This week we learned from Dr. Palmer the key skills of dealing with failure - how do we recognize it and how do we shape our behaviors because of it. Dr. Shah, Peds EM fellow then discussed a differential of stridor in the pediatric patient.
Read MoreWhat's in a name? That which we call Creutzfeldt-Jakob disease by any other name would be as devastating. And how, do neurologists ever love their names! CJD - also known as "spongiform encephalopathy" and the comically grim "mad cow disease" - is an uncommon but uniformly fatal form of rapidly progressive dementia. In this case, Dr. Makinen takes us through the presenting features, definite diagnosis, and emergent management of the prion-mediated encephalopathy we call CJD. An entity which would, were it not CJD call'd, retain its dear morbidity.
Read MoreIf nothing else, the "Tide Pod challenge" has demonstrated that these versatile detergents truly excel in their intended purpose, cleaning not only dirt and sweat from your clothes but also purging the naive, vain preadolescent innocence from society. Join me - Dr. Scanlon - as I detail a fascinating case of a caustic ingestion, exploring the natural history, emergent management, and ultimate sequelae of this potentially devastating exposure.
Read MoreNot every swollen knee is an emergency, but treatments can vary between NSAIDs and an operative wash-out. Drs LaFollette and Stolz walk through the use of bedside ultrasound to focus our ED care.
Read MoreOur Minor Care Series continues with another case of the red eye! This time we discuss uveitis. But what exactly is the uvea? Is uveitis the same as iritis? And what do these patients need in the ED? Read on to answer these questions and more!
Read MoreThis week's Grand Rounds opened with Dr. Ludmer giving Morbidity and Mortality conference. Sports Medicine Dr. Betz then took on the common chief complaint of ankle pain, and described the evidence-based management and common ankle sprain mimics. Dr. Shaw discussed basics on tracheostomies and Dr. Renne closed out Grand Rounds with his approach to the judicious use of IV fluids in septic shock.
Read MoreThis is Case #2 of our Air Care Orientation Curriculum! This curriculum is designed to help prepare our rising R2's for their new responsibility as flight physicians. These cases are discussed amongst our training flight docs and this is the resultant learning points. In this case, we discuss a critical patient with a head injury. What interventions need to be performed? In what order? Who should do them? Read on to find out.
Read MoreThe Global Health case series highlights interesting cases residents experienced while practicing abroad and takes a dive into how to identify the pathology that is crucial know to care for patients both abroad and returning. Dr. Liebman continues this year's case series with a case of a young adult patient with two years of leg swelling.
Read MoreThis week's Grand Rounds opened with year directives focused on residents as teachers for the junior residents and life as a junior faculty for the senior residents. Next Dr. Fermann discussed implementation of our PE response team (PERT). Dr. Li led a great group discussion on EKG toxicology, Dr. Golden then unsuccessfully tried to stump Dr. Hill with his CPC on phenytoin toxicity, and finally Dr. Gorder gave a fantastic discussion on NSTEMIs.
Read MoreThis is Case #1 of our Air Care Orientation Curriculum! This curriculum is designed to help prepare our rising R2's for their new responsibility as flight physicians. These cases are discussed amongst our training flight docs and this is the resultant learning points. In this case, we discuss a sick trauma patient that needs multiple interventions. But what interventions need to be done? In what order? And who should do them? Read on to find out!
Read MoreEmergency medicine physicians frequently assess and treat patients who have accidental or intentional poisonings. United States poison centers receive over two million case referrals per year. And, about 20% of these poisonings present to an Emergency Department for evaluation. Evaluation of these patients always includes a history and physical, but further testing can provide valuable information. Blood work is often be needed, but an EKG is a faster, cheaper tool that can provide key pieces of information prompting early interventions.
Read MoreThis week's Grand Rounds opened with Dr. Curry discussing the paucity of literature on double defibrillation in VF. Dr. Mand then led small group discussions about the clinical utility of the pelvic xray. This was followed by Dr. Kreitzer expertly identifying incomplete Brown-Sequard Syndrome in Dr. Banning's CPC. Dr. Liebman discussed an interesting presentation of meningitis in a pediatric patient. Finally, our PEM colleagues led case based presentations of pediatric DKA, cat scratch disease, and a simulation featuring a patient in hypothermic cardiac arrest.
Read MorePelvic Xrays are a key component of trauma, fractures and dislocations seen every day in the ED, but when is the last time you went back over the anatomy and radiographic tips and tricks of the pelvic radiograph? Join Dr. Mand's thorough break down of this commonly used ED diagnostic - the Pelvic XR.
Read MoreMore Ultrasounds! This month, a case of abdominal pain in a patient with Crohn's Disease. Jump right to CT? Not when you have an ultrasound probe handy! Read on to learn more about the ultrasound evaluation of the patient with abdominal pain, and what you might just find...
Read MoreThe first Grand Rounds of March opened with guest lecturer and UCEM alumni Dr. Matthew Valento discussing his career in toxicology as well as synthetic cannabinoids. Drs. Habib and Ham then discussed the evidence-based workup, management, and treatment of mammalian bites. Drs. Baez, Bernardoni, Randolph, and Shaw lead various small group sessions focused on high yield urological clinical knowledge, procedures, and trouble shooting techniques. Dr. Titone continued the midday genitourinary theme with her approach to the management of patients with indwelling urological drains and stents. Dr. Koehler ended the day with a discussion of high yield toxins.
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.
