This week Dr. Hughes took us through the months Morbidity and Mortality cases. Dr. Shaw taught us what he has learned from the television show Scrubs. We learned about nausea and vomiting in pregnancy from Dr. Ferreri and ended the day with a minor care themed R3 small groups.
Read MoreAnyone who’s faced a patient with refractory V fib or V Tac, knows the certain pang of hopelessness that strikes when round and round of epi, CPR, and shocks fails to deliver a return to organized rhythm. ECMO is an option. Baring the availability of perhaps one of the most resource-intensive procedures in medicine, what option does one have? If nothing is working what do you change? Beta blockers? Change up the shocks? Is that bicarb you’re giving doing any good? This post and the affiliated podcast will cover 3 articles looking at the evidence for these new and old treatments for cardiac arrest.
Read MoreNausea and vomiting, one of the most common complaints in the pregnancy patient, is a common plight of Emergency Physicians. With a barrage of social media and publication bias, we often need rock solid evidence to make anti-emetic decisions that just doesn’t exist. Join Dr. Josh Ferreri as he summarizes the latest data on conquering the queasy.
Read MoreThis week’s edition of grand rounds featured some amazing lectures! We practiced pitching ideas in our leadership curriculum then the newest QI/KT pathway was revealed by Drs. Chuko and Goff. Dr Gawron taught us about medical causes of trauma and Dr. Kein gave us an amazing lecture on cyanotic congenital heart diseases. We finished off with Dr. Shewakramani giving an amazing wellness lecture about his BAYLEAF method for dealing with stress in the ED.
Read MoreThis week had a wide variety of topics including: cardiac arrest, SALAD, crying infants, and history! The day started off with a journal club covering some new critical care articles on cardiac arrest lead by our R3s. Next, the one and only Dr. Carleton gave us some airway pearls. Dr. Hughes educated us on the importance of handoffs and ED crowding. We had visiting professor Dr. Schmitz give us an excellent lecture on the past and future of EM. Finally our PEM colleagues taught us about fussy afebrile infants
Read MoreIt turns out there’s more than one way to reduce a mandible and knowing alternatives may help you get that next challenging reduction done. Dr. Meigh details all the techniques as she discusses a case of a jaw dislocation.
Read MoreThe first grand rounds of 2021 offered many learning points to help us ring in the New Year! Dr. Neel from the Department of Neurology gave us some great tips on the neurologic exam and some quick hits on neuromuscular diseases. The residents then worked together to come up with some challenging diagnoses. The day was rounded off with oral boards preparation with cases of: pediatric appendicitis, stroke in a non-stroke center, and a PE with an underlying malignancy.
Read MoreAlthough hand injuries are often triaged to minor care/fast track, not all of these injuries are so minor in nature. Join Dr. Adam Gottula and Dr. Bennett Lane as they discuss one of the most fear hand injuries: Hydrofluoric Acid Exposure.
Read MoreThe diagnostic ability of undifferentiated hypotension by the Emergency Physician has increased exponentially with the RUSH examination. Join Dr. Frederick as she searches and finds the source of hypotension in an elderly female in December’s Ultrasound Case of the Month
Read MoreClosed out 2020 UCEM Grand Rounds with a bang! Dr. Mand presented an abundance of evidence in this month’s Morbidity and Mortality conference. Guest lecturer Dr. Collins presented an approach to fever in the traveler for Global Health Grand Rounds. Drs. Gottula, Skrobut, Makinen, & Hinckley made us vent experts with Air Care Grand Rounds.
Read MoreVisiting Professor Dr. Patsy McNeil shared pearls about Physician Leadership. Dr. Fabiano reviewed the evidence of anaphylaxis treatment and Dr. Kimmel presented a fascinating case of MIS-C. Dr. Walsh and our PEM colleagues walked us through critically ill pediatric cases.
Read MoreIf you are reading this, you are in one of two places right now.
You may be sitting comfortably, expanding your knowledge, curious about the latest data for anaphylaxis treatment, and preparing for the next time you may see a patient with anaphylaxis. This resource is for you.
Alternatively, you are actively treating and managing a patient with anaphylaxis, looking for an evidence-based guide to support your clinical decisions in this moment. This resource is also for you.
Read MoreWe had a great Grand Rounds with nine lectures!
Dr. Fermann gave us operations updates for the CEC. Dr. Dave Thompson discussed quality improvement, root cause analysis, and the Pareto Principle. Dr. Tillotson walked us through the types of hypertension seen in pregnancy and how to manage these patients. Dr. Walsh found a sandwich in a patient’s airway. Dr. Jarrell discussed the exciting specialty called Social Emergency Medicine. Dr. Koehler showed us how to use a Minnesota tube for massive UGIB. Dr. Milligan discussed complex cardiac devices including IABP, Impella, and LVAD. Dr. Hassani reviewed post partum headaches and evidence on neuroprotective intubation. And lastly, Dr. Gleimer made us exercise our System 1 and System 2 thinking.
Read MoreHypertension in pregnancy can lead to a scary situation, but never fear - guest author Dr. Jessica Gottula will teach you what to do if an eclamptic patient rolls into your ED.
Read MoreWhat do these 3 things have in common: interval prolongation, COWS, and rural America? All 3 were covered in this week’s UCEM Grand Rounds.
Dr. Li starting us off with monthly Morbidity & Mortality. Cards consultant Dr. Ahmad provided rapid fire EKG review. Dr. Stark refreshed us on opioid withdrawal treatment. And, Dr. Makinen delivered a moving capstone on the importance of rural emergency medicine.
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.
