Packers, Stuffers, and Pushers

Packers, Stuffers, and Pushers

Body packers, stuffers, and pushers may present to the emergency department (ED) for evaluation of symptoms or for medical clearance before prosecution. It is important for the ED physician to have a keen framework for diagnosing, evaluating, and treating these patients.

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Ultrasound of the Month: Flexor Tenosynovitis

Ultrasound of the Month: Flexor Tenosynovitis

Infected and swollen fingers can be a therapeutic challenge, will it get better with some oral antibiotics? Will it rapidly ascend up the arm to cause permanent damage? Dr. Goff introduce yet another excellent use of ultrasound to diagnose flexor tenosynovitis in this month’s Ultrasound of the Month.

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Grand Rounds Recap 8.31.22

Grand Rounds Recap 8.31.22

This week’s Grand Rounds started with 2 hours of M&M tips with Dr. Broadstock, Small groups followed with Thoracentesis with Dr. Milligan, Lung Ultrasound with Dr. yates and Trach Management with Dr. Gillespie. Functional Movement Disorders with Dr. Eltatawy rounded out a great Grand Rounds!

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Grand Rounds Recap 8.24.22

Grand Rounds Recap 8.24.22

This week’s 8.24.22 Grand Rounds started off with a CPC of Drs Pulvino and Negron battling over a case of neurocysticercosis. Next Dr. Goff gave a ‘tales from 4 years’ capstone lecture, followed by blunt aortic injuries by Dr. Rodriguez and Patient Safety with Dr. Hemphill.

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Grand Rounds Recap 8.17.22

Grand Rounds Recap 8.17.22

This week was jam pack in Grand Rounds. We covered best practice tips for POCUS and Cardiac Arrest with Dr. Stolz. Dr. Pensak talked with us about the Emergency Department Implications of the Dobbs v Jackson. We buffed up our teaching skills with Dr. Santen and “Not another Boring Lecture”. Dr. Roche and Wilderness Medicine Faculty taught us how to improvise important medical equipment. To end the day, Dr. Kiser showed us how to better care for and treat the pain of patients with chronic medical conditions.

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Tube Thoracostomy for Hemothorax - Is a Tiny Tube Just Fine?

Tube Thoracostomy for Hemothorax - Is a Tiny Tube Just Fine?

In this Journal Club podcast, PGY-3 Tony Fabiano breaks down a paper from the Journal of Trauma comparing the effectiveness and patient perception of pigtail catheters versus standard chest tubes for hemothorax in the setting of trauma. Is a tiny tube effective at all in draining blood from the chest?

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Grand Rounds Summary 8.10.2022

Grand Rounds Summary 8.10.2022

We are back with another exciting week of grand rounds, this time with an overview of acute aortic insufficiency and tricuspid regurgitation, a walkthrough of ED use of coronary CTA, a High Acuity/Low Opportunity and Low Acuity/Low Opportunity procedure lab, and finally a discussion of the always-feared sick undifferentiated infant.

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Grand Rounds Recap 8.3.22

Grand Rounds Recap 8.3.22

For Grand Rounds this week We took a deep dive into 2 cases of Pericardial Effusions with our R2 CPC with Dr. Grisoli and our R3 Taming the SRU lecture with Dr. Ferreri. One case ended up being a purulent pericardial effusion while the other was an LV freewall rupture. Dr. Sabedra Expanded our knowledge on how to better care for pregnant and breast feeding patients and how to be a support co-worker to our pregnant and breast feeding colleges. Lastly, Dr. Frankenfeld walked us through some of the data around when patients leave against medical advice, how to try to avoid this, and how to appropriately counsel our patients.

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Grand Rounds Recap 7.27.22

Grand Rounds Recap 7.27.22

Another great week of Grand Rounds kicked off by Dr. Lex Kimmel’s Morbidity and Mortality Conference touching on Ectopic Pregnancy, Finger Dislocation and DOAC overdose management. Dr. Goff presents a case follow up of a gastritis complication. Firearms are lethal, join Dr. Yates as she discusses how to prep yourself with the data to help our patients. Finally we get specialist lecturers discussing acute management of acute occlusive event management in sickle cell disease.

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Grand Rounds Recap 7.20.22

Grand Rounds Recap 7.20.22

This week’s grand rounds features a discussion of best practices for receiving feedback, how to think about and apply clinical decision rules, BRASH syndrome, Cryptococcus Meningitis, and two oral boards cases about aortoenteric fistulas and mesenteric ischemia.

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