Join us as we review another excellent week of grand rounds where neurocritical care fellow Dr. Ham takes us through airway management in the neurocritically injured, Dr. Stolz improves our cardiac ultrasound skills, Dr. Lang discusses the OMI/NOMI EKG findings, Dr. Carleton elevates our use of extraglottic devices, and ENT consultant Dr. Patil provides some tips on managing difficult airways!
Read MoreWhen providers are early in their training, this tends to lead to questions of “how long is a negative stress test good for?” “What about a negative cath? - Is that good for 2 years, 4, years, 6?” “What about a negative CCTA?”
In the first (of many to come) GRACE guidelines (Guidelines for Reasonable and Appropriate Care in the Emergency Department), SAEM sought to tackle many of these questions as they looked at Recurrent, Low-risk Chest Pain in the Emergency Department.
Read MoreCome and see what the future of ultrasound and HEMS looks like through a year of case based experience with POCUS on Air Care with Dr. Gottula and Dr. Lane and examine what the future could look like bringing ED level care to the patient.
Read MoreJoin us for the first Grand Rounds of the new academic year!! Dr. Pancioli takes us through the history of emergency medicine, discusses the difficulties faced throughout 2020, and our new ground breaking emergency department which will further allow us to give excellent emergency care. Dr. McDonough walks us through breaking bad news and difficult discussions. Last but not least, Dr. LaFollette challenges us with some clinical conundrums and practice paradigms.
Read MoreIt is the last Grand Rounds of the academic year and we have some heavy hitters this week! Dr. Hughes reviews cases and shares clinical pearls in this month’s morbidity and Morbidity and Mortality. Dr. Wolochatiuk tames a crashing pulmonary embolism in the SRU. Dr. Skrobut discusses the toll that EM takes on all of us. Dr. Paulsen discussess supervision, professional development, and burnout.
Read MoreSubclavian central lines have historically been a landmark based procedure. While for years IJ and femoral central venous access had move to being primarily ultrasound guided (or entirely ultrasound guided), the subclavian line was a long standing holdout. As such, providers may be unfamiliar with some of the pearls that can facilitate performance of the procedure with ultrasound. In this post, Dr. Ben Duncan, ultrasound fellow discusses some of the ways to help make ultrasound work for you while trying to perform a subclavian line.
Read MoreThis week’s Grand Rounds was kicked off by Dr. Fadlalla from Internal Medicine, who described his journey to a career in global health. Dr. Rafferty from Colorectal Surgery discussed anorectal disease in the Emergency Department. Drs. Milligan and Hall expertly led us through the diagnosis and treatment of dyspepsia. CPC featured a case of HUS from Dr. Winslow that Dr. Continenza walked us through. We finished with a review of genitourinary disease by Drs. Gawron, Hassani, Laurence, and Walsh.
Read MoreThe subclavian central line, whether using an infraclavicular or supraclavicular approach can strike fear in the novice proceduralist. Big needles traversing near and seemingly towards a patients lung apex is not exactly a comforting vision. However, like with most procedures, a firm understanding of the anatomy at play will give the operator confidence as they approach what is a critical central venous access procedure particularly in crashing patients.
Read MoreThis week’s Grand Rounds was kicked off with our inaugural “The Art of EM” lecture that included a panel of our esteemed non-UC trained faculty members Drs. Lang, Minges, D.Thompson, Adan, and Stolz. Dr. Gillespie then expertly led us through hand infections in her R1 Clinical Knowledge lecture. Drs. Comiskey & Crawford took us on a deep dive of the literature surrounding the evaluation and management of DVTs. Lastly, our PEM colleagues walked us through a great video-simulation case series on critical pediatric cardiac pathology!
Read MoreDyspepsia and epigastric pain secondary to gastritis is a common presentation seen in the Emergency Department. Patients with dyspepsia want both quick and sustained relief of their symptoms. A thorough understanding of the evidence behind acute and long-term treatments of dyspepsia is key. In this post, Dr. Justine Milligan outlines the many treatment options available to the ED provider.
Read MoreAirway devices abound both in the ED and in the prehospital environment. Over the past few decades the use of extraglottic devices has increased significantly. In this post, Dr. Andrew Cathers recaps a recent article from Annals of Emergency Medicine where the authors sought to categorize these devices by the ways in which they are placed and to then apply that categorization to a cohort of deceased patients to hopefully shed light on the use and failures of these devices.
Read MoreWhat a fabulous and jam-packed Grand Rounds it was! Drs. Knight, Roche, and Freiermuth kicked us off with fantastic attending case follow-ups with pearls for physicians of all levels. Drs. Frankenfeld and Hill duked it out in a fascinating case of iron toxicity. Dr. Thompson expertly led us through UC’s new model for patient safety. Dr. Freiermuth brought us back to the basics of refining our history taking skills with tips on approaching sensitive topics. Dr. Pulvino walked us through a very difficult presentation of simultaneous stroke and STEMI in her R3 Taming the SRU. Lastly, Dr. Mand capped off the day with her R4 capstone detailing the lessons she has learned throughout her residency training. Tune in now for a great read!
Read MoreDr. Hassani navigates a perilous case of a Calcium Channel Blocker overdose. Review the pathophysiology of this highly morbid ingestion and the evidence behind the available treatments.
Read MoreCan high altitude pulmonary edema be predicted by an echocardiogram? Are there other reasons to worry about a PFO? Are climbers willing to swallow an ultrasound probe? Answers to these questions after the jump.
Read MoreDr. Koehler reviews cases and shared clinical pearls with this month’s Morbidity and Mortality Conference, Dr. Kowalenko visits virtually to discuss ABEM Board Certification and give us a medical history lesson on Presidential Assassinations
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.
