Another awesome week of Grand Rounds! If you couldn’t catch it live check out the summary here! Dr. Haffner discusses mesenteric ischemia, Dr. Roblee addresses dealing with patient deaths, Dr. Thompson gives us insight into quality improvement, Dr. Goodman reviews product resuscitation in trauma patients, and Dr. Ketabchi, one of our esteemed PEM fellows, takes us through neonatal sepsis.
Read MoreCompartment syndrome is a surgical emergency that can present after a variety of insults, ranging from those we commonly encounter in the ED (fractures, crush injuries) to more rare clinical presentations (snake bites, electrocution). The initial elevation of compartment pressures can be secondary to internal (ex. bleeding, swelling, fluid overload) and/or external (ex. compressive devices, burn eschar) factors. In this post, we detail the history/physical and diagnostic evaluation of possible compartment syndrome.
Read MoreThis week, Dr. Otten reveals the toxicology that flourishes around us in his discussion of poisonous plants, Dr. Doerning shares his wisdom on finances for physicians and perspective on applying for EM jobs, Dr. Jarrell introduces us to key concepts in social emergency medicine as they relate to substance use disorder and harm reduction, Dr. Comiskey discusses the presentation and treatment of calcium channel blocker overdose, Dr. Berger reflects on dual process theory, cognitive forcing, and beauty in unlovely places, and our ED Pharmacists discuss Factor Xa reversal, NMDA dosing and reversal, and general updates.
Read MoreDr. Anita Goel takes us through ultrasonographic signs of cardiac tamponade and shows us when a simple effusion can become a true time-sensitive emergency.
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. Frankenfeld takes us through a case of what may happen when you don’t take your epididymitis antibiotics and the rare complication of a pyocele.
Read MoreJoin us as Dr. Irankunda reflects on lessons learned throughout residency applied to a case of sulfonylurea toxicity, Dr. Winslow discusses multiple treatment modalities for refractory ventricular fibrillation, Dr. Benoit presents Cynefin Framework as a way to approach decision making in our disordered ED world, Dr. Zacharias discusses bicarbonate administration in acidosis, Dr. Adan discusses how to approach management and disposition for trauma patients in the community, and Dr. LaFollette challenges residents with a lower GI bleed in the Quarterly Simulation
Read MoreJoins us as Dr. McDonough takes us through leadership styles and leadership development, Dr. Paulsen gives her tips on designing and delivering a good lecture, Dr. Wright talks about healthcare reliability, and Dr. Knight drops some wisdom bombs learned in Bpod.
Read MoreJoin us as we review another excellent week of grand rounds where neurocritical care fellow Dr. Ham takes us through airway management in the neurocritically injured, Dr. Stolz improves our cardiac ultrasound skills, Dr. Lang discusses the OMI/NOMI EKG findings, Dr. Carleton elevates our use of extraglottic devices, and ENT consultant Dr. Patil provides some tips on managing difficult airways!
Read MoreWhen providers are early in their training, this tends to lead to questions of “how long is a negative stress test good for?” “What about a negative cath? - Is that good for 2 years, 4, years, 6?” “What about a negative CCTA?”
In the first (of many to come) GRACE guidelines (Guidelines for Reasonable and Appropriate Care in the Emergency Department), SAEM sought to tackle many of these questions as they looked at Recurrent, Low-risk Chest Pain in the Emergency Department.
Read MoreCome and see what the future of ultrasound and HEMS looks like through a year of case based experience with POCUS on Air Care with Dr. Gottula and Dr. Lane and examine what the future could look like bringing ED level care to the patient.
Read MoreJoin us for the first Grand Rounds of the new academic year!! Dr. Pancioli takes us through the history of emergency medicine, discusses the difficulties faced throughout 2020, and our new ground breaking emergency department which will further allow us to give excellent emergency care. Dr. McDonough walks us through breaking bad news and difficult discussions. Last but not least, Dr. LaFollette challenges us with some clinical conundrums and practice paradigms.
Read MoreIt is the last Grand Rounds of the academic year and we have some heavy hitters this week! Dr. Hughes reviews cases and shares clinical pearls in this month’s morbidity and Morbidity and Mortality. Dr. Wolochatiuk tames a crashing pulmonary embolism in the SRU. Dr. Skrobut discusses the toll that EM takes on all of us. Dr. Paulsen discussess supervision, professional development, and burnout.
Read MoreSubclavian central lines have historically been a landmark based procedure. While for years IJ and femoral central venous access had move to being primarily ultrasound guided (or entirely ultrasound guided), the subclavian line was a long standing holdout. As such, providers may be unfamiliar with some of the pearls that can facilitate performance of the procedure with ultrasound. In this post, Dr. Ben Duncan, ultrasound fellow discusses some of the ways to help make ultrasound work for you while trying to perform a subclavian line.
Read MoreThis week’s Grand Rounds was kicked off by Dr. Fadlalla from Internal Medicine, who described his journey to a career in global health. Dr. Rafferty from Colorectal Surgery discussed anorectal disease in the Emergency Department. Drs. Milligan and Hall expertly led us through the diagnosis and treatment of dyspepsia. CPC featured a case of HUS from Dr. Winslow that Dr. Continenza walked us through. We finished with a review of genitourinary disease by Drs. Gawron, Hassani, Laurence, and Walsh.
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.
