We had an excellent Grand Rounds this week! Dr. Yates led our monthly Morbidity & Mortality Conference discussing pathology ranging from Dabigatran overdose to acute limb ischemia. We had an exciting CPC with hypomagnesemia presenting as new onset psychosis with Drs. Joshi & Lang. Finally, Dr. Gallen led a lecture and small group discussion on tracheostomies and their complications.
Read MoreWe had an exciting Grand Rounds this week! Dr. Ben Bassin, a UCEM alum and our visiting lecturer from the University of Michigan, started off strong discussing innovation in emergency care delivery. He discussed modeling and design of modern emergency departments and our upcoming Flex ICU. Dr. Grisoli then shared an exciting resuscitation of a profoundly hypothermic cardiac arrest. We split off into small groups for simulation and oral boards covering tuberculosis, meningitis and the RV spiral of death.
Read MoreAnother great week of Grand Rounds! We started with optimizing our wet reads on MSK xrays then moved into a victorious CPC win in the diagnosis of giant cell artertitis with a patient presenting with CN VI palsy and diplopia. We then discussed the tips and tricks for hernia reduction before hearing a moving story of a harrowing AirCare transport for ECMO cannulation. We moved into R3 small groups covering obstetrics and labor from mother to newborn and finished off with our pediatrics team visiting to discuss emergent cardiac conditions.
Read MoreWe had another exciting week of Grand Rounds! We covered topics including our new hypoglycemia protocol with Drs. Beyde and Wolski to traumatic cardiac tamponade with Dr. Glenn to syncope roles with Dr. Kotei. We enjoyed a visiting lecture from our Ohio ACEP team talking about the role of ACEP in residency and beyond. We finished strong with a lecture from our program director Dr. McDonough talking about her take on wellness in residency!
Read MoreWe are back and ready for our first grand rounds of the year! We had a great variety in lectures today. Dr. Wosiski-Kuhn shared her capstone on violence against healthcare workers. Dr. Martella followed up a case of a patient with a spontaneous coronary artery dissection and their puzzling ED clinical presentation. Dr. Guillaume helped us troobleshoot and optimize our options for vascular access including EJ cannulation, ultrasound-guided IVs and all things PICC line. Dr. Haffner took us through a pathophysiology and treatment review of a patient with a very large calcium channel blocker overdose. The R2 team of Drs. Della Porta and Hajdu presented their protocol on alcohol withdrawal in the ED. We learned about the use of panorex as a new study for certain dental patients in conjunction with oral surgery from Dr. Urbanowicz. Finally, Dr. Baez dropped some protips to be confident and competent at a busy community ED site.
Read MoreWe had another excellent Wednesday at UC Grand Rounds. Dr. Lewis kicked us off with ear emergencies and their ED management.
Read MoreThis week’s Grand Rounds kicked off with a series of involved cases including endocarditis strokes, Tasotsubo cardiomyopathy and more. Dr. Freiermuth gave us an update on the landscape of research and move to adaptive designs. Drs. Sookdeo and Diaz gave talks on RCVS, PRES and compartment syndrome for some core content.
Read MoreJoin us for another week of GR! We started off strong with social emergency medicine updates from our active department and the many ways they can help us better help our patients. We moved into alcohol use disorder treatment with Dr. Ryan detailing medical management for abstinence that can be started in the ED. We moved into a trip down memory lane with Dr. Baez and 10 cases that haunt her with the lessons she has learned along the way. Dr. Baxter gave us his thoughts on evaluating patients using clinical gestalt vs clinical decision rules. We moved into neuroimaging with our expert critical care/emergency medicine attending Dr. Knight and some cases with interesting CT/MRI findings. Finally, we wrapped up with oral boards detailing 2 sick patients: one with aspiration pneumonia developing ARDS and one with neuroleptic malignant syndrome. See you all next week!
Read MoreJoin us for quick hits into the orbital infections to be aware of in the emergency department ranging from relatively benign to potentially eye-threatening. Learn the difference to help make the catch and save your patient’s vision!
Read MoreAnother exciting week of grand rounds with a ton of variety! We started off with Fundamentals of ECMO with Dr. Bonomo, one of our EM/CC faculty, so that we have a better understanding of why and how ECMO works and the data surrounding outcomes, as well as how to facilitate identifying appropriate candidates to allow for cannulation directly from the ED for E-CPR or VV-ECMO. Next, Dr. McDonough helped us practice leading as a listener with a lecture and small groups for this iteration of our longitudinal Leadership Curriculum. We moved into ultrasound GR with Dr. Stolz and discussed many different types of artifact and their clinical utility in our point-of-care practice. We closed out with Macgyver techniques with Dr. Ham and learned his tips and tricks to rocking central lines!
Read MoreThis week Dr. Diaz starts off with a challenging case of massive upper GI bleed managed with balloon tamponade. We then moved into a case follow-up with profound electrical storm and recurrent ventricular arrhythmias secondary to a STEMI. Following this, we took a deep dive into waveform capnography regarding normal physiology and alterations with lung pathology with Dr. Wilson. Next, we had an exciting CPC showdown where Dr. Bryant successfully diagnosed Dr. Haffner’s case of valproic acid toxicity presenting with hyperammonemic encephalopathy. We closed with Dr. Wosiski-Kuhn outlining the difficulty of intubation in a patient with DKA and severe metabolic acidosis.
Read MoreDon’t worry I’m a DOG-ter! Join Dr. Yates for a deep dive into dogbites covering which wounds to repair, when to consider antibiotics and whether a rabies vaccine is indicated.
Read MoreJoin Dr. Diaz as she breaks down the approach to priapism- a rare and painful ED presentation that every ED doctor should feel comfortable managing. Review dorsal penile nerve block, cavernosal aspiration and medication with phenylephrine to hopefully achieve detumescence!
Read MoreDr. Stark takes us through a thorough hand exam & common injuries in the ED - come learn or refresh your anatomy, fracture patterns and can’t miss diagnosis or hand and forearm injuries.
Read MoreDon’t fear the slit lamp! Dr. Gobble breaks down this piece of equipment to make using it approachable and get you excited about performing eye exams.
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.
