Wilderness Medicine

Emergency Medicine Lectures will take place at Yale on Wednesday, May 18th at 333 Cedar Street in Harkness Auditorium beginning at 9:00am. Breakfast will be served.
The second day of AWLS training and hands-on sessions will take place on Thursday, May 19th. Keep your eyes peeled on your email for further details!

0900 Wilderness Infections (Della-Giustina)
1000 Altitude Illness (Della-Giustina)
1030 Drowning (Jess Singh)
1100 Hot, Cold, and Frostbite (Mike Yip)
1200 Animal Bites and Stings (Matt Dolan)
1300 Diving Medicine (David Hao)
19 May
0845 Introductions/Overview
0900 Patient Assessment/Skills (Della-Giustina)
1000 C-Spine Management (Della-Giustina)
1100 Small Group: Medical Problems (Jess Walrath)
1130 Medical Kits (Jess Walrath)
1200 Lunch
1300 Splinting/Dislocations (Dan Savage)
1345 Litters and Patient Packaging (Dan Savage)
1430 Lightning (Bethann Mohammed)
1500 Small Group: Infectious Disease (Jonathan Maisel)

Emergency Medicine Lectures will take place on Wednesday, May 4th. Please see details below for specific times and locations for your AOC.
8:45am – Admin AOC at the School of Management starting with coffee at 8:45 am and invited speakers at 9:00 am sharp.

    Location: Yale School of Management, Room 4420, 165 Whitney Avenue, New Haven, CT 06511
    Why and how to get an MBA as a physician
    How does a line at McDonalds relate to the ED
    An in-depth review of Affordable Care Act and how it impacts physicians and patients (Dr. Howie Foreman)
    Doctors as entrepreneur and resources at Yale to help to turn visions into reality

9:00am – Wilderness & EMS AOC at Sleeping Giant State Park on Mt. Carmel Avenue. Meet in the main parking lot.
9:00am – US & CC AOC at the SIM center at 728 Howard Avenue

Emergency Medicine Lectures will take place at Yale on Wednesday, February 3rd at 464 Congress beginning at 9:00am. Breakfast will be served.

Top: Dr. Emily Johnson taken from Women’s Adventure magazine’s Winter 2014-15 issue

9:00am – 11:15am – Small Groups at 464 Congress

    PGY3 – In-service Review Jeopardy – Dr. Roh (SIM Conference Room)
    PGY4 Talk – Dr. Varga (SIM Debriefing Room)

Grand Rounds:
Conference will then move to Harkness Auditorium for Grand Rounds. Our Grand Rounds speaker is Dr. Emily Johnston, MD, an Emergency Physician, professional mountain guide, ski patroller, and whitewater guide. Please join us for a great afternoon of lectures on both adaptation to hypoxia, as well as learn more about Dr. Johnston’s experiences with the evacuation of Mt. Everest after the earthquake last year.

    11:30am – 12:30pm – Lessons from the Mountain
    12:30pm – 1:30pm – Adaptation to Hypoxia
    1:30pm – Lunch will be served

Journal Club Articles:
Current Article: Rosenson, J., Clements, C., Simon, B. et al. Phenobarbital for acute alcohol withdrawal: a prospective randomized double-blind placebo-controlled study. J Emerg Med [serial online]. 2013; 44: (3), 592-598.e2.
Classic Article: Rathlev, N. K., D’Onofrio, G., Fish, S. S. et al. The lack of efficacy of phenytoin in the prevention of recurrent alcohol-related seizures. Ann Emerg Med [serial online]. 1994; 23: (3), 513-518.

Emergency Medicine Lectures will take place at Yale on Wednesday, January 6th at 464 Congress beginning at 9:00am with the exception of one AOC which will take place in Harkness Auditorium. Breakfast will be served in the SIM center kitchen. Please note that there is no food allowed in the SIM conference rooms any longer. Please enjoy your breakfast in the kitchen area of SIM. Thank you for your understanding.
9:00am – 11:15am – AOC

    Wilderness – Altitude Medicine – Dr. D. Hile (Harkness Auditorium – there will be breakfast in Harkness)
    Admin – Dr. Parwani (SIM Debriefing Rm)
    EMS – Air Medical Cases – Dissecting the Issues & Challenges – Drs. Marcolini & MacMillan (SIM Conf Rm)

11:50am – 2:00pm – Small Groups

For This week’s Journal Club, Dr. Frank Moore, will be leading a discussion of the following two articles:
Jones, A. E., Shapiro, N. I., Trzeciak, S. et al. Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. JAMA [serial online]. 2010; 303: (8), 739-746.
Ward, M. J., Fertel, B. S., Bonomo, J. B. et al. The degree of bandemia in septic ED patients does not predict inpatient mortality. Am J Emerg Med [serial online]. 2012; 30: (1), 181-183.
The Ultrasound AOC will be focusing on the evaluation of the right heart. Please review the following resources prior to the session:

There are four articles attached. While we would like all of you to read all four, each of the residents from the following years be prepared to present and discuss one article in detail:
R1 – Taylor et al. 2013
R2 – Konstantinides et al. 2014
R3 – Taylor et al. 2014
R4 – Matthews et al. 2008

Congratulations to Matthew Dolan, PGY3, for being one of two winners of this year’s ACEP Wilderness Medicine Section Photo Contest for his composition, Milky Way Over the Campgrounds! The shot was taken while camping at Cherry Springs State Park in Coudersport, PA.
Make sure to click on the image to see it in full resolution. What a beautiful night and what a beautiful shot!

Emergency Medicine Lectures next Wednesday August 19th will be part of our ongoing collaboration with the Yale Freshman Orientation Outdoor Trip’s Program (FOOT). Two sets of lectures will start on Wednesday on the second floor of William Harkness Hall, 100 Wall Street. These sessions are to provide certification or recertification in Wilderness First Aid both to our residents as well as the Yale FOOT leaders before they lead groups of undergraduate freshman on their orientation trips. These courses will be taught by Yale EM faculty and residents with hands-on sessions throughout the day.
From 9a-5p in room 207: one-day Wilderness First Aid refresher course
From 9a-4:30p in room 208: day one of two day Wilderness First Aid course.
On Thursday, August 20, from 9a-5p in room 208 will be day two of this two day course.
Breakfast will not be provided.

Check out the most recent issue of the Department of Emergency Medicine’s newsletter!
Newsletter Cover
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Emergency Medicine Lectures will take place at Yale on Wednesday, August 12th at 464 Congress beginning at 9:00am. Breakfast will be served.


9:00am – 11:15am – AOC  
    Wilderness Medicine Survival – Dr. Hile (Main Conf. Rm)
    Ultrasound – Dr. Liu (SIM Ultrasound Rm)
    Medical Oversight of EMS: Direct & Indirect – Drs. Bogucki, Burns & Medoro (SIM Conf. Rm)
    Administration – Drs. Parwani & Shapiro (SIM Debriefing Rm)
11:50am – 2:00pm – Small Groups
    Journal Club: C-spine collar clearance in trauma – Dr. Roh (Main Conf. Rm)

    PGY3 Talk – Fluids & Electrolytes – Dr. Moore (SIM Debriefing Rm)

    TBD – Dr. Chekijian (SIM Conf. Rm)

For Journal Club this week we are going to be talking about management of suspected cervical spine injury. See below for articles and links
Classic #1: Stiell, I. G., Wells, G. A., Vandemheen, K. L. et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA [serial online]. 2001; 286: (15), 1841-1848. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11597285.

Classic #2: Hoffman, J. R., Mower, W. R., Wolfson, A. B., Todd, K. H., & Zucker, M. I. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Engl J Med [serial online]. 2000; 343: (2), 94-99. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=10891516.

Current Article: Patel, M. B., Humble, S. S., Cullinane, D. C. et al. Cervical spine collar clearance in the obtunded adult blunt trauma patient: a systematic review and practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg [serial online]. 2015; 78: (2), 430-441. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=25757133.

For those in the Administrative AOC, please read the two articles linked below before Wednesday to inform our conversation about Geriatric Emergency Medicine:
Hogan, T. M., Olade, T. O., & Carpenter, C. R. A profile of acute care in an aging America: snowball sample identification and characterization of United States geriatric emergency departments in 2013. Acad Emerg Med [serial online]. 2014; 21: (3), 337-346. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=24628759.

Hwang, U., & Morrison, R. S. The geriatric emergency department. J Am Geriatr Soc [serial online]. 2007; 55: (11), 1873-1876. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17916122.

For the EMS AOC, use this link to get the current EMS protocols. The most up-to-date version can also be found on the Sponsor Hospital website if you need them in the future.
For those of you in the Ultrasound AOC, click here for access to the Yale Box for the pre-conference readings.

Check out the 20 most recent publications from the Yale Department of Emergency Medicine faculty:

Emergency Medicine Lectures will take place at Yale on Wednesday, April 22nd beginning at 9:00am. This is a full-day event for the Wilderness Medicine, Ultrasound, and EMS Areas of Concentrations. Please don’t switch randomly, as the groups will be lopsided.
Each AOC is meeting in a different place so be sure to head to the proper spot.
The Wilderness AOC is meeting at 9:45am at Carabiner’s Rock Climbing Gym, 85 Mill Plain Rd, Fairfield, CT 06824.
1000-1045 – learn about Climbing techniques, injury patterns, management
1045-1115 – knot tying workshop
1130-1330 – rock climbing – the residency will cover costs for climbing; harnesses will be provided for all those who need
The EMS AOC is meeting at the New Haven Regional Fire Training Academy, 230 Ella T. Grasso Blvd, near the intersection with Kimberly Avenue. As you drive in take the road that curves to the right and go through the chain link gate into the large open lot and park. Please come directly to the academy – enter the front door and come to the large auditorium on the left. Lunch will be provided.
9:00am-10:00am: Lecture on Small Space Rescue by Dr. David Cone
10:00am –> Small Space Rescue Simulation with the New Haven Fire Dept. Heavy Rescue Unit
You will be using harnesses, respirators, and crawling through small spaces treating injured simulation patients and assisting with their extrication. PLEASE WEAR RUGGED, COMFORTABLE CLOTHES AND STURDY SHOES OR BOOTS- YOU WILL GET DIRTY!!!!



The Ultrasound AOC is meeting in the Sim Center at 9:00am for some high-fidelity critical care sim cases using ultrasound! We have a bunch of great cases lined up to challenge residents of all levels. We will finish off the session with a review of the articles used at this year’s Sonogames at SAEM to help our team, the Ultrahounds, get ready for the national stage! Breakfast is provided.
Here’s a link to the Yale Box Folder with all the articles.
Check below for your assignments.
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