Newport US

 
Spread the word that the Yale University Department of Emergency Medicine, Yale Division of Emergency Ultrasound and CCEP are hosting the New England Emergency and Critical Care Ultrasound course, Thursday, September 10, and Friday, September 11 at the Marriott Newport Hotel in Newport, Rhode Island. There will be a Management Pre-course from 1:00pm-5:00pm on Wednesday, September 9th, and a sunset cruise that evening.
 
Experience the beauty of autumnal New England while learning crucial ultrasound skills that will change your daily practice. Featuring our very successful two-track model, we focus on giving you as much hands-on practice as possible using real cases for guidance with a low student-to-faculty ratio.
 
Our faculty are leaders in the field who have all shaped how and why bedside ultrasound has become a standard in medical specialties within the US and abroad. Our courses are frequently attended by physicians, midlevels, residents and students in Emergency Medicine, Critical Care, Anesthesiology, Radiology, OBGYN, Family Medicine, General Surgery and others who have an interest in bringing ultrasound into their practices.
 
Early bird registration is now open: www.eus.yale.edu
Or you can register by contacting the course coordinator, Hilmer Ayuso, at 203-785-4058, or yale.eus@gmail.com.
 
For more information please visit the Yale Emergency Ultrasound Division website

Emergency Medicine Lectures will take place at Yale on Wednesday, April 22nd at 464 Congress Avenue beginning at 9:00am.

Breakfast will be served.

Time Topic Moderator
9:00am Small Group Sim Simulation Faculty
Journal Club: Diabetic Ketoacidosis Sander
11:15am PGY-3 Talk: Electrolyte Disturbances von Reinhart
PGY4 Talk: Endocrine Emergencies Terskiy
PGY3 Talk: Sepsis Varga

 
This week’s Journal Club will cover two articles discussing the management of DKA.
The articles can be found in the Yale Box, or they can be downloaded from pubmed directly:
 
Classic: Brandenburg MA, Dire DJ. Comparison of arterial and venous blood gas values in
the initial emergency department evaluation of patients with diabetic
ketoacidosis. Ann Emerg Med. 1998 Apr;31(4):459-65. PubMed PMID: 9546014.

 
Current: Nallasamy K, Jayashree M, Singhi S, Bansal A. Low-dose vs standard-dose
insulin in pediatric diabetic ketoacidosis: a randomized clinical trial. JAMA
Pediatr. 2014 Nov;168(11):999-1005. doi: 10.1001/jamapediatrics.2014.1211. PubMed
PMID: 25264948.

Mark Brady, Chief Resident from the Class of 2013, is at it again with a new film, Never Say Die: A Story of ‘End-of-Life’ Healthcare in America.

If the film is anything like 24/7/365, it will be quite a well done and thought-provoking movie. Check out the website and the Facebook page to keep up with all the details.

Typical symptoms of ACS are historically based on the presenting complaints of men (chest pressure, radiating pain, diaphoresis, etc.). Hopefully we have all learned that “atypical” presentations aren’t that uncommon and should warrant early concern for cardiac etiologies.

 

In Sex Differences in Reperfusion in Young Patients With ST-Segment–Elevation Myocardial Infarction Results From the VIRGO Study, our very own Drs. D’Onofrio and Safdar, and their colleagues attempt to analyze the gender disparities in rates of reperfusion after acute MI (AMI).

 

Congratulations to Drs. D’Onofrio and Safdar on their stellar research, and keep reading for a quick summary of their pertinent and troubling findings.
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London Schools in Wartime_1941_WikiCommons

In short, bioterrorism agents are many, they are bad, and they are (knock on wood) uncommonly encountered by your average EM provider. That being said, knowing how to detect an exposure in your patients while protecting yourself and others is essential.  Click the link below for some quick helpful details.

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Yale GH Day 2016

To kick off a new effort to bring relevant reviews of the primary literature for residents and by residents, we present to you an oldy but a goody:
Intensive versus Conventional Glucose Control in Critically Ill Patients

 

These posts are going to be as concise as possible without oversimplifying too much by combining the PICO approach with Annals of Emergency Medicine capsule summary approach.

 

Does this summary replace reading the article for yourself?

NO!

 

But it will give you clinically relevant facts, tips on things to look out for when reading the primary literature, and if you are so inclined a forum to share interesting articles you just read. So here we go!

 

Conclusion:

Intensive glycemic control (goal 81-108 mg/dL) resulted in higher 90-day all-cause mortality (odds ratio 1.14 with 95% CI 1.02-1.28) than conventional control (goal 144-180 mg/dL) in adults admitted to an ICU in this randomized, multi center, multinational clinical trial. Number Needed to Harm = 38.

Keep reading for all the details.
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Emergency Medicine Lectures will take place at Yale on Wednesday, April 15th in Harkness Auditorium beginning at 9:00am.
 
Breakfast will be served.
 

Time Topic Moderator
9:00am Customer Service in the ED Doug Latham
10:00am Morbidity and Mortality: Intracranial Hemorrhage Orgill & Neuro Guests
11:00am Urology: CBIT: Center for Biomedical and Interventional Technology Loose
11:15am Pass the Pointer Pare
12:30pm Great Catches: N. meningitis Bernstein

 
Check out the NEJM CPC on Meningitis here.

 

Don’t forget to add the Yale EM Calendar to your Google calendar (just click the link in the bottom right hand corner of the calendar box) or add it to your iCal!

Yale EM FTW!
 
Think our faculty are just great clinicians and reseachers? Think again as FOUR attendings were recognized this week by the Yale School of Medicine and the city of New Haven.

Dr. Rachel Liu, the associate director of the Department’s ultrasound division, was selected as a recipient of the Charles W. Bohmfalk Teaching Prize for teaching in the clinical sciences.
 
Dr. Leigh Evans, the Director of the Simulation Center, was selected as the recipient of the Alvin R. Feinstein Award, given to the faculty member who is chosen as the outstanding teacher of clinical skills.
 
Dr. Karen Santucci, Medical Director of Pediatric Emergency Medicine, was selected as a recipient of the Leah Lowentein Award. This award is to a member of the faculty who is the model of a medical educator whose humane teaching reaches and influences all students regardless of gender, race or socioeconomic background.
 
Dr. Kirsten Bechtel, Associate Professor and Medical Director of SANE Program, was one of the recipients of the Elm-Ivy awards given to individuals who have demonstrably contributed to increased understanding and cooperation between New Haven and Yale University.

Congratulations to Aman Shah, PGY-1, for being the Resident of the Month! With more nominations this month than ever, this is a real honor.
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Here are some of the comments submitted about Aman:
“Smart, fast, efficient, but most importantly has a GREAT attitude, is always smiling and even sings on shift. He is amazing!”

 
“Aman Shah was amazing in the MICU last month. Not only did I enjoy rotating with him, the swing and float residents and MULTIPLE fellows all were impressed and told me how lucky I was to have him.”
 
“The few interactions I have had with Aman reveal that he is an exceptionally motivated person and a very good communicator with promise to become an exceptional clinician. Additionally, during the applicant interview and tour season, he went above and beyond to volunteer for both. He knew a great deal about the workings of the department and was very professional with the candidates. I was very impressed!”