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Please join us for conference this Wednesday in the 8th floor conference room at Elmhurst. We begin the day with Journal Club - please be prepared!

9a - Journal Club - Dr. Vashi (links below)
10a - Interesting Case Conference - Dr. Sarohia
11a - Trauma Conference - Dr. Weingart
12p - Joint Commission Update - Dr. Halbach
1p - M&M - Dr. Green

Anita 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.

PGY1s and 2s: Reed et al. The ROSE (Risk Stratification of Syncope in the Emergency Department) Study J ACC 2010;55(8):713-721. Paper.

PGY3s and 4s: Del Rosso et al. Clinical Predictors of Cardiac Syncope at Initial Evaluation in Patients Referred Urgently to a General Hospital: the EGSYS Score Heart. 2008;94:1620-26. Paper.

All: McGinn et al. User’s Guide to the Medical Literature XXII:How to Use Articles About Clinical Decision Rules JAMA. 2000;284(1):79-84. Paper.

This coming Wednesday is the Inservice Exam.We’ll meet in Hatch at 9am as usual - please bring a pencil.Good luck everyone!

Thanks to Ashish K for his succinct presentation of a scary case and discussion of DIC (for those who braved a little snow to further their craft).

Couple of take homes for those who missed it:
*DIC is always a consideration in sick patients with sepsis, multitrauma, post-op post delivery
*never occurs in isolation; triggered by release of throboplastins or endothelial injury
*hallmark is intravascular activation of coagulation with loss of localization
*may cause abnormal bleeding or clotting
*has a myriad of presentations- organ failures, bleeding , thrombosis
*PT, Platelets, D Dimers, FDPs may be normal early in the course and need monitoring
*Bleeding may require replenishment of components- FFP or platelets
*PPC may have a role but data incomplete and consultation prudent before use
*Clotting may require heparin, preferred for rapid on/off control
*There is little evidence supporting the “fueling the fire” excuse for withholding products if needed to control bleeding-
*Beware the pre-diagnosed patient- an EM is THE expert on diagnosing or ruling-out in the ED.
*Beware of trusting triage to make the final determination of “sick”
*Eyeball everyone in your zone early in their course as per the above 2 points
*A blizzard is never a completely adequate excuse to miss conference and M and M, unless you caught some freshies at your local ski area.

Please join us for EM conference this Wednesday at Elmhurst in the 8th floor conference room. We’re lucky to have Guest Lecturer Dr. Brendan Carr from University of Pennsylvania with us to discuss Regionalization of Trauma Centers. Please be on time and note the early start time for Joint Cardiology Conference.

8a - Joint Cardiology Conference - Dr. Bentley
9a - Regional Trauma Centers - Dr. Carr
10a - Everyone’s Favorite GU Lecture - Dr. Rabinovich
11a - Toxic Alcohols - Dr. Manini

See you then!

28 Pell StHay Wun Loy Restaurant

Please join us for Emergency Medicine Conference this Wednesday, February 10th in Hatch Auditorium. We’re luck to have Dr. Corey Eber from radiology to share some CXR secrets before the inservice exam as well as Dr. Vashi’s senior lecture. We have many guests and much to accomplish, so please be on time.

9a - MERS Training - Dr. DuPree
9:15a - M&M - Dr. Kumar
10a - Senior Lecture - Dr. Vashi
11a - Chest Radiography - Dr. Eber
12p - Pediatric M&M - Dr. Wu
12:45p - Obesity Study Update - Bacow
1p - Pediatric Core Curriculum - Dr. Garcia

As usual, lunch will be served.

Please join us for conference on February 3rd in the 8th floor conference room at Elmhurst. The day begins with journal club - please come prepared!!

9a - Journal Club - Curtis (see articles below)
10a - Procedure Talk - Chiang
1030a - US Case of the Month - Chisolm-Straker
11a - Trauma Conference - Weingart
12p - M&M - Pleasant

Henry 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.
PGY1s and 2s: Claassen et al. Criminal correlates of injury-related Emergency Department recidivism J Emerg Med. 2007;32(2):141-47. Paper.
PGY3s and 4s: Abbass et al. Intensive short-term dynamic psychotherapy to reduce rates of emergency department return visits for patients with medically unexplained symptoms: preliminary evidence from a pre-post intervention study CJEM. 2009;11(6):529-34. Paper.
All: Lerner and Kobernick. Return visits to the emergency department. J Emerg Med. 1987,59:359-62. Paper.