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Emergency Medicine Conference - Jan 6, 2010

December 24th, 2009 at 7:37 pm by Lisa

Please join us for conference on January 6th in the 8th floor conference room at Elmhurst. The day begins with journal club - please come prepared!!
9a - Journal Club - Huang (see articles below)
10a - Procedure Talk - Trivedi
1030a - US Case of the Month - LaCalle
11a - Trauma Conference - Weingart
12p - M&M - Asaad

Alan has chosen 3 articles to review and requests that everyone comes prepared. Residents as usual the journal articles are behind the normal logon and password.
All: Rozycki et al. Surgeon-Performed Ultrasound for the Assessment of Truncal Injuries: Lessons Learned From 1540 Patients Ann Surg. 1998;228(4):557-67. Paper.
Miller et al. Not so Fast J Trauma. 2003;54:52–60. Paper.
Schnuriger et al. The accuracy of FAST in relation to grade of solid organ injuries: A retrospective analysis of 226 trauma patients with liver or splenic lesion. BMC Medical Imaging 2009, 9:3. Paper.

Posted in Journal Club, Events, News | No Comments »

Emergency Medicine Conference - Dec 30, 2009

December 24th, 2009 at 7:19 pm by Lisa

Please join us for conference this Wednesday at 9am in Hatch Auditorium for the last conference of 2009!

9a - M&M - Dr. Singer
9:30a - Peer Review/QA Quarterly - Dr. Strayer
10a - Senior Lecture - Dr. Curtis
11a - Thoracic US - Dr. Nelson
12p - 2p - Peds Core - Dr. Strother

As usual, lunch will be served.

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Emergency Medicine Conference - December 23, 2009

December 19th, 2009 at 11:24 am by Lisa

Please join us for conference this Wednesday in Hatch Auditorium. The snow will have long disappeared making it easy to get to our pre holiday conference.

9a - Pediatric M&M - Lakoff
10a - Pediatric Core Lecture - Tobin
11a - Thyroid Emergencies - Shapiro
12p - New Advances in Vascular Access - Koryka
1p - Senior Lecture - Huang

Lunch will be served.

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Managing Agitation in the ED

December 18th, 2009 at 4:54 pm by Nick

Kudos to Dan for his thoughtful analysis of three papers highlighting aspects of agitation management in the emergency department.

Take-home points from Journal Club this week:

* 5mg of midazolam (versed) was significantly faster at causing sedation in violently agitated patients at a large academic ED, compared to 5mg of haldol and 2mg of lorazepam (ativan). Patients getting midazolam also had significantly faster times to recover from sedation, also the least incidence of sedation failure.

* Droperidol has an FDA black box warning for QT prolongation leading to torsades de pointes and death. While the association between droperidol use and QT prolongation is clear, the risk of sudden cardiac death as caused by droperidol is much less clear. Many centers still use droperidol to good effect; an ECG after administration and prior to discharge is strongly recommended (and, if possible, prior to use).

* In treating behavioral emergencies, the accepted and endorsed practice in this country is to confront the violent or uncooperative patient with a ‘show of force’ to obtain consent, and if that fails, forcible medication ensues. Covert administration of meds, while maybe expedient or supported by the patient’s family, threatens the therapeutic alliance and exposes the institution to liability and the practitioner to claims of criminal battery. There exists an opportunity for further study and policymaking, both within our institution and beyond.

An in-depth discuss of the three papers awaits you, below.

Read More »

Posted in Post-Conference Letter, Psychiatry, Arrhythmias, Journal Club, Blog | No Comments »

Emergency Medicine Conference - Dec 16, 2009

December 10th, 2009 at 12:26 am by Lisa

Please join us for conference this Wednesday in the 8th floor conference room at Elmhurst. Please note the early start time for cardiology conference and don’t forget to come prepared for Journal Club.

8a - Joint Cardiology Conference - Dr. Young Yoon
9a - Toxicology Lecture - Dr. Ruben Olmedo
10a - Neck Trauma - Dr. Kaushal Shah
11a - Journal Club - Dr. Daniel Fawaz.

Residents you can find the journal club articles behind the usual logon/password. Dan has chosen 3 different articles to review and requests that each class come prepared. Read the Lewin article and the article assigned for your class.

All: Lewin et al. An Unusual Case of Subterfuge in the Emergency Department: Covert Administration of Antipsychotic and Anxiolytic Medications to Control an Agitated Patient. Ann Emerg Med. 2006;47:75-78. Paper.

PGY1s and 2s: Kao et al. Droperidol, QT Prolongation, and Sudden Death: What Is the Evidence? Ann Emerg Med 2003;41(4):546-58.Paper.

PGY3s ad 4s: Nobay et al. A Prospective, Double-blind, Randomized Trial of Midazolam versus Haloperidol versus Lorazepam in the Chemical Restraint of Violent and Severely Agitated Patients. Acad Emerg Med 2004;(11)7:744-9.Paper.

Posted in Journal Club, Events, News | 1 Comment »

Emergency Medicine Conference - Dec 9, 2009

December 2nd, 2009 at 5:58 pm by Lisa

R Baby Pediatric Infectious Disease Symposium
9am Breakfast/Registration
9:15am Introduction - Dr. Adam Vella and Phyllis Rabinowitz
9:30am Enteroviral Infections - Dr. Karen Goodman
10am Diagnosis & Empiric Treatment for HSV:Challenges in Pediatric ER - Dr. Betsy Herold
10:45am Your fever workup in the age of widespread conjugate vaccines - Dr. Lise Nigrovic
11:30am Red Flags in the Sick Child - Dr. Sarah Wingerter
12:15pm Pneumonia, pitfalls in diagnosis for the EM Physician - Dr. Marvin Harper
1pm - LUNCH
2pm - Challenges of the novel H1N1 flu: the Virus, the Patient, and the Community - Dr. Mike Tosi
3pm - Pediatric ID Simulation Challenge - Dr. Chris Strother

Posted in Events, News | No Comments »

Sinai Residents in the News

December 1st, 2009 at 8:42 pm by Lisa

Sinai residents and faculty were joined by fantastic Elmhurst ED nurses to perform a mock code at a mayoral press conference announcing the development of a city-wide Health and Hospitals Corporation supported simulation training center. Even the mayor had a role in saving the “patient.”
Click here to see more:
link

Posted in News | No Comments »

Emergency Medicine Conference - Dec 2, 2009

November 27th, 2009 at 12:47 am by Lisa

Please join us for conference on December 2nd in the 8th floor conference room at Elmhurst. As usual, lunch will be served.

9a - Journal Club - Dr. Constantine, articles below
10a - Guest Lecture - Dr. Marc Grossman
11a - Trauma Conference - Dr. Weingart
12p - US Case of the Week - Dr. Isserman
1230p - Procedure Talk - Dr. Close

Residents the journal articles are behind the usual password.

Demetriades et al. SNOM in solid organs Annals of Surgery 2006;244: 620 – 628. Paper.

Demetriades et al. SNOM in Anterior Abdominal Wall GSWs Annals of Surgery 1997;132:178-183. Paper.

Posted in Events, News | No Comments »

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