Two very concerned parents bring their two-year old son into the Emergency Department after they heard a thud.

“I was watching him sitting on the couch while I was folding clothes. I turned around to put the laundry basket away, and the next thing I know, I hear a loud crash, and little Timmy is face-down on the hardwood floor crying,” said the father sheepishly.
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Emergency Medicine Lectures will take place at Yale on Wednesday, July 29th at 464 Congress Avenue beginning at 9:00am. Breakfast will be served.


9:00 – 11:15:   Small Groups  
  • Small Group Journal Club (Dr. Mohammad) – Main Conference Room
  • PGY4 Talk (Dr. Savage) – SIM Conference Room
  • Taking the Stress out of Stress Tests: Choosing & Interpreting the Right Test for Your Patient (Dr. Safdar) – SIM Debriefing Room
11:15 – 11:45:  Residency Leadership
11:50 – 2:00:  Small Groups
  • Appendicitis (Dr. Evans) – SIM Conference Room
  • PGY 3 Talk (Dr. Johnson) – SIM Debriefing Room
  • PGY4 Talk – Airway Emergencies (Dr. Rodulfo) – Main Conference Room

Journal Club Articles:
Classic: CRASH-2, T. C., Shakur, H., Roberts, I. et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. Lancet [serial online]. 2010; 376: (9734), 23-32.
Current: Holcomb, J. B., Tilley, B. C., Baraniuk, S. et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. JAMA [serial online]. 2015; 313: (5), 471-482.

Platypus identical triplets, Huey, Dewey, and Louie, walk into a bar and proceed to start a riot over whether or not they are mammals given that platypodes lay eggs. 911 is called. The three are brought to the ER for injuries sustained above the clavicles defending the honor of their species:
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Triage Summary: 45 year-old Mountie is brought in by his trusty steed, Horse, after hurting his left knee one-hour ago by jumping down out of the saddle in hot pursuit of a one, Mr. Whiplash.

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Please be aware that the image associated with this case is graphic based on the nature of this clinical scenario.
EMS Patch:“We are 5 minutes out with a 36 year-old male who was cutting a tree branch on a ladder about 6 feet off the ground when the chainsaw kicked back and struck him in the face. We found him on the ground after his wife called 911. He is constantly spitting up blood, is confused, and is trying to get out of the c-collar. Heart rate is 40. Blood Pressure is 110/76. RR 28. Oxygen saturation is 95% and he won’t tolerate any supplemental oxygen. See you in 5.”
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Emergency Medicine Lectures will take place at Yale on Wednesday, July 22nd in Harkness beginning at 9:00am. Breakfast will be served.

Time Topic Moderator
9:00am Peds: Autoimmune & Rheumatologic Emergencies Kim
10:00am Updates in Trauma L. Hile
11:00am Pass the Pointer Liu
12:00pm Morbidity and Mortality Savage
1:00pm Quiz Della-Giustina

Please join us in congratulating Cristiana Baloescu on being named the Resident of the Month for June!
Here are some of the things residents and attendings said about Cristiana in their nominations:
“Handled multiple back-to-back intubations on a crazy day.”
“When I show up on a shift and I see that I am working with Cristiana, I know it’s going to be a good day no matter what comes through the doors.”
“Despite the craziness of a busy shift, she found the time to speak with a several groups of family members about the goals of care of a complicated patient. She demonstrated great patience and persistence in her conversation combined with compassion and recognizing that this was a very difficulty decision.”
Kudos, Cristiana on all the hard work!

EMS Patch: On scene with a 25 year-old male unrestrained driver who just crashed his car into a tree going ~50 mph.
EMS cellphone photo of the crash:

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Morning Report is a case-based teaching tool typically done at the start or end of a shift, or during dedicated teaching time on the wards. Traditionally done in person with the line of questioning from faculty used to discern the breadth and depth of knowledge of the residents’ and medical students’ present, we are going to try to capture some of that style here with these cases. So to get the most out of the cases below don’t skip ahead or click to reveal the answers without giving yourself time to formulate an answer.

EMRA and CDEM, Clerkship Directors in Emergency Medicine, produce fantastic resources for residents, medical students, and EM faculty involved in teaching. This video on “Patient Presentations in the Emergency Department” is just the most recent example.
Make sure to check this video out to #rockyoursubi and check out our very own Mike Yip, Class of 2018!

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