The Archives - Previous weeks resources
Link to One Drive - Boarding Educational Resources
Procedures
Week 1: EJ Placement
Week 2: Peripheral IJ
Week 3: Subclavian Line
Week 4: Supraclavicular Line
Week 5: Femoral Line
Week 6: IJ Central Line
Week 7: Hemodialysis Catheter placement
Week 8: Abscess I&D Loop Drainage
Week 9: NailBed Laceration Repair
Week 10: Bartholin Gland Abscess Drainage
Week 11: Lateral Canthotomy
Week 12: PTA Drainage
Week 13: Tube Thoracostomy
Week 14: Pigtail Tube Thoracostomy/Pneumocath Placement
Week 15: Hemostasis Sutures
Week 16: Sutures for Friable Skin
Week 17: Lumbar Puncture
Week 18: Nerve Blocks - Radial, Median, Ulnar
Week 19: Nerve Blocks - Foot and Ankle
Week 20: Nerve Blocks - Face
Literature
Week 1:Casey, J. D. et al. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. New Engl J Med 380, 811–821 (2019).
Week 2: Burton, J. H., Harrah, J. D., Germann, C. A. & Dillon, D. C. Does End‐tidal Carbon Dioxide Monitoring Detect Respiratory Events Prior to Current Sedation Monitoring Practices? Acad Emerg Med 13, 500–504 (2006).
Week 3: Driver, B. E. et al. Effect of Use of a Bougie vs Endotracheal Tube With Stylet on Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation. Jama 326, 2488–2497 (2021).
Week 4: Kheterpal S, Han, Richard, Tremper, Kevin K., et al. Incidence and Predictors of Difficult and Impossible Mask Ventilation. Surv Anesthesiol 2007;51(6):290. 10.1097/sa.0b013e31815c0fdb
Week 5: Driver BE, Klein LR, Carlson K, Harrington J, Reardon RF, Prekker ME. Preoxygenation With Flush Rate Oxygen: Comparing the Nonrebreather Mask With the Bag-Valve Mask. Ann Emerg Med 2018;71(3):381–6. 10.1016/j.annemergmed.2017.09.017
Week 6: Neumann JT, Twerenbold R, Ojeda F, et al. Application of High-Sensitivity Troponin in Suspected Myocardial Infarction. New Engl J Med 2019;380(26):2529–40. 10.1056/nejmoa1803377
Week 7: Baldi E, Schnaubelt S, Caputo ML, et al. Association of Timing of Electrocardiogram Acquisition After Return of Spontaneous Circulation With Coronary Angiography Findings in Patients With Out-of-Hospital Cardiac Arrest. Jama Netw Open 2021;4(1):e2032875. 10.1001/jamanetworkopen.2020.32875
Week 8: Lemkes JS, Janssens GN, Hoeven NW van der, et al. Coronary Angiography after Cardiac Arrest without ST-Segment Elevation. New Engl J Med 2019;380(15):1397–407. 10.1056/nejmoa1816897
Week 9: Smith SW, Dodd KW, Henry TD, Dvorak DM, Pearce LA. Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Ann Emerg Med 2012;60(6):766–76. 10.1016/j.annemergmed.2012.07.119
Week 10: Aslanger EK, Yıldırımtürk Ö, Şimşek B, et al. DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction (DIFOCCULT Study). Ijc Hear Vasc 2020;30:100603. 10.1016/j.ijcha.2020.100603
Week 11: Thiruganasambandamoorthy V, Sivilotti MLA, Sage NL, et al. Multicenter Emergency Department Validation of the Canadian Syncope Risk Score. Jama Intern Med 2020;180(5):737–44. 10.1001/jamainternmed.2020.0288
Week 12: Mahler SA, Riley RF, Hiestand BC, et al. The HEART Pathway Randomized Trial. Circulation Cardiovasc Qual Outcomes 2015;8(2):195–203. 10.1161/circoutcomes.114.001384
Week 13: ProCESS Investigators; Yealy DM, Kellum JA, Huang DT, Barnato AE, Weissfeld LA, Pike F, Terndrup T, Wang HE, Hou PC, LoVecchio F, Filbin MR, Shapiro NI, Angus DC. A randomized trial of protocol-based care for early septic shock. N Engl J Med. 2014 May 1;370(18):1683-93. doi: 10.1056/NEJMoa1401602. Epub 2014 Mar 18. PMID: 24635773; PMCID: PMC4101700.
Week 14: Acute Respiratory Distress Syndrome Network; Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, Wheeler A. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1301-8. doi: 10.1056/NEJM200005043421801. PMID: 10793162.
Week 15: Jabre P, Penaloza A, Pinero D, Duchateau FX, Borron SW, Javaudin F, Richard O, de Longueville D, Bouilleau G, Devaud ML, Heidet M, Lejeune C, Fauroux S, Greingor JL, Manara A, Hubert JC, Guihard B, Vermylen O, Lievens P, Auffret Y, Maisondieu C, Huet S, Claessens B, Lapostolle F, Javaud N, Reuter PG, Baker E, Vicaut E, Adnet F. Effect of Bag-Mask Ventilation vs Endotracheal Intubation During Cardiopulmonary Resuscitation on Neurological Outcome After Out-of-Hospital Cardiorespiratory Arrest: A Randomized Clinical Trial. JAMA. 2018 Feb 27;319(8):779-787. doi: 10.1001/jama.2018.0156. PMID: 29486039; PMCID: PMC5838565.
Week 16: Ali MU, Fitzpatrick-Lewis D, Kenny M, Raina P, Atkins DL, Soar J, Nolan J, Ristagno G, Sherifali D. Effectiveness of antiarrhythmic drugs for shockable cardiac arrest: A systematic review. Resuscitation. 2018 Nov;132:63-72. doi: 10.1016/j.resuscitation.2018.08.025. Epub 2018 Sep 1. PMID: 30179691.
Week 17: Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med. 2022 Jan;48(1):78-91. doi: 10.1007/s00134-021-06577-x. Epub 2021 Dec 14. PMID: 34904190.
Week 18: Pancaro C, Shah N, Pasma W, Saager L, Cassidy R, van Klei W, Kooij F, Vittali D, Hollmann MW, Kheterpal S, Lirk P. Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines in a Multicenter Study. Anesth Analg. 2020 Oct;131(4):1060-1065. doi: 10.1213/ANE.0000000000004445. PMID: 32925324.
Week 19: Marik PE, Flemmer M, Harrison W. The risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: a systematic review of the literature and meta-analysis. Crit Care Med. 2012 Aug;40(8):2479-85. doi: 10.1097/CCM.0b013e318255d9bc. PMID: 22809915.
Week 20: Nichol G, Leroux B, Wang H, Callaway CW, Sopko G, Weisfeldt M, Stiell I, Morrison LJ, Aufderheide TP, Cheskes S, Christenson J, Kudenchuk P, Vaillancourt C, Rea TD, Idris AH, Colella R, Isaacs M, Straight R, Stephens S, Richardson J, Condle J, Schmicker RH, Egan D, May S, Ornato JP; ROC Investigators. Trial of Continuous or Interrupted Chest Compressions during CPR. N Engl J Med. 2015 Dec 3;373(23):2203-14. doi: 10.1056/NEJMoa1509139. Epub 2015 Nov 9. PMID: 26550795.
EKGs
Week 1 - Clinical Setting: 78 y F with history of a-fib, CHF, CAD presenting with sudden onset of generalized weakness and dyspnea. HR - 180, BP - 90/53, RR - 16, SpO2 - 94%, Temp - 99 F
Week 2: Clinical Setting: 48 y M with schizophrenia found collapsed in stairwell of hospital garage, now complaining of “can’t breathe.” HR -138; BP -90/44; SPo2 -not picking up; RR -28 Temp -100.1 F
Week 3: Clinical Setting: 92 y F with HTN, remote breast cancer, Parkinson’s presents with generalized weakness and bilateral leg swelling.
Week 4: Clinical Setting: 68 y F who presents with agitation, with a reported intentional benzodiazepine overdose. HR - 70
BP - 175/110 RR - 20 SpO2 - 97% Temp - 99.2 F
Week 5: Clinical Setting: 44 y M with a history of alcohol use disorder presents with confusion. HR - 78, BP - 155/64 RR - 14 SpO2 - 97% Temp - 98.5
Week 6: Clinical Setting: 55 y M with CHF (EF 30-35%), HTN, schizophrenia who presents after he had a pre-syncopal episode.HR - 78, BP - 148/96, RR - 16, SpO2 - 95% RA Temp - 98.4 F
Week 7: Clinical Setting: 77 y F with HTN, Parkinson’s, DMII who presents with shortness of breath for 2 days, worsening today. HR - 95, BP - 165/87, RR - 18, SpO2 - 93%, Temp - 99.1 F
Week 8: Clinical Setting: 64 y M with history of CAD, HTN, mild aortic stenosis who presents with lightheadedness.
Week 9: Clinical Setting: Clinical Setting: 74 y F with HTN, HLD, DMII, COPD who presents with chest pain.
Week 10: Clinical Setting: 71 y M with history of heavy smoking, but otherwise does not see a doctor or have any known medical problems, presents with tachycardia, and a month of fatigue with exertional dyspnea.
HR - 136
BP - 158/95
RR - 22
SpO2 - 93% on AR Temp - 99.1 F
Week 11: Clinical Setting: 70 y M with VF arrest, s/p ROSC in the field. Unresponsive.
HR - 62
BP - 98/55
RR - 22
SpO2 - 98% on NRB Temp - 96.9 F
Week 12: Clinical Setting: 50 y M with CAD s/p CABG, COPD, cirrhosis who presents from his primary care doctor with an abnormal EKG, palpitations.
HR - 160
BP - 125/66
RR - 20
SpO2 - 93% on RA Temp - 97.8 F
