Palliative care? Methemoglobinemia? False positive pregnancy tests? Dr. Lauren Gillespie takes us through a multifaceted journey, ranging from the end-of-life ethics in the setting of organ transplantation to discussing cool facts our residents have looked up on shift!
Read MoreAnother week, another great Grand Rounds line-up at UCEM. We start off with our monthly Mortality and Morbidity Conference led by Chief Resident Dr. Finney. This session covers cases from the month of April- including the treatment of a canine in the SRU. One of our SRU leaders, Dr. Chhabria, shares the changing landscape of cardiac arrest management using ECMO. Next up, Dr. Thompson helps us reflect on the self-talk that we engage in on a daily basis and offers advice on how to improve our mindset- especially when we are on-shift. We learn from Dr. Kotei how to better ED proceduralists when encountering patients with ascites and/or pleural effusions. We end with Dr. Hajdu challenging Dr. Baez to solve a puzzling case of progressive vision loss in a otherwise healthy young patient.
Read MoreJoin us we recap another week of Grand Rounds. We start off with a CPC case, where Dr. Rodriguez challenges Dr. Benoit to a case involving a young child with recurrent syncopal episodes. Next up, Dr. Knudsen-Robbins teaches us all the tips/tricks to performing LPs in the ED. If you ever felt nervous about an pediatric airway, our airway expert, Dr. Carleton, walks us through all the nuances of a pediatric intubation. Meanwhile, Dr. Milligan reflects on her four years as a resident and shares her insight about making the hard decisions during training. One of our very own SRU tamers, Dr. Davis, teaches us how to expertly manage symptomatic bradycardia. Lastly, Drs. Broadstock and Ramachandran help us add nerve blocks to our growing toolbox used for treating acute pain in the ED.
Read MoreWe started another fantastic day of grand rounds with morbidity and mortality conference led by Dr. Finney. Next, Dr. Snyder discussed mastering the arterial line, followed by Dr. Wosiski-Kuhn taking us through her R4 case follow up. We ended the day with a rousing CPC battle for the ages between Drs. Wilson and Curry.
Read MoreWe had another excellent Wednesday at UC Grand Rounds. Dr. Lewis kicked us off with ear emergencies and their ED management.
Read MoreWhat a packed week! We reviewed a harrowing case of massive bee envenomation (with insects in the airway) w/ Dr. Yates, R4 wisdom and philosophies with Dr. Mullen, an overview of hydrocephalus with Dr. Stothers, a CPC of a brain tumor presenting with aphasia with Dr. Glenn, a dive into hyperviscosity syndromes with Dr. Beyde, and a wonderful series of lectures on the Language of Being Well & Embracing Fear in EM with visiting professor Dr. Arlene Chung.
Read MoreJoin us as we recap this week’s lectures including polypharmacy ingestions with Dr. Goff, pituitary disorders in the ED with Dr. Davis, and patient communication with Dr. Frederick. Lastly but certainly not least, review the head to head challenge of Dr. Diaz and Dr. Mand in this weeks CPC (Spoiler Alert: Dr. Mand Knocks it out of the park!)
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In this week’s Grand Rounds, Dr. Carleton reviews our new and old airway equipment and describes best approaches for ETT exchange, Dr. Laurence shares insight on creative approaches to asking questions, appreciative inquiry, and questioning barriers for patients, Dr. Glenn discusses atypical headache etiologies including IIH, giant cell arteritis, acute angle closure glaucoma, and trigeminal neuralgia, Drs. Kein and Adan match wits in a CPC case of digoxin toxicity, and our PEM colleagues take us through a case of a critically ill infant with a ductal dependent lesion.
In this week’s Grand Rounds, Dr. Laurence led us through an incredible and education Morbidity and Mortality Conference, Drs. Gillespie and Continenza worked through a dramatic case combining vision changes and rash, Dr. Wright reminded us to not forget the esophagus in our patients with chest pain and Dr. Connelly gave a fantastic overview of EMS provider education and systems structure in her R4 Capstone. Finally, our incredible visiting professor, Dr. Megan Rybarcyzk gave us insight into building an emergency medicine education program in the midst of a pandemic and provides tips and tricks for those seeking a career in global health.
Read MoreThis week, we started off with an excellent journal club led by Drs. Ijaz and Mullen discussing interventions aimed at improving access to primary care from the Emergency Department and then followed along with Drs. Ferreri and Skrobut as they battled out a case of mysterious altered mental status during the crowd favorite, CPC. Dr. Pulvino reminded us that not all rashes are simple through her case follow up and Dr. Gobble took us on a deep dive of the diagnosis and management of gastroparesis and cyclic vomiting syndrome. Finally, we closed out the day with lessons in nasal endoscopy and cricothyrotomy from the airway guru himself, Dr. Steven Carleton.
Read MoreDuring this week’s Grand Rounds, Dr. Walsh presented Morbidity and Mortality, Dr. Thode discussed complications of Group A Streptococcal infection, Dr. Harward oriented us to submersion injuries, Drs. Pancioli and Paul Gordon shared opportunities for medical device innovation and engineering collaboration, Dr. Brower shared pearls on facial fracture diagnosis and management, and Drs. Fabiano and Thompson went head-to-head in a CPC to diagnose thyrotoxicosis.
Read MoreIn this week’s Grand Rounds, Dr. Hassani theatrically illustrated the components of medical malpractice depositions with Dr. Walsh and important considerations for physicians in their preparation, Drs. Stevens and Gensic explored the differential for CBD dilation in their CPC, Dr. Shaw shared important considerations differentiating DKA and HHS and discussed asymptomatic hyperglycemia in the ED, and Dr. Laurence highlighted the differential for patients with HIV and AMS and the value in considering zebra diagnoses.
Read MoreThis week Dr. Urbanowicz provides great case-based learning through morbidity and mortality, Dr. Hassani provides pearls from case follow-ups, Drs. Betz, Gawron, and Milligan introduce us to sports medicine, Dr. Wosiski-Kuhn challenges us with a CPC case, and Dr. Roche provides guidance to improve out teamwork.
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 MoreThis week’s Grand Rounds started off with Dr. Minges walking us through how to perform ultrasound-guided regional anesthesia. Drs. Curry and Ryan then presented the first Year Directives of the academic year discussing EMTALA criteria and how to negotiate a contract. Drs. Wosiski and Iparraguirre expertly discussed the literature behind angioedema management. Drs. Crawford and Doerning battled it out on a case involving hiccups (read to find out more about this fascinating case). And lastly, Dr. Stratton from our PEM division walked us through how to approach the pediatric patient and pearls on how to determine “sick” from “not sick".”
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.
