Starting off the week with Drs. Jarrell and Yates defining what advocacy looks like in leadership. Drs Finney and Chuko led us in two case follow up discussions featuring how to deal with early misses and Hickam’s Dictum. Finally the Cincinnati Peds team leads up in simuations of Status Asthmaticus.
Read MoreIt was another riveting week of Grand Rounds here in Cincinnati! Drs. Kate Connelly, Shawn Hassani, Allie Hunt and Eddie Irankunda kicked us off with a high stakes simulation case and discussion of aortic and vascular emergencies. Dr. Irankunda then reflected on his journey through residency via the filter of the 1990's classic TV show, ER, with many life lessons along the way. After a brief operations update with Dr. Fermann, we finished up with a case-based discussion of evaluation of vomiting in pediatric patients during our monthly combined conference with our PEM colleagues from Cincinnati Children’s Hospital.
Read MoreThis week’s Grand Rounds featured some amazing content! Starting with Dr. Paulsen, our leadership curriculum session focused on processing and learning from failure. We then discussed IV contrast extravasation with Drs. Milligan and Wosiski-Kuhn as they debuted their QI/KT protocol. Dr. Crawford reminded us of the dangers of carbon monoxide and we closed the day with an excellent introduction to the benefits of simulation-informed design with Visiting Lecturers Dr. Chris Hicks and Dr. Andrew Petrosoniak.
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 MoreThis week Drs. Harty & Gauger walked us through the literature surrounding the care of the patient in cardiac arrest as part of their Quality Improvement & Knowledge Translation project. Dr. Kristiana Kaufmann, a visiting professor from Wayne State, provided us a look at Global Health opportunities. Our Quarterly Simulation session, lead by Dr. Bryant, was a case of a 15 year old with new onset SOB and polyarthralgias. Lastly Drs. Stettler & LaFollette provided us with mock oral boards cases.
Read MoreThis week we got put in the hot seat with oral boards on AAA rupture, SVT and eclampsia, a simulation with end-of-life discussions, a critical beta blocker overdose from Dr. Lagasse and some Peds EM tips on conscious sedation from Cincinnati Children's PEM Fellow Dr. Lee. Click to check out more highlights from this week's Grand Rounds!
Read MoreThis week Dr. Knight taught us about the management of seizures and about how to manage our own fear. We were schooled on the hypotensive LVAD patient by Drs. Boyer, DeVries and Winders. We learned about oncologic emergencies from Dr. Continenza. Dr. Gorder tamed the SRU and taught us about chemical asphyxiation and burn injuries in the process.
Read MoreWe were fortunate, a couple weeks back, to have Dr. Brian Burns of Sydney HEMS come and speak to us. In his lecture, “When the 1% Makes All the Difference” which you can find here, Dr. Burns hit on a number of excellent points. We sat down and talked with Dr. Burns a bit more extensively over a couple of the themes of his lecture.
In this podcast, we cover some of the plus/minuses of checklists, the importance of high fidelity continuous training practices (simulation, routine case debriefing, intensive induction training), and the role of cognitive factors in running resuscitations.
Should resuscitations run like a jazz quartet or a Formula 1 pit crew? Are checklists simply in the way or do they cognitively unload the team members to improve performance? How do you train cognitive factors in resuscitation?
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.
