Due to the fear of toxic shock syndrome (TSS), it has long been considered the standard of care to prescribe antibiotics as prophylaxis for patients who receive packing to treat anterior epistaxis. But do these patient's really need antibiotics? How real is the threat? What if you are only packing for a short time?
Read MoreThe evolution of the healthcare system in the US carries us toward an exciting future. The ACA, in particular, has brought about a multitude of changes affecting healthcare cost, access, and quality. It remains to be seen how the healthcare system will evolve in the next several years, but we in the ED are well positioned to leverage our skills and capabilities to deliver high quality and valued care in an integrated manner.
Read MorePreviously, in the first of a 3-part series on health policy and the ED, we discussed the health system’s historical development and climate surrounding the development and implementation of the ACA. Here, in Part II, we discuss how the ACA has impacted the health care system in general and more specifically the ED.
Read MoreWe are excited to bring you the first installment of an exciting three-part series focusing on health policy as it impacts the ED. With the collaboration of the illustrious Dr. Seth Trueger, we are planning a deep-dive to understand the health care climate around the time of the passage of the Patient Protection and Affordable Care Act (PPACA, or simply, ACA), how the ACA has impacted health care and the ED, and what the future holds, particularly with respect to this nation’s leadership transition. Part 1 explores the history of health care in America and how it lead to the development of the ACA.
Read MoreDr. Betham started off Grand Rounds with this month's Morbidity and Mortality Conference, where we learned about Gout, ITP, Stroke, and Hyperkalemia in ESRD patients. Dr. Teuber walked us through the varying recommendations regarding ED Thoracotomy and Dr. Banning taught us how to handle neonatal urgencies. Leadership Curriculum wrapped up this week's conference with a session on how to pitch an idea.
Read MoreThis week's Grand Rounds started off with a stress-inducing sim written by the R4s that included a pregnant trauma patient with a positive FAST, an imminent delivery and neonatal resuscitation! Drs. Paulsen and Continenza faced off in a great CPC and Dr. DeVries walked us through the history of US use in ED patients. Dr. Golden rounded out our day with a lecture focused on foot and ankle injuries.
Read MoreEver have a patient present with foot or ankle pain? In case you have, here is a refresher on the radiographic anatomy of the foot as well as the test characteristics and viability of the use of the Ottawa Rules in the ED setting by Dr. Golden.
Read MoreThis week we learned about aortic dissection, the acute management of heart failure, hypertension in the emergency department, ophthalmologic emergencies, non-accidental trauma, and analysis of pleural and peritoneal fluid.
Read MoreParacentesis and thoracentesis are relatively common procedures in the Emergency Department but the analysis of the fluid can always but a touch confusing. In this post, PGY-1 Dr. Michael Klaszky walks us through the analysis of pleural fluid and ascitic fluid.
Read MoreThe Knights of the (Grand) Rounds Table led us on our educational adventure this week. Dr. Andrew Knight brought us his expertise on teams within the healthcare system. Dr. Ryan Knight MARCHed us through an approach to trauma and lent his perspective and expertise on REBOA. Dr. William Knight rounded out the day with a great lecture on concussion.
Read MoreWe all instinctively know hugging a loved one can make us feel better, but there is science behind the beneficial effects of hugging. Studies have shown that hugs increase levels of the hormone oxytocin.
Read MoreAs 2016 comes to a close, Dr. McKean taught us about transfusion related lung injury, PEs, TCA overdoses, and the use of platelets in ICH during M&M. We learned the basics about the renal panel with Dr. Owens. Drs. Betz and Summers battled it out over drug-induced hepatitis and Dr. McKee taught us about Crypococcal Meningitis in her case follow-up. The year wrapped up with another Levy Cup Pre-season battle lead by Drs. Boyer and Winders.
Read MoreHave you ever wondered what is actually being measured when you order a renal panel/BMP/serum electrolytes? Well grab your nearest pumpkin spice latte and put your Gilmore Girls Netflix binge on pause because we are about to get a little basic . . . science!
Read MoreThis week we started out with a great presentation updating our Emergency KT and approach to alcohol withdrawal from Drs. Soria and Whitford. Drs. Brent and Curry updated us on the Southwest Ohio EMS Protocols and Dr. Neel gave us a wonderful overview of approach to peripheral neuropathies. We rounded out the day with Peds Simulation addressing CAH, congenital heart disease, and treating malnutrition in a remote setting.
Read MoreThis week in the Grand Rounds Recap, Dr. Richardson gives us the quick and dirty of constipation, Drs Jarrell and Kircher discuss cases of laboratory study interpretation in liver disease. In addition, Dr. Carleton reviews the anatomy of femoral nerve blocks and Dr. Klasky discusses how we should be approaching non-hemorrhagic anemia in the ED.
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.
