Dr. Li shares some R4 case follow up(s). Review of migraine treatments with Drs. Diaz and Shaw. Dr. Gressick vs. Dr. Roche in a CPC case. Air Care Grand Rounds reviewing trauma, obstetrical trauma, aircraft safety, and a pediatric trauma simulation with Drs. Hinckley, Gottula, and Skrobut.
Read MoreOpen fractures are a common pathology seen in emergency departments, especially in trauma centers. In open fractures, the skin barrier has been compromised, exposing sterile bone to the environment. Considered a true orthopedic emergency, these fractures have high morbidity due to osteomyelitis, with infection rates up to 55%. (1) Appropriate and timely intervention in the emergency department with proper antibiotic therapy, wound care, and early orthopedic surgery involvement dramatically reduces the risk of developing osteomyelitis. In this post, we will review the management of open fractures and address additional complications from open fractures. Fractures of the axial skeleton (skull, facial bones, spine, ribs, and pelvis) will not be discussed in this post. Antibiotic recommendations for osteomyelitis prophylaxis are discussed in another post.
Read MoreYou’ve tried prochlorperizine, ketorolac and fluids and are about to triumphantly discharge the patient when they stop you and inform you they’re still in a debilitating pain. What’s your move? Join Dr. Martina Diaz as she reviews second line and alternative therapies in the management of acute headaches.
Read MoreThere is more to kidney stones than just hydronephrosis! Take a deep dive with Dr. Irankunda to optimize your search for sneaky stones on ultrasound!
Read MoreThis week Dr. Koehler has great teaching points on epistaxis, PRES and more during M&M. Dr. McMullan recounts a harrowing tale of compassion in a case follow up. Dr. Wosiski-Kuhn gives a timely reminder on carbon monoxide and cyanide toxicities followed by Dr. Roblee’s acidotic arrest case and Dr. Lane wraps up with some business need-to-knows of EM.
Read MoreDr. Duncan convinces us why we should always do a lung ultrasound. Dr. Iparraguirre shares how to break bad news to a patient. VP shunt complications and treatments with Dr. Kletsel. Visiting Professors Drs. Koyfman and Long discuss low prevalence, high morbidity diagnoses. Drs. Gressick and Meigh review treatment for myxedema coma. MIS-C vs. Kawasaki with Dr. Krack.
Read MoreThis is a great paper recently presented at the Critical Care Transport Medicine Scientific Forum. It covers a subject area I have always been interested in. Over time, our understanding of critical care has evolved to show the importance of a low tidal volume strategy for ventilating patients, particularly those with lung injury/ARDS. However, even patients with normal lungs are potentially harmed by high tidal volume strategies.
Read MoreStuck in the Polar Vortex? Consider this. Hypothermia often requires unique approaches to the traditional management of classic pathology in the critical care transport environment. Take a deep dive into the classifcation and management of patients suffering from accidental hypothermia - from rewarming to cardiac arrest management and ECMO.
Read MoreThe Winter 2021 Issue of Annals of B Pod is here! Plenty of learning points from some interesting genitourinary cases.
Read MoreThis week Dr. Freiermuth showed us how to create a research project. Drs. Tillotson and Makinen discussed the evidence on open fracture management. The R2 CPC between Drs. Ramsay and Nagle taught us an important lesson on HIV and ITP. Finally, Drs. Iparraguirre, Li, Makinen, and Mand created a simulation to teach management of a pediatric nicotinic poisoning.
Read MoreThis 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 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.
