Welcome to the new Academic Year! We started the year off with Dr. Pancioli giving us some context of how EM got to where it is and where it is going. Dr Palmer then inspired us to consider our role in the teamwork that is patient care. Dr McDonough then led us in an exercise of delivering bad news to patients, and some of the nuance that is dealing with breadth of reactions to it.
Read MoreVentricular dysrhythmias are commonly caused by coronary ischemia which is most frequently caused by acute coronary artery occlusions in the setting of coronary artery disease. It would seem somewhat logical that patients who suffer a V fib or V Tach cardiac arrest would benefit from a trip to the cardiac catheterization lab to identify and treat these possible acute coronary artery occlusions. Patient’s with EKGs showing ST-elevations following ROSC already go to the Cath lab. Since the EKG is not terrifically sensitive for MI, should V fib V Tach cardiac arrest patients without ST-elevations make a trip to the Cath lab? In this breakdown of our most recent journal club we look at several papers covering this topic. In the podcast below we also talk with Justin Benoit, MD the site PI for the ongoing ACCESS trial which is also looking into this question.
Read MoreThis week was the last grand rounds of the academic year. We started off with the monthly Morbidity and Mortality conference led by Dr. Colmer. This was followed up by a CPC on Infectious Mononucleosis from Dr. Jensen and Dr. Stolz. Dr. Urbanowicz then discussed if there is a use of platelet function studies in the Emergency Department. The day ended with Dr. Murphy-Crews describing a fascinating case of severe hypothermia and outlining the interventions available to us in the ED for these patients. See you next week!
Read MoreGall bladder wall thickening prompts thoughts of cholecystitis in the mind of most emergency physicians. But it’s not always that simple. Join Dr. Roblee as she takes us through a case of cholecystitis that… isn’t.
Read MorePlatelet transfusion is a hotly debated topic and practice pattern variation is high, which is a great time to get back to the basics. Dr. Urbanowicz gets back to the basics of platelet function assays and the conflicted role of transfusion if they are deemed dysfunctional
Read MoreThis week we had our annual Disaster Day. We started with the legendary Dr. Otten giving us a rundown on disaster preparation and planning. Dr. Calhoun then led us through our disaster activation protocols at UCMC. We then used these principles in a complex mass casualty even simulation. The day ended with an analysis of how these protocols worked in real life during the Fifth Third Shooting.
Read MoreWhile often alarming, neonatal resuscitation is critical in the care of a neonate. In the critical care transport environment preparations is crucial in optimizing resuscitation success. In this edition of Air Care Series, Dr. Irankunda walks us through neonatal resuscitation in the transport environment.
Read MoreTo provide a fuller education, our curriculum should occasionally bend from the scientific and technical and include matters of the heart. This is a case from the 1990’s.
Read MoreThis week we had a wide array of topics covered in Grand Rounds. Dr. Continenza started our morning off discussing coping strategies for difficult pediatric patient encounters. Next, Dr. Gauger took us through the toxicology and treatment of calcium channel blocker overdose. Dr. Bernardoni had a fantastic capstone combing a number of high yield visual diagnosis. Lastly, Dr. Wilen took us through a pediatric simulation of undifferentiated pediatric jaundice. Enjoy!
Read MoreWe hope you enjoy this week’s Grand Rounds Recap from 6.05.2019. We started the day with a talk on how to master the extraglottic device during Airway Grand Rounds with Dr. Carleton. Next, Dr. Liebman talked about error reduction in Airway Management with the use of checklists. Dr. Shaw then presented a fascinating case of Guillain-Barre Syndrome. Dr. Walsh shared some pearls as to how to utilize the Sgarbossa Criteria. Lastly, we were honored to have Dr. Dunlop talk to us about trauma in the developing world during Global Health Grand Rounds.
Read MoreTo provide a fuller education, our curriculum should occasionally bend from the scientific and technical and include matters of the heart. This is a case from the early 1990s, a time in this fair land when ultrasound was not part of emergency practice, when RSI was still a relatively fresh concept, when the treatment of shock was non-systematic, and when consultation was a matter of pleading on the telephone.
Read MoreSore throats are commonly viral in nature and can be treated with supportive care. However, there are certain diagnosis that be considered when evaluating patients. Dr. Edmond Irankunda reviews Lemierre’s Syndrome, a sore throat with potentially dangerous systemic complications.
Read MoreIs the patient in front of you with chest pain and a left bundle branch block an MI? Often the clinical presentation will dictate level of concern, but what about equivocal cases? Join Dr. Walsh as he reviews the diagnostic criteria for MI including Sgarbossa, modified Sgarbossa and a unifying algorithm.
Read MoreJoin us as we review a number of fascinating pathologies in morbidity and mortality conference with Dr. Shaw. This is followed by Dr. Adeoye’s discussion of the history and controversy surrounding tPA. Check out the great discussion!
Read MoreThis week we welcomed Dr. Thurman, a UC alumnus, back to Cincinnati for a fantastic quick hit visual diagnosis lecture. This was followed by a review of the literature on pneumonia by Drs. Modi and Mand. Dr. Wolochatiuk reviewed chemical and electrical burns, and Dr. Lane and Lang reviewed the diagnosis and management of proctitis in their CPC. Dr. Humphries presented some fantastic cases of zebra diagnoses in the ED. Lastly, Dr. Soria concluded with her inquisitive thoughts from over the years.
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.
