Aerosolizing generating procedures are a feared method of contamination of coronavirus intubations. Leave it to Drs. Carleton and Kreitzer to create a reproducible model to cover patients during intubation. Check out the model and a video to demonstrate.
Read MoreEnjoy the new issue of Annals of B Pod from a safe social distance. Neurocysticercosis, IV fluids, ultrasound and more - all for your peer reviewed education.
Read MoreIt’s a derm-ergency! Dr. Pulvino presents two cases of mysterious rashes seen in the emergency department.
Read MoreIn our first ever teleconferenced Grand Rounds - this week Dr. Kathryn Banning presented us with opportunities to improve the care we deliver in our monthly morbidity and mortality conference. Then, our panel of expert clinicians and self-aware humans engaged us all in a discussion of wellness and longevity that was at times vulnerable and candid, but also enlightening from start to finish. Finally, we learned more about radio operations and reflected on both failures and victories in HEMS CQI cases with our Air Care leadership team.
Read MoreThe pork tapeworm likes to live peacefully in pigs and human intestines, but what happens when human brains become the incidental hosts of T. solium? Join us as Dr. Gawron recounts an interesting presentation of neurocysticercosis.
Read MoreThis week’s Grand Rounds started with a great Airway Grand Rounds lecture by Dr. Carleton. Dr. Frankenfeld led a discussion on face and mouth infections followed by Dr. Li’s Taming the SRU lecture on loperamide overdose. We had a great lecture by Dr. Thompson about healthcare change methodology. The week wrapped up with pediatric simulation focusing on ultrasound.
Read MoreThe FAST is one of the most commonly utilized sonographic examinations in the modern emergency department, which also means that it represents one of the most frequent opportunities for error. In this month’s post, Dr. Owens illustrates the pitfalls you should avoid to become an ultrasound aficionado in trauma.
Read MoreWe had an outstanding week in Grand Rounds, led off by a visiting lecturer and UC EM Class of 2013, Dr. Renee Salas. Dr. Salas is currently Assistant Professor at Harvard Medical school and a Yerby Fellow at the Center for Climate, Health, and Global Environment. Her talk was entitled “Climate Crisis and Clinical Practice - Implications for Emergency Medicine.” Next, Dr. Baez presented a fascinating Ultrasound Grand Rounds with Ultrasound M&M. Drs. Frederick and Walsh led us through their new clinical pathway for Non-Pregnant Vaginal Bleeding in their QI/KT. Dr. Klaszky gave his R4 Clinical Capstone lecture on how to make effective presentations.
Read MoreSometimes finding a way to treat a migraine in a patient can induce a migraine in ourselves! Join Dr. Zalesky in learning about the diagnosis of migraines, the red flags associated with the diagnosis, and learning how to best manage a patient that walks through your emergency department doors with disabling migraine.
Read MoreIt’s the height of flu season and our most recent Journal. Club focused on a couple of papers digging into the treatment of influenza as well as the association of cardiovascular events with influenza infections. Take a read and a listen to hear about the utility (or potential lack thereof) of oseltamivir as well as the evidence behind a newer medication for treatment of influenza, baloxavir.
Read MoreThis week featured an all-start lineup of resident lectures. Dr. Golden started us off with an amazing M&M, followed by Dr. Mullen enlightening us on eating disorders and the management in the ED. Dr. Iparraguirre taught us about the management of the severely burned patient. Dr. Laurence and Dr. Lagasse faced off in another interesting CPC. Finally Dr. Goff, hit it home with review of pneumonia severity scores and their clinical context.
Read MoreNormal saline has taken hold as the de facto resuscitative fluid in the majority of health care institutions in the developed world. Walk through the recent data with Dr. Christopher Shaw which suggests that balanced fluids may provide benefit to patients suffering from a wide array of critical illnesses.
Read MoreAccording to the American Thoracic Society (ATS) in 2018, 1 million patients required hospitalization for pneumonia and there were 50,000 associated deaths. Pneumonia was the leading cause of sepsis and septic shock and not surprisingly therefore qualified in the top 10 most expensive inpatient hospitalizations.(1) Given these findings, some have sought opportunity to develop mechanisms to assess and safely triage pneumonia patients to either inpatient or outpatient treatment strategies based upon pneumonia severity scores. In October 2019, the Infectious Diseases Society of America (IDSA) in conjunction with the ATS published recommendations for the assessment, treatment and disposition of immunocompetent adult patients with community acquired pneumonia which included several clinical decision rules also known as pneumonia severity scores.(2) The recommended decision rules and several associated, emerging tools are reviewed here.
Read MoreDr. McDonough and Dr. Palmer kicked off this week with an engaging session of leadership curriculum discussing self-promotion as well as how to write an effective CV. Dr. Forde walked us through the exciting topic of Mobile Stroke Units during EMS Grand Rounds. Lastly, Dr. Krack walked us through some interesting and terrifying pediatric heme-one emergencies.
Read MoreThis week in grand rounds we had an excellent discussion on leadership and how emergency medicine can impact the future of medicine by visiting lecturer, Dr. Andra Blomkalns current chair at Stanford University and UC alumni. Dr. Golden enlightened us on diabetes technology so we can better take care of our diabetic patients with insulin pumps and continuous glucose monitoring.
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.
