The Global Health case series highlights interesting cases residents experienced while abroad and takes a dive into how to identify the pathology that is crucial know to care for patients both abroad and returning. Dr. Sabedra kicks off this year's case series with a case of pediatric abdominal pain she saw while in Tanzania.
Read MoreThe final Grand Rounds of 2017 opened with Morbidity and Mortality led by Dr. Kari Gorder. Drs. Liebman, Banning, and Owens then shared exciting Global Health cases from their travels to Tanzania and Guatemala. Dr. Grace Lagasse gave her soapbox lecture on firearm violence and the Emergency Department. Finally, our dentistry colleagues Drs. McMahon and Dagher refreshed our techniques and skills in the management of dental trauma.
Read MoreGlobal is local. It is important as health care providers that we think about infectious diseases in terms of a global context. Reemerging infectious diseases represent a constant moving target for physicians and scientists. Understanding some of the factors behind disease reemergence as well as examples of current reemerging infectious diseases helps to illustrate how local changes can have a global effect.
Read MoreDr. Stolz started Grand Rounds off with a great talk on lung ultrasound. Our consultant of the month, Dr. Hebbeler-Clark, gave a talk on patient safety and swarms. Dr. Lipshaw, a Peds-EM fellow, discussed the differential, evaluation, and management of congenital heart disease babies in the Emergency Department. Finally, Dr. Teuber ended with an interesting discussion on priapism.
Read MoreThis week Drs. Jarrell and Nagel kicked off Grand Rounds with their evidence based review of the hypertension management in the ED. Drs. Gorder, Lagasse, O'Brien, and Polsinelli discussed the difficult management of the patient in both cardiogenic and septic shock, reviewed heart murmurs, and endocarditis. Dr. Bryant made us squirm with her Global Health quick hit case review of parasitology, Dr. Lane led a great group discussion about the utility of procalcitonin in adults, and Drs. Habib and Roche ended Grand Rounds with a great CPC case!
Read MoreDr. McKinney from our MFM service started us off with some pearls of 2nd and 3rd trimester complications and management. Drs Murphy, Liebman, McKee and Whitford taught small groups about tips and tricks of extensor tendon repair, hip ultrasound and compartment pressures. Dr. Hughes gave us a talk on plain film utility in the ED and finally Drs. Scanlon and Doerning faced off in a CPC of a case of HELLP syndrome.
Read MoreFrom minor care to major injuries, this Summer 2017 edition of Annals of B Pod goes beyond B Pod. Dr. Murphy starts off with a discussion of the learning points from his prehospital cricothyrotomy in this month's Air Care column. From B pod, Dr. Harty discusses the management of abdominal compartment syndrome. Dr. Golden tells of a case of acute HIV presenting as thrombocytopenia. Dr. Baez's procedure piece describes how to measure bladder pressure for patients at risk of elevated intra-abdominal pressures. From I pod, Dr. Banning describes the diagnosis and treatment of Lisfranc injuries. In the monthly pharmacy article, we discuss reversal of neuromuscular blockade with sugammadex. Finally, Dr. Scanlon describes de Winter's morphology in the EKG corner.
Read MoreCare of the acutely ill patient in the austere setting is a hallmark of Global Health Medicine. These videos highlight three different examples of how to apply core concepts of Emergency Medicine to a resource limited environment. Dr. Lagasse describes how to make a homemade tourniquet to control life-threatening hemorrhage, Dr. Teuber shows us alternatives to intravascular volume resuscitation, and Dr. Roche outlines how to manage pneumothorax, hemothorax, and hemopneumothorax with and without vacuum assistance
Read MoreThe topics covered in this Spring’s installment of Annals of B Pod highlight the variety of medical knowledge and procedural skills used daily in the Emergency Department. In B Pod, there may be a patient with an intentional ingestion brought in by EMS next door to a patient with a cough who is discovered to have pneumonia, while on the other side of the pod there is a patient complaining of eye pain. All of these patients represent common chief complaints with broad differentials that interns learn how to work up, manage, and treat. Spring also marks a transitional time, when interns start stepping up to into the junior resident role. With this transition, interns broaden their procedural skill set by learning how to place central lines, perform intubations, and insert chest tubes. As the year progresses, interns see more pathology, learn about new disease processes, and acquire procedural skills.
Read MoreKnow your CAP from your HAP from your HCAP? The language of pneumonia is changing and Dr. Owens takes us through a B Pod case to demonstrate some nuances to the 2016 ISDA/ATS guidelines that will change the way we define, and treat, pneumonia.
Read MoreA female in her 20s comes in with reported overdose 4 hours prior to arrival. Anxious appearing she seizes on arrival to the pod. What's your differential and once diagnosed how do you do to manage this critically ill serotonin syndrome?
Read MoreThe third Annals of B Pod December Issue highlights a new section - highlighting cases on the front lines in the helicopter. The intra-aortic balloon pump (IABP), first developed in the 1960s, is one of the most widely-used cardiac assist devices. Placed in critically-ill patients with cardiogenic shock, it increases coronary blood flow and decreases afterload. Patients with IABPs are frequently transferred to tertiary referral hospitals via helicopter emergency medical services (HEMS) transport. As such, prehospital and ED providers must become comfortable with the management of these patients and be aware of complications from these devices, we will take a look at two Air Care cases with IABPs.
Read MoreThe second installment from the December Issue of Annals of B Pod, Dr. Ham presents a female patient with no past medical history who presents to the Emergency Department shortly after stepping through a picture frame that was propped up on her floor at home. The glass shattered, lacerating the posterior aspect of her left lower leg. She is complaining of difficulty walking, but denies loss of sensation distal to the injury...
Read MoreThe first article from the December 2016 issue of Annals of B Pod is of a patient that is a male in his late 30s with a past medical history significant for trisomy 21, stage III chronic kidney disease of unspecified etiology, and hypertension who presents to the Emergency Department with emesis and dark stools. The patient is unable to contribute significantly to his history, but his family relates that two days prior to presentation, the patient experienced two episodes of “coffee ground” emesis according to the patient’s home health nurse. Over the next day, the patient subsequently experienced several episodes of melenic stools. His family also notes that he has seemed feverish, more lethargic, and less active than his baseline.
Read MoreThis issue marks the 10 year anniversary of Annals of B Pod. After 10 years and over 300 articles, Annals of B Pod continues to fulfill its initial mission of sharing the interesting case presentations, unique pathology, and diagnostic dilemmas that present to B Pod.
The time and effort put into publishing each issue by resident and faculty editors highlights their dedication to continually producing high-quality work. Each issue feels special because we, as editors, know that the publication upholds a unique and treasured tradition at the University of Cincinnati Emergency Medicine Residency. This issue feels extra special because it marks the beginning of our year-long celebration of our 10th anniversary. Over the coming year, former editors will reflect on their time in B Pod, and how sharing these experiences through Annals of B Pod shaped their career.
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.
