Emergency Medicine Lectures will take place at Yale on Wednesday, April 13th at 464 Congress Avenue beginning at 9:00am. Breakfast will be served.

9am – 2pm: Airway Day (Goldflam, Agrawal, Venkatesh, Moadel and Bonz) – SIM

Emergency Medicine Lectures will take place at Yale on Wednesday, April 6th at 333 Cedar Street in Harkness Auditorium beginning at 9:00am. Breakfast will be served.
Please join us in welcoming Dr. Rachel Isba, as she share her thoughts, research, and experience on Pediatric Emergency Medicine and Public Health in the UK.
9am – Simulation Debriefing – Dr. Dodge
10am – REBOADr. L. Hile
11am – M&M – Dr. Sagnella
12pm – Grand Rounds – Pediatric Emergency Medicine & Public Health in the UK – Dr. Rachel Isba, BM BCh, PhD, MPH
1pm – Lunch

Congratulations to Bryce Campbell, PA-R1, for being voted Resident of the Month for March 2016! Bryce is one of our PA residents in our inaugural class and has done an amazing job this year.
Check out some of the comments in support of Bryce’s recognition:
“Since his time at Yale he has distinguished himself by going out of his way for his patients. When on other rotations he frequently comes to the ED to perform procedures and help out a busy shift. I am not infrequently stopped after one of his shifts so that I can hear about his extraordinary work ethic, knowledge and overall fantastic personality. He is a pleasure to work with.”
“Bryce is an exceptional resident. He is kind with an excellent work ethic. Most residents comment that the quality of his work far exceeds his level of training. ”
“His best professional skill is his openness to learn and humility.”

The language of medicine is one that can both illuminate and obscure: “I have a patient with a Lisfranc fracture,” is often all one needs to say to get the full attention of the consulting orthopedist. Yet, “I have a septic patient who I think warrants ICU-level care,” universally prompts the intensivist to ask for more information prior to accepting the admission. This is for good reason as sepsis-like physiology is present in many disease processes and even many non-disease states, such as normal labor, intense physical activity, and competing in the national debate finals, which do not need ICU-level care.

Simply meeting the criteria for sepsis as previously defined (SIRS + probable infection) does not fully describe how ill a patient may be, because sepsis is heterogeneous syndrome with an intentionally overly inclusive definition. The previously broad criteria reflect both a need to avoid missing patients who might be suffering from this life-threatening condition and an acknowledgement that the underlying pathophysiology is complex and not yet completely understood. Yet in spite of this sensitive but not very specific terminology, modern medicine still misses some of these patients—those with occult sepsis. As such, the hope is that a better understanding of the pathophysiology of sepsis, with additions and revisions made to its very definition and the states along its continuum, would yield the needed advances in detention and management, and mortality reduction. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), would seemingly seek to address these at-risk and under-identified patients, but it seems to have gone completely the other way in an effort to redefine sepsis more precisely as far as outcomes are concerned. Of note, this summary is actually of the manuscript describing the derivation of these new definitions, not of the consensus statement itself.
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Another Match Day is in the books, and we are beyond stoked to welcome the Class of 2020 to the Yale Emergency Medicine Family!
Enjoy the rest of your last year of medical school, and we will see you in June!

In our anticipation waiting to learn who our new interns will be this coming Friday, we almost forgot about all the excitement happening right here in New Haven! It turns out that the Department has a ton of birthdays to celebrate this month, so let’s give a big set of birthday shout outs to all of them:

Neil Sreshta, Class of 2014 and now attending physician at Yale-St. Raphael’s
Justine Nagurney, PGY-3
Chad Sagnella, PGY-4
Matt Thornton, Former Yale Pediatric Emergency Medicine Fellow, Class of 2014
Ricky Rechenmacher, PGY-1
Harman Gill, Class of 2014 and current Critical Care Fellow at the Cleveland Clinic
Lisa Sander, PGY-4
Krystal Daniels, RN
Lynette Marie, RN
Brian Steiner, PGY-3

Olga Kovalerchik (PGY-2) was just named Vice Chair of EMRA’s Research Committee.
EMRA’s Research Committee serves as a national resource for medical students and emergency medicine residents providing access to research grants as well as helping with the publication of EM Resident magazine.
Congratulations, Olga, on this well deserved appointment!

Congratulations to Dr. Chad Sagnella for being named resident of the month for February!
Check out some of the great comments about Chad:
“Chad always knows everything about the patient medically and socially. He is efficient, consistently upbeat and fun to work with. He leaves no stone unturned.”
“Chad is hard working, motivated, cares about patients and reflects on how he can improve to provide safe compassionate care.”
“Chad is great for morale in general. Cares a lot about how everyone is doing including juniors and attendings (ie when dr french’s mom passed away). Overall one of the best team players.”
“Chad is the type of resident who will walk into a resuscitation room to help another team, quietly put in a femoral line and then with the same humility and care will walk over to get a patient a sandwich. He deserves resident of the month.”

The Emergency Medicine In-Training Exam at Yale will take place tomorrow, Wednesday, February 24.

Please arrive on time at 8:15am at 300 George Street in room 157 IFE so that you can get breakfast, get settled, and then we can take a group picture.
After the exam, from 12:30 to 4pm for those of you who are not working clinically, there is lunch and decompression time at Cask Republic, so please be sure to join us.
Good luck tomorrow everyone!


  Everyone should have wellness on their minds after the 2016 Emergency Medicine Wellness Week™ created by ACEP. The goal of this program was to remind all emergency physicians and our colleagues to take time for self-renew while working the long and at times very difficult hours inherent in our careers.


  Wellness initiatives such as this one have popped-up in multiple venues in the past four years—from financial companies to medical schools, and even many residency programs—indicating a new emphasis on work-life balance to decrease burnout. Aptly, this comes in the face of increasing publicity of the rates of burnout, depression, and suicide within the medical profession. Some 400 doctors commit suicide every year. Depression is common in medical students and residents, with 15-30% of them screening positive for depressive symptoms. One Australian study estimated rates of physician suicide were twice that of the general population.

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