Is there an Ellis class IV? You ask yourself as you look at a fractured tooth… Start your Monday off with a review the classification and management of dental fractures with Dr. Eileen Hall.
Read MoreDr. Gauger started us off with a truly inspiring R4 capstone reminding us all to respect our patients and treat them with compassion and empathy. Dr. Hall's taming the SRU led us through an interesting case of severe metabolic acidosis. Lastly, Drs. Leech and Roblee presented a truly stellar QIKT evidence based protocol on hepatic encephalopathy.
Read MoreThis week we reconvened with our pediatric colleagues for a case series of seizures and COVID autoimmune vasculitis. Drs Modi, Harty and Jarrell took us through global health case series and finally guest lecturer Dr. Kenji Inaba from LAC-USC gave us some take-home tips in hemorrhage management.
Read MoreThis week’s Grand Rounds was Disaster Day, always a theoretical exercise in how to muster resources and prepare for an outbreak. This year, while we are living it, it takes on even more meaning as we hear from Dr. Kralovic, an infectious disease expert in evaluating novel diseases, the ethics of standards of care and rationing care plan with Drs. Diller and Nomellini and event planning with Dr. Divine, sports medicine provider extraordinaire and medical coordinator of the Flying Pig Manage
Read MoreThis week Dr. Klaszky presented cases to help us improve our clinical care in the ED with our monthly Morbidity and Mortality conference. Drs. Hall, Modi, and Shaw taught us about marine, reptile, and arthropod envenomations with their R3 small group session. Finally, we were honored to (remotely) host the nationally renowned Dr. Megan Ranney, who gave us an eye-opening presentation on the overlap between gun violence, public health, and the role of emergency medicine.
Read MoreHistorically, air was seen as the downfall of ultrasound, and thus assessment of the lungs was thought to be a fool’s errand. Recent experience suggests that ultrasound has a lot to offer our clinical assessment of pulmonary pathology. Dr. Broadstock takes us through a case of a hypoxemic tachypneic woman, with US serving as the star of the show.
Read MoreThis week we used two papers addressing implicit biases in healthcare as a platform to discuss systematic reviews and meta-analyses in Journal Club. Dr. Dave Thompson then led us through the latest installment of the quality improvement series with insights for how to lead QI initiatives. Dr. Crawford reviewed tick-borne illnesses in her R1 clinical knowledge presentation, and Dr. Modi discussed highlights of management and prognostication of refractory v-fib arrest. Finally, the Air Care team brought us up to speed on a wealth of topics in this edition of the Air Care Grand Rounds series.
Read MoreTransport of the ECMO patient is no small task, requiring intentional preparation. Join the UC Health Air Care & Mobile Care ECMO transport team to review VA ECMO Basics for Critical Care Transport Medicine.
Read MoreThis week’s Levy Cup, a time honored yearly show of knowledge, skill and improvisation of the UC EM Residency. Although online, our R4 team threw together a great show of pictionary, telemedicine and with some well deserved victors.
Read MoreGrand Rounds this week started with airway QI and COVID-19 airway management per the consummate expertise of Dr. Carleton. Dr. Mullen then taught the pearls and pitfalls of urine drug screens, Dr. Paulsen arose victorious from CPC vs. Dr. Wolochatiuk, and Dr. Ijaz gave a stellar review of ear pathology in the ED. Finally, Drs. Golden, Ham, and Spigner took us on a tour de force remote simulation of structural collapse with crush syndrome complicated by hyperkalemic arrest.
Read MoreTransport of the ARDS patient is fraught with risk. These patients are at high risk of decompensation, which can be disastrous in the back of an ambulance or helicopter. The primary goal for critical care transport teams should be safe arrival of both the crew and patient to their destination. As such, if patients are achieving an adequate oxygen saturation at the referring facility, the better part of valor is to continue the current course, even if ventilator settings are suboptimal. If ventilator changes need to be made due to inadequate oxygenation, ventilation, or other factors, strong consideration should be given to LPV settings. Review the management literature behind ARDS management in 2020 with Chris Shaw, MD.
Read MoreThe urine drug screen (UDS) is a relatively inexpensive and quick test to obtain in the emergency department, but how useful is it?. You may be tempted to order it for a patient who comes in altered or intoxicated. Before ordering, it is important to understand how the UDS works and its limitations.
Read MoreAnother fantastic week of video conferencing started with Dr. Ham’s Morbidity and Mortality presentation through an array of zebras seen in our ED, Dr Ramsey discussed ED use of ocular ultrasound, Drs Adan and Connelly faced off in CPC case of retroviral syndrome and Dr Harty’s capstone detailed cases of pediatric patients which will prep any new parent.
Read MoreThis month, the Taming the SRU ultrasound team details some of the procedural applications of ultrasound in the midst of the COVID-19 pandemic, fresh from two of the minds our intern class: Drs. Hamza Ijaz and Chris Zaleky. This combo post will discuss the use of ultrasound to confirm placement of both endotracheal tubes and central venous catheters.
Read MoreOcular Ultrasound is an increasing presence in the portfolio of specific tests within the Emergency Physicians’s toolbox of early recognition of pathology. Dr. Logan Ramsey takes a dives into the indications and evidence of ocular ultrasound
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.
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