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Conference Summaries

Conference Summary 10/13/21

Residency/Department Updates Next week's 10/20 conference will be over Zoom10/27 conference will be a reverse conference dayPrincess shift 7am-1pmConference will be in person around the Coney Island board, full schedule will be e-emailed soon. 7a: Dr Jeong / Dr Rizzo / Peds EM faculty: CCA GI Bleed830a: Peds EM faculty: CCA GI Bleed930a: Resident Lectures: Ivan / Jessica1030a: Faseeh - EKG/CCU #3 / Jessica - Toxicology Lecture (or Ultrasound)1130a: Kaiser Permanente Physician - Job Searches and CV writing w/ Q+A (There will be food) Resources for GI Bleed ‘Cor

by Dimitri Livshits, DO
Conference Summaries

Conference Summary 10/6/21

Residency/Department Updates When order MTP, just check MTP, DO NOT order any RBC/PLT/PLTs separatelyMake sure ELOC patient have all their meds, hospital bed, diet, activity orders, etcStill need to write daily progress note (signout note “received care from previous team, patient in ELOC pending xyz”) 7a: Resident Lectures - Dima - Q1 Conference Review / Hamzah - 8a: Denise - EKG/CCU lecture #2 / Chirag - US lecture9a: BREAK / Dr Rizzo - Seizures (not completed from last week)10a: Dr Rizzo - October's Quick Hits Podcast #4 - Acetaminophen interactions/HD + aceta

by Brenda Sokup, DO
Conference Summaries

Conference Summary 9/29/21

Residency Updates with Dr Jeong + Faculty “A person is smart, people are dumb” -Tommy Lee Jones, Men In BlackDepartment getting busy, thanks for working hardYou are responsible for your own education and your own patientsGo to every resus, but don’t stay so long that it’s a detriment to your own team -- find a balanceYour plate should always be full, always be a little bit uncomfortable, always push yourself, write down things and look them up later when hangin’ at a coffee shopBe consistent -- work hard with every attending Dr. Kindschuh updates About half of rad

by Geoff Luecker, DO
Conference Summaries

Conference Summary 9/22/21

Residency news and updates: Wednesday, September 29, 2021 at 12:00pm: Envision Health info service. Residents get $50 uber eats gift card for attending; if you have not Click Here to RSVP e-mail kristi.thetford@envisionhealth.com with any questions. Dr. Kindschuh Updates: Joint commission is here alreadyConsent for EVERYTHING (procedures, AMA, etc)  in appropriate language 7a: Geoff / JP (TRI) - resident lectures (BJ postponed)8a: Dr Sun - Hyperkalemia / Faseeh - CCU lecture #29a: BREAK / Dr Jeong - C3 - Asthma/COPD10a: Dr Jeong - C3 - Asthma/COPD

by Brenda Sokup, DO
Conference Summaries

Conference Summary 9/15/21

Residency news and updates: October 27th will be a reverse conference with scavenger hunt. Princess shift will be from 7am-12pm, conference will be afterwards around the boardwalk. 7a: Resident Lecture - Brenda - Harlem Trauma Diaries / Faseeh - CCU EKG lecture #18a: Dr Rizzo - Radiology Rounds9a: Dr Cocchiara - ED Trauma Management10a: Dr Nguyen - The Eye (part 1)11a: Med student lectures: Tanzeela - Seizures / Tanzina - Sickle Cell pain crisis Resident Lecture - Brenda - Harlem Trauma Diaries Always ABCDECase 1: 40M Stab in neck and laceration to righ

by Geoff Luecker, DO
Conference Summaries

Conference Summary 9/8/21

Residency news and updates: None this week We will be watching the first quarter of the 2021 EMRAP Cardiology Conference. Key Topics in Emergency Cardiology virtual conference  Lectures: 8a: Updates on ACS management / Managing Cardiogenic Shock / BREAK 9a: Hypertensive Emergencies / Chest Pain in Pregnancy / BREAK 10a: ECG Bootcamp #1 / Echo 101 / BREAK 11a: LVADs / Managing Acute Pulm Edema Updates on ACS management Certain NSTEMI’s need reperfusionImmediate invasive (<2h) - refractory angina, recurrent angina, sustained

by Brenda Sokup, DO
TJ Tidbits

Thoracotomy in the ED

Criteria:  Most use the EAST Recommendations  1) Follow your ATLS protocol first!   - This means this patient should be intubated, have had bilateral chest tubes/thoracostomies,  and adequate/appropriate volume resuscitation first   - If the patient still remains hypotensive and there is still active bleeding and they fit the EAST  criteria, may proceed with thoracotomy   2) Tool kit (simplified ED)  A. Finochietto Retractor (crank handle must be opposite side of spreader handle, bar always 

by Tejeshwer Jaswal, DO
Conference Summaries

Conference Summary 9/1/21

Warm welcome and thanks to our PEM team for joining: Dr. Rhodes and Dr. Weber!!Next week conference will be zoom, will go over some of the EMRAP cardio symposium Dr. Kindschuh Oral updates STROKE CODEWill be switching from alteplase to tenecteplase (TNKase)🔈 Goal to give thrombolytics <30 minutesWorking on developing a script for TNKase consent.  How we will get to <30 minutes TNKase administration:Stroke stretcher in triageDoor to CT 10 minutesStandardized informed consentIVP TNKase as while in CTDose: 0.25mg/kg (max dose 25mg) IV bolus over 10second

by Ivan Ivanov, DO
Conference Summaries

Conference Summary 8/25/21

Dr. Kindschuh news and updates: Dr. Gladstein gave tPA for a stroke in 24 minutes yesterday!Coney goal is <30 minutesPlease clean your equipment (glidescopes, ultrasound, etc) 7a: Chirag / Denise - resident lectures (please send your topics to me soon - 20min max)745a: Dan (rotating intern) - Syncope ED Pearls8a: Dr Misch - Managing Unstable GI bleeds (non-administrative)9a: Dr Viguri - Understanding Opioids10a: Dr Patel - EKGs11a: Dr Seeram - DKA/HHS -- (not today) Pancreatitis - ChiragPancreatitis dx, need ⅔1) Epigastric tenderness2) Lipase >3x nor

by Ivan Ivanov, DO
Conference Summaries

Conference Summary 8/18/21

Residency updates/news: GI CODE reminder from Dr. KindschuhRockall >3 (10% mortality risk) →  activate GI CODEGlasgow-Blachford >6 (50% of intervention) → activate GI CODEOnly for UPPER GI BLEEDCall GI code because you think you need endoscopyGet emergency release blood, should be within 20 minutes!Hgb <7 and tachycardia? Get emergency release blood!Hgb >7 and needs blood? Get crossmatched blood within 60 minutesWhen in doubt, check wall in resuscitation room for GI Code guidelines 7a: Resident Lectures - Raj - Pediatric Respiratory Distress / Mi

by Ivan Ivanov, DO
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