Conference Summary 7/7/21

July 7, 2021 , , ,
  • 7a: Dr Nguyen, Dr Rizzo + Dr. Jeong – Introduction to the 2021-2022 academic year. Review of residency policy and responsibility
  • 8a: Brenda / Dima – Resident Lecture (TBD)
  • 9a: TJ – Airway 101 
  • 10a: Dr Rizzo – Podcast Chat
  • 11a: Dr Rizzo – Podcast Chat
  • Some general updates from Dr. Jeong
    • Research: couple of big projects for the residency to tackle as a team
    • Dr. Jeong in charge of the transition committee to the new building, will be moving to new building in 1 year
    • Community outreach for stroke, breezy point
  • 7a: Dr Nguyen, Dr Rizzo + Dr. Jeong: Intro to academic year
    • 2 conference skips per year, let admin and chiefs know
    • Can come to conference during vacay to “bank” extra days
    • Lecture generally should be 20-30 min
    • PGY1
      • CCU rotation = 3 EKG lectures during weds conf
      • Ortho = 1 ortho lecture
      • Rad = 1 rad lecture
      • US = 1 US lecture (45 min)
    • PGY2
      • Addiction = 1 lecture
      • Tox = 1 lecture (45 min)
    • PGY3/4
      • Admin rotation = 1 lecture (45 min)
      • Elective = resident education or lecture
    • Intern lecture series will start up
  • Dimas lecture: Tachydysrhythmia
  • Brenda Lecture: GI Bleed
    • LInk to ppt: GI BLEED 7/7/21
    • Rizzo: Vasopressin and its analogues are potent vasoconstrictors and can be utilised in the management of the complications of cirrhosis. Hyponatraemia is common in end stage liver disease due in part to sodium retention and a decreased free water clearance.
    • ABC
    • Blakemore
    • MTP, give calcium too
    • Pressors in hemorrhagic shock (from Geoff):
      • file:///var/folders/lq/kr844p591h3bkmj5sc744fvm0000gn/T/com.apple.iChat/Messages/Transfers/Pressors%20in%20Hemorrhagic%20Shock%20JAnaesthClinPharmacol3313-5315941_144559.pdf  
  • TJ Lecture: Airway 101
    • EMrap video podcast: https://www.emrap.org/episode/icufundamentals1/ventilator
    • Link to PPT: (not on google slides, can email)
    • BIPAP
      • CO2 parameters: rr, tv driving pressure (ipap-epap)
        • Driving pressure = how you get tidal volume into your patient 
        • In COPD pts increase the driving pressure (difference between ipap and epap) to blow off CO2 
      • O2 parameters: FiO2, PEEP
    • Vent settings
      • TV, RR, FiO2, PEEP
      • I:E time
    • Indications for intubation
    • SOAPME
    • Pre-ox, why? Denitrogenation, more alveoli reservoir
      • Air is 79% nitrogen
      • Safe apnea time = 8min in healthy preox peeps, 1 min on RA
    • Anticipate failure, plan for it
    • RSI meds (Rosh review)
    • Post-intubations chest XR, look for complications: PTx, right mainstem
      • ETT should be 3-5cm above carina
    • Peak pressure = max pressure in unit, max 40
    • Plateau pressure = pressure in the alveoli, max 30
    • Vent troubleshooting: DOPES
    • EMRAP Vents intro lecture:

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