Let’s face it, animals are really great. The feeling you get when a puppy lays its head in your lap or when you are surrounded by exotic fish in the ocean while snorkeling is second to none. What is it about animals that make humans feel so happy?
Read MoreReal time, high sensitivity serum biomarkers have played an enormous part in the timely identification and intervention on of cardiac pathology in the Emergency Department. These biomarkers have sufficient sensitivity to identify cardiomyocyte injury even in the absence of physical exam, radiographic, or electrocardiographic findings. Unfortunately, the utility of these studies may be limited or obfuscated in certain clinical contexts. This article will discuss the possible pitfalls and obstacles physicians may encounter in interpreting cardiac biomarkers
Read MoreThis week, Dr. Boyer led us through his R4 case follow up. Drs. Baez and Summers dove deep into the literature on sepsis. Dr. Gauger reviewed toxicologic syndromes. Dr. Axelson hit us with some trauma pearls and we worked through sick respiratory cases during our combined Peds-EM sim.
Read MoreThe topics covered in this Spring’s installment of Annals of B Pod highlight the variety of medical knowledge and procedural skills used daily in the Emergency Department. In B Pod, there may be a patient with an intentional ingestion brought in by EMS next door to a patient with a cough who is discovered to have pneumonia, while on the other side of the pod there is a patient complaining of eye pain. All of these patients represent common chief complaints with broad differentials that interns learn how to work up, manage, and treat. Spring also marks a transitional time, when interns start stepping up to into the junior resident role. With this transition, interns broaden their procedural skill set by learning how to place central lines, perform intubations, and insert chest tubes. As the year progresses, interns see more pathology, learn about new disease processes, and acquire procedural skills.
Read MoreDr. Ashley Shreves from Ochsner Medical Center led off Grand Rounds this week with a great lecture on why Emergency Medicine physicians should be good at Palliative Care and then taught us a step-wise approach to code status discussions in the Emergency Department. Drs. Ronan and Kreitzer brought us the latest installment of the Leadership Curriculum, where we learned about and practiced different styles of communication.
Read MoreKnow your CAP from your HAP from your HCAP? The language of pneumonia is changing and Dr. Owens takes us through a B Pod case to demonstrate some nuances to the 2016 ISDA/ATS guidelines that will change the way we define, and treat, pneumonia.
Read MoreA female in her 20s comes in with reported overdose 4 hours prior to arrival. Anxious appearing she seizes on arrival to the pod. What's your differential and once diagnosed how do you do to manage this critically ill serotonin syndrome?
Read MoreSpring is in the air, the clocks have sprung forward, and each day has slightly more sunshiny hours than the last... but you are on a string of nights, trying to avoid the siren’s call of a verdant spring day and get some much needed rest.....
Read MoreCentral Venous Catheters are part of every Emergency Provider's skill set, yet knowing what is inside that plastic can change your management. Dr. Baez takes us through various CVCs and what they can offer our patients in the first article from the upcoming spring issue of Annals of B Pod.
Read MoreThis week Dr. Axelson took us through great DKA in pregnancy, hyponatremia tips, and prioritization in UGIB in this month's M&M. Critical Care bound Dr. Renne laid out some intra-arrest tips and Dr. Brown from Cincinnati Children's talked about Adult Congenital Heart Disease. Small groups covered everything from ACLS logistics to shoulder US to Minnesota tube insertion.
Read MoreThis week, Dr. Carleton talks logistics, tips and tricks of lower extremity regional anesthesia. We had a sim on the challenges of afib control in the hypotensive patient, reviewed rare trauma populations in oral boards and Dr Richardson discussed hospice and palliative care in the ED.
Read MoreThis week we had the distinct privilege to learn about empathy from Dr. Ope Adeoye who explored what empathy looks like from the patient's perspective - and why it's difficult to be truly empathic as a young physician. We puzzled over a CPC case of severe chest pain in a young woman. Dr. Harty taught us about the not-so-elusive TACO and TRALI among other transfusion reactions. Finally, Dr. Wurster-Ovalle gave us some pointers on management of unvaccinated children with fever in the ED.
Read MoreAsthma and COPD are 2 of the more common ailments responsible for patients presenting to an Emergency Department with complaints of shortness of breath. Last week, we met as a residency and, led by Dr. Lauren Titone, Dr. Walker Plash, and Dr. Rob Thompson, discussed some newer literature for the treatment of these often intertwined conditions. Take a listen to the podcast within to hear our thoughts and read the summary after the jump for the breakdown.
Read MoreThis week's Grand Rounds welcomed Dr. James Hoekstra to discuss changes in the Emergency Medicine landscape and hospital reforms. Dr. Colmer discussed difficult to control pulmonary injuries and Dr. Habib reviewed the differential of a child with a limp.
Read MoreEmergency Medicine is frequently identified as a specialty with a particularly high degree of physician burnout. The etiology of burnout is multifactorial – but is there any evidence for a means of combatting it?
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.
