures. So what are we to do? Does every fracture get antibiotics? If not, which fractures?
Read MoreThis week we learned about risk stratification for PE and how to work it up in special populations. We covered neonatal resuscitation and pediatric hematologic emergencies. We got a crash course in the returning traveler with fever. We reviewed current guidelines for treatment of sexually transmitted infections.
Read MoreHand and wrist radiographs are some of the most common and most challenging x-rays to read. Take 10 minutes to watch a video and freshen up on both the anatomy and technical factors associated with wrist radiographs.
Read MoreBurns, bubbling airways and bradycardic arrests: all part of this week's grand rounds that brought plenty of knowledge our way. This week we heard from Dr. Dale, burn surgeon, about the latest in burn management. Dr. Carleton ran through some of his hardest airway cases for an infallable mental model of intubation. Our R3s gave a practical session on transvenous pacer placement and Dr Kircher gave us his clinical soapbox of pneumonia management.
Read MoreThis issue marks the 10 year anniversary of Annals of B Pod. After 10 years and over 300 articles, Annals of B Pod continues to fulfill its initial mission of sharing the interesting case presentations, unique pathology, and diagnostic dilemmas that present to B Pod.
The time and effort put into publishing each issue by resident and faculty editors highlights their dedication to continually producing high-quality work. Each issue feels special because we, as editors, know that the publication upholds a unique and treasured tradition at the University of Cincinnati Emergency Medicine Residency. This issue feels extra special because it marks the beginning of our year-long celebration of our 10th anniversary. Over the coming year, former editors will reflect on their time in B Pod, and how sharing these experiences through Annals of B Pod shaped their career.
Read MoreNot every patient found down in front of a bar is drunk. In this case, we look at a patient whose exam didn't match his story, and discuss the Emergency Department management of Traumatic Brain Injuries.
Read MoreNot every runny nose is a viral URI. This case presents a relatively immunocompetent HIV+ male presenting with left sided rinorrhea and a fungal sinusitis diagnosed by CT. We also discuss diagnostic and therapeutic strategies for this rare diagnosis
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.
