2024

April 2024: The Patient “Experience” Mitigating the Challenges

March 2024: Healthcare Disparity and Voter Registration. Hotspotting Interventions: Do they work?

February 2024: Everything Anaphylaxis

January 2024: Mitigating Depression, Slow Productivity and Perfecting Ourselves to Death.

2023

November 2023: Low risk PE’s, ACORN and CT-First studies

October 2023: Prehospital TXA and plasma in trauma. Airway management in trauma resuscitations

September 2023: Fluids resuscitation, CT for GI Bleeds, Post-arrest CT’s and Diltiazem vs. B-Blockers for RVR

August 2023: Understanding inequity, social injustice, micro aggression, implicit bias, and cultural humility

July 2023: Intro to Therapy Articles and Prehospital TXA

May 2023: Central Retinal Artery Occlusion (CRAO), Hyperbaric Oxygen Therapy (HBOT) for CRAO, Thrombolysis for CRAO

April 2023: Bougienage for Esophageal Coins, Delivering Bad News

March 2023: Nitrates for Acute Pulmonary Edema, Diuretic Prescriptions for CHF Prevention, POCUS for CHF Diagnosis

February 2023: Bougie Assisted Intubation

January 2023: On Becoming an Attending, Cardioversion and Lead Placement, ECMO for Hypothermia, YEARS and Adjust-Unlikely for PE

2022

November 2022: Debriefing, Wellness strategies and Humor-Training

October 2022: Pigtails for pneumothorax, Ketamine & RSI, Inhaled steroids in asthmatics

September 2022: Trauma Potpourri with EVMS General Surgery

August: Mild Traumatic Brain Injury(TBI) in Children, Omphalitis, Videography and Tracheal Intubationin Children

July: Wake-up Stroke, Thrombectomy & Covert Brain Infarction

May: Unenhanced Abdominal CT Scanning in the Evaluation of Abdominal Pain

April: Peds EM JC: Covid-19, TBI in Infants, Short Course ABI’s in Community Acquired Pneumonia

March: Bladder Decompression and Bougie Assisted Intubations

February: Ketamine for Sickle Cell Crises & VTE’s in Age-Adjusted and Pregnant patients

January: Potpourri of topics: Woulda, Coulda, Shoulda but didn’t in 2021

2021

November: Management of Alcohol and Opioid Withdrawal

October: Trauma Topics. The Oblique Chest X-ray FAST exam in Pediatric Trauma PoCUS for Shoulder Dislocation

September: Analgesia in Acute Back Pain and Digital Nerve Blocks

August: Urgent Care Topics: Wound care, Corneal abrasions, Steroids in pharyngitis

July: Chest Pain and ED Management The HEART Score and GRACE Guidelines

May: Academic Fellow’s Journal Club Disparities in Health and Healthcare

April: Pediatric EM/Joint Journal Club Compassionate care of pediatric LGBTQ and the gender diverse. Covid and the risks of non-accidental pediatric trauma

March: ED Traumatic Arrest Management & Prognostic Factors

February: EMS Topics ECMO and the ARREST trial. Whole blood in hemorrhagic shock. Nitrous Oxide and Pre-hospital analgesia

January: The use of POCUS during CPR. Revisiting PEA and Pseudo-PEA

2020

November: The use of Coronary CTA in the ED chest pain patient

October: Physician burnout, Wellness Coaching & Positive Psychology

September: Managing Atrial Fibrillation in the ED

August: Peds Potpourri: PECARN and the Febrile Child, Ondansetron and Gastroenteritis and Ketamine for Intubation

July (Zoom): Evaluation of the Syncopal Patient & A Welcome Newbie’s Article

May (Zoom): Ultra-long US Guided IV’s, Midline Catheters & Substance Use Disorder

April (Zoom): Peds Potpourri Including: Head Lice, Surviving Sepsis in Kids, Prone Positioning & Quarantine Stress

March (Zoom): Pandemics & all things Covid-19

February: EM Physician Wellness & Burnout

January: Rapid Fire Potpourri: CAP, Diversity, Single Syringe Adenosine, Cellulitis, Tamsulosin, Rapid STD Dx, NSAIDS & AKI, Trigger Point Therapy, Laceration Repair: Never too late?

2019

November: Critical Care Topics: Vitamin C in Sepsis, Early Basal SQ Insulin in DKA and Early Norepinephrine in Sepsis

October: The Patient Experience: Perspectives on quality care and an introduction to Design Thinking

September: Acute Stroke in the ED: Extending intervention times with TPA and Thrombectomy

August Peds/EM Combined JC: Mild Traumatic Brain Injury (mTBI), TXA and Epistaxis and Probiotics in Pediatric Gastroenteritis

July Epinephrine and Out of Hospital Cardiac Arrest

May Diagnosing Pulmonary Embolism in Pregnancy: The YEARS Algorithm

April Pediatric Potpourri: The febrile infant, Intranasal ketamine vs. fentanyl Peds head injury scores

March Alternatives to opioids in the ED. Ketamine and IV Lidocaine

February Novel uses of tranexamic acid in select ED patients

January Outpatient management of acute pulmonary embolism

2018

November The Electronic Medical Record (EMR) or…Work as Imagined vs. Work as Performed

October Pre-hospital ETT vs. Laryngeal Airway in Cardiac Arrest & Endovascular vs. Thrombolytic Therapy in Proximal Ischemic Stroke

September US Guided Femoral Nerve Blocks & Pre-hospital Epinephrine in Cardiac Arrest Patients

August Fluid management in the pediatric DKA patient

July The HEART score in low-risk ED chest pain patients.

May Use of D-dimer to diagnose thoracic aortic dissection (TAD)

April- Delivering bad news in adult and pediatric patients

March- Balanced fluids in the ED. The SPLIT, SALT-ED and SMART trials

February- Atrial Fibrillation and ED anticoagulation. Hold the paddles! 

January- Opioid epidemic and ED prescribing.  

2017

November - Substance Use Disorder (SUD) and Physician Impairment 

October - Contrast Induced Nephropathy (CIN) - Myth or Malady

September - Outpatient Management of Acute Pulmonary Embolism

August - In-situ Simulation in the Emergency Department

July - ACLS Update and Beta Blockers in Recalcitrant Ventricular Fibrillation

May - Lean Design Principles in the Emergency Department

April - Sepsis and the qSOFA Score

March - Palliative Care and the Emergency Physician

February - ED Physician, PA, and Resident Burnout

January - High Sensitivity Troponins in Acute Chest Pain

2016 

November- Antibiotics for Uncomplicated Abscesses 

October JC Cancelled

September - Complex Decision Making and Video Ethnography in the Emergency Department

August - Management of the Headache Patient in the Emergency Department

July- JC Cancelled

May- Low-dose Ketamine for Analgesia in the ED

April- Acute appendicitis and non-operative management

March- Low risk chest pain patients and the HEART score.

February- Central venous lines (CVL) location. Where's best?

January- Reversal agents for direct thrombin, Factor Xa and Vitamin K antagonists. 

 

 

 

 

 

 

 

2015

November- Balanced fluid resuscitation or normal saline in resuscitation of the septic patient

October- Peds. Potpourri HEAT Trial, Atropine & RSI  Post-Arrest Hypothermia,  O2 Sats & Broncholitis

September- Thrombolytic Agents in Sub-Massive Pulmonary Embolism

August- Early Goal Directed Therapy Update

JulyShoulder Reduction Techniques

May- JC cancelled (SAEM)

April - Central vs Peripheral Vertigo and the HINTS examination

March - Ultrasound vs. CT for the Diagnosis of Acute Renal Colic

February - ECMO in the POST-Cardiac Arrest Patient

January - Carbon Monoxide Poisoning: Role of Hyperbaric Therapy?

2014

July-Intranasal Narcan in Opiate Overdose

May-Early Goal Directed Therapy in Sepsis

April-Tranexamic acid in Trauma, Menorrhagia and Epistaxis

March- Cardiac Catherization in the Post-Cardiac Arrest Patient

February-ED Child Abuse Screening Professionalism and EM

January- Post Cardiac Arrest Therapeutic Hypothermia

November -Age adjusted D-dimer

October-Ebola Update and Pandemic Mitigation

September-Delayed Intracranial Bleeding in Geriatric Head Injuries  

August-Sedation and Analgesia in Patients on Paralytic Agents

2013

July-Apnic Oxygenation and High Flow Nasal Cannula Before Intubation

May-Stress Testing in Low Risk ED  Chest Pain Patients  

April- Kayexalate for Hyperkalemia Family Presence During Resuscitation

March-Patient Satisfaction in the Emergency Department

February-Tricks of the Trade          Captain Morgan and Hip Reductions

January-Pediatric Potpourri:            Honey for Cough Suppression                A Clinical Decision Rule for ALTE "Mothers Kiss" for Nasal Foreign Bodies Pediatric Procedures and Ethical Considerations                 

November- Routine Testing of ED Patients with Asymptomatic Hypertension

October-Rivaroxaban for the Treatment of Acute DVT

September-Cerebral Edema in Pediatric DKA patients

August-Beta Blockers in the Acute Myocardial Infarction (AMI) Patient

 

     

 

2012

July-TIA Risk Stratification   Cardioversion vs. Rate Control in New Onset Atril Fibrillation or Flutter             CT utility in Acute SAH 

May-First Line Antihypertensive Agents Utility of the San Francisco Syncope Rule

April-Tranexamic Acid in the Bleeding Patient

March-Procalcitonin in Urosepsis  Coronary CT in Acute Chest Pain

February-Pediatric Potpourri:             BiPAP in Kids with Asthma     Lansoprozol in Asthma                        Daily vs. Intermittent Budesonide

January- Alternative Epileptic Drugs in the Acute Seizure Patient

November- Pediatric Potpourri:           The PECARN Decision Rule  Octylcyanoacrylate in Nailbed Laceration Rapid Viral Testing in Pediatric Fever

September-TPA Thrombolysis for Acute Ischemic Stroke

August-Routine Packing of Abscesses Methylene Blue for Calcium Channel Blocker Overdose                               What are Bath Salts      

2011

July-Hypertonic Saline vs. Mannitol in ICP management    Tamsulosin for Ureteral Expiulsion

May-Acute Decompensated Congestive Heart Failure

April-ED Cardioversion in Acute Atrial Fibrillation Dabigatran vs. Warfarin in Atrial Fibrillation

March-Venous vs. Arterial Blood Gas  Relevance of CPK Elevation in Healthy Patients Beta-Agonist Use in CHF Patients

February-Ultrasound vs. CT in Pediatric Appendicitis

January-Optic Nerve Diameter for ICP Assessment      Etomidate in Septic Patients

November-Management of Acute Bronchiolitis

October-Pulmonary Embolism Diagnosis and Management

September-Consent for CT's Incidental Findings in CT's   IV contrast and the CT study