Opioid withdrawal is a common presenting complaint in the emergency department. As opioid use disorder prevalence continues to increase, opioid withdrawal will continue to increase as well. Join Dr. Stark to review the mechanism and treatment options for Opioid Withdrawal Syndrome!
Read MoreIn this jam packed week Dr. Stolz started us off with lower extremity ultrasound and the ultrasound theme continued with Dr. Skrobut’s case follow up on cardiac tamponade. Two R1s presented on transfusion reactions and septic arthritis. Our PEM colleagues discussed pediatric rashes. Finally Dr. Ryan Knight gave a Veteran’s Day special on emergency medicine in the austere environment.
Read MoreThis was a jam packed week that started with an EMS lecture from one our fellows, Dr. Morgan, about community paramedicine and mobile integrated healthcare. Dr. Mand’s case follow up focused on how to cope with grief in the emergency department. Dr. Kletsel gave us a literature based update on treatments of dental infections. Drs. Betz and Goff faced off in a CPC. Finally Drs. Gottula, Jensen, and Lane gave an intense simulation.
Read MoreThe leaves are falling, football is happening, pumpkin spice is everywhere and a new issue of Annals of B Pod is here for your education and enjoyment.
Read MoreRemember as a kid when you would come downstairs only to find your parent devouring your hard-earned Halloween candy? Consider it a favor. Though delicious, those globs of sticky sugar are a common culprit of toothaches for kids & adults alike, as well as headaches for emergency room providers. Whether in the emergency department itself, or while being cornered by a neighbor as you head out your front door, we are commonly confronted by someone holding the side of their face in agony, slowly mumbling ‘can you help me doc?’, as they wince in pain in between each word. Though our medical curriculum may not have prepared us for these moments, medicine is all about lifelong learning, so it is up to us to fill the knowledge gaps about those 32 pearly whites that are often the cause of much trouble.
Read MoreAn immunocompromised patient meets a pathogen lurking in soft cheese, and a case of encephalitis ensues. Read on to learn about neurolisteriosis with Dr. Wolochatiuk.
Read MoreCheck out this week’s Grand Rounds Recap! Dive into colitis on CT via M&M with Dr. Koehler. Understand and treat cardiogenic shock with Drs. Kimmel and Broadstock. Share some laughs and learn about eyes with Visiting Professor Dr. Glaucomflecken. Disposition abnormal cardiac rhythms as seen in the community with Dr. LaFollette
Read MoreDr. Freiermuth kicked off this week’s Grand Rounds with a recap of how to approach research in EM. Dr. Leech demonstrated the value to hemorrhage control and fistula complications. Drs. Harty and Comiskey faced off in a CPC case of DRESS syndrome and finally Drs. Gottula and Skrobut gave our quarterly Air Care Grand Rounds on HEMS stroke management.
Read MoreThe care of trauma patients is constantly evolving. From the time of injury to OR or ICU, there are dozens of management decisions that can improve the care and outcome for your patients. In our most recent journal club we took a look at 3 articles that looked at the management of trauma patients in the ED and ICU. Should we be adding vasopressin to our massive transfusion protocols? Is DL dead for trauma patients? Should we move to use IO’s early in traumatic arrests?
Read MoreTreating pain in pregnancy can be… well… a pain. With limited non-teratogenic options in the prepartum patient, Dr. Finney takes a dive into the evidence behind what you can use the next time you have a gravid patient who needs your help.
Read MoreReviewing our own neuroimaging just got a little easier with expertise shared by Dr. Knight. Trauma resuscitations just got a little more evidence-based with Journal Club covering VL>DL, IO>IV, and arginine vasopressin administration. Our kindness, attitude, and desire to take breaks all can improve with the help of Dr. Li’s R4 Capstone. Finally, Quarterly Sim/Oral Boards covered the spectrum of pediatric DKA with cerebral edema, to PTA, to trauma in the elderly, highlighting the breadth and depth of emergency medicine.
Read MoreAs a general rule, mechanical ventilation of obese patients is more complex and difficult than in those with a normal body habitus. Obese patients have decreased chest wall compliance due to increased truncal adiposity, amongst other factors. They are also predisposed to other comorbidities that can lead to more involved physiologic challenges.
Critical Care Transport teams commonly transport patients who are intubated and mechanically ventilated. These patients are intubated for a variety of reasons, from altered mental status to hypercapnea to hypoxia. One of the more common challenges we face in our patients who are mechanically ventilated is difficulty with oxygenation – whether the patient is suffering primary or secondary hypoxemic respiratory failure.
Read MoreChest wall trauma can be exceedingly painful, predisposing patients to splinting, atelectasis, and pneumonia. Chest wall nerve blocks provide analgesia and can facilitate necessary procedures. Dr. Hassani takes us through a case of through a case of traumatic pneumothorax with chest tube placement, and the serratus anterior block.
Read MoreThis week’s Grand Rounds offers a potpourri of topics, from Change Leadership via the Leadership Curriculum by Drs. McDonough & Fermann, to fundamentals and pearls of female GU infections by Dr. Fabiano, to a deep dive on hypermobility type of Ehlers-Danlos Syndrome by Dr. Jensen, to neonatal abdominal pain by Dr. Thomas (CCHMC PEM Fellow).
Read MoreThis week’s Grand Rounds was full of excellent cases, Bayesian statistics, and uncovered cognitive biases.
From Morbidity & Mortality Conference by Dr. Hughes, to airway expertise by Dr. Carleton, to tips to decrease stress by Dr. Koehler, to learned lessons from near misses by attendings Dr. Continenza, R. Thompson, and Sabedra, this summary is one you’re going to want to pay attention to!
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.
