CME intro 2017.1
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This document outlines the format and content of the Continuing Medical Education (CME) sessions at a hospital. CME sessions are held weekly and last 15 minutes to 2 hours. They typically include 3-4 presentations on topics related to emergency medicine practice, given by consultants, registrars, and allied health staff. Other regular content includes airway workshops, audits, trauma scenarios, morbidity and mortality reviews, radiology sessions, and quizzes. Attendance is considered part of trainees' term assessments and feedback is encouraged. Upcoming highlights include an airway workshop on the 23rd of March which is mandatory to attend.
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CME Intro 2018.1
This document outlines the format and content of the Continuing Medical Education (CME) program at the hospital. CME sessions are held weekly and last 15 minutes to 2 hours. Presentations are given by consultants, registrars, and allied health staff on topics relevant to emergency medicine. Sessions typically include 3-4 presentations and a quiz. Other regular content includes airway workshops, audits, trauma scenarios, morbidity and mortality reviews, radiology sessions, and weekly quizzes. Attendance is considered part of registrars' term assessments and presenters are expected to prepare well-researched content in consultation with a senior mentor. Upcoming highlights include an airway workshop on March 15th which is mandatory to attend.
CME intro 2015.2
This document outlines the continuing medical education (CME) program at the hospital. CME sessions are held on Thursdays to provide education on emergency medicine topics primarily for registrars but also consultants and senior clinicians. The sessions include various presentations, workshops, case reviews, and quizzes on topics relevant to the registrars' training programs. Registrars are expected to attend as many sessions as possible and provide feedback. Upcoming sessions include an airway workshop which is mandatory. The hospital website provides more information on the CME program and topics.
SCGH ED CME Intro 2014/2
This document provides information about the continuing medical education (CME) sessions held on Thursdays at the hospital. The CME sessions are aimed at registrars but are also open to consultants and senior clinicians. They are held on Thursdays to allow more registrars to attend on their days off. The sessions include presentations on topics relevant to the registrars' teaching programs, as well as workshops, case reviews, and quizzes. Attendance is encouraged and considered part of the registrars' term assessments. Upcoming sessions include mandatory airway workshops and an optional social media workshop.
CME intro 2016
This document provides an overview of the Continuing Medical Education (CME) program at the hospital. It discusses the weekly CME sessions that cover topics relevant to emergency medicine through presentations by consultants, registrars, and allied health staff. Presentations typically last 15 minutes to 2 hours. The CME program also includes workshops on airways, trauma scenarios, case reviews, radiology sessions, and quizzes. Attendance at CME sessions is considered part of registrars' term assessments and certain sessions are mandatory. The document encourages registrars to check the CME schedule, arrive on time, prepare well-researched presentations, attend as many sessions as possible, and provide feedback. An upcoming airway workshop is highlighted.
SCGH ED CME Intro 2014
This document provides information about the Continuing Medical Education (CME) program at James Wheeler Memorial Hospital. CME sessions are held on Thursdays to allow more registrars to attend. The format includes presentations on topics relevant to the registrar teaching program. Presentations are prepared by consultants, registrars, and allied health staff. Attendance at CME is considered part of the registrars' term assessment. Upcoming highlights include an airway workshop and a social media/FOAM workshop. The SCGHED website provides more information about CME topics and registrar resources.
Jacob Lippert Resume (1)
Jacob R. Lippert is a physical therapy student seeking a Doctor of Physical Therapy degree from the University of Michigan - Flint. He has a Bachelor's degree in Kinesiology and a Physical Therapy Cognate from Michigan State University. Lippert has strong problem-solving, communication, and leadership skills. He has professional experience in various physical therapy settings through clinical rotations at Physiotherapy Associates, Sparrow Health System, and McLaren Orthopedic Hospital.
PRINT Conference 2016: Careers in Critical Care
A talk I gave at the 2016 PRINT conference on career planning for soon-to-be doctors interested in a career in critical care.
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CME Intro 2018.1
This document outlines the format and content of the Continuing Medical Education (CME) program at the hospital. CME sessions are held weekly and last 15 minutes to 2 hours. Presentations are given by consultants, registrars, and allied health staff on topics relevant to emergency medicine. Sessions typically include 3-4 presentations and a quiz. Other regular content includes airway workshops, audits, trauma scenarios, morbidity and mortality reviews, radiology sessions, and weekly quizzes. Attendance is considered part of registrars' term assessments and presenters are expected to prepare well-researched content in consultation with a senior mentor. Upcoming highlights include an airway workshop on March 15th which is mandatory to attend.
CME intro 2015.2
This document outlines the continuing medical education (CME) program at the hospital. CME sessions are held on Thursdays to provide education on emergency medicine topics primarily for registrars but also consultants and senior clinicians. The sessions include various presentations, workshops, case reviews, and quizzes on topics relevant to the registrars' training programs. Registrars are expected to attend as many sessions as possible and provide feedback. Upcoming sessions include an airway workshop which is mandatory. The hospital website provides more information on the CME program and topics.
SCGH ED CME Intro 2014/2
This document provides information about the continuing medical education (CME) sessions held on Thursdays at the hospital. The CME sessions are aimed at registrars but are also open to consultants and senior clinicians. They are held on Thursdays to allow more registrars to attend on their days off. The sessions include presentations on topics relevant to the registrars' teaching programs, as well as workshops, case reviews, and quizzes. Attendance is encouraged and considered part of the registrars' term assessments. Upcoming sessions include mandatory airway workshops and an optional social media workshop.
CME intro 2016
This document provides an overview of the Continuing Medical Education (CME) program at the hospital. It discusses the weekly CME sessions that cover topics relevant to emergency medicine through presentations by consultants, registrars, and allied health staff. Presentations typically last 15 minutes to 2 hours. The CME program also includes workshops on airways, trauma scenarios, case reviews, radiology sessions, and quizzes. Attendance at CME sessions is considered part of registrars' term assessments and certain sessions are mandatory. The document encourages registrars to check the CME schedule, arrive on time, prepare well-researched presentations, attend as many sessions as possible, and provide feedback. An upcoming airway workshop is highlighted.
SCGH ED CME Intro 2014
This document provides information about the Continuing Medical Education (CME) program at James Wheeler Memorial Hospital. CME sessions are held on Thursdays to allow more registrars to attend. The format includes presentations on topics relevant to the registrar teaching program. Presentations are prepared by consultants, registrars, and allied health staff. Attendance at CME is considered part of the registrars' term assessment. Upcoming highlights include an airway workshop and a social media/FOAM workshop. The SCGHED website provides more information about CME topics and registrar resources.
Jacob Lippert Resume (1)
Jacob R. Lippert is a physical therapy student seeking a Doctor of Physical Therapy degree from the University of Michigan - Flint. He has a Bachelor's degree in Kinesiology and a Physical Therapy Cognate from Michigan State University. Lippert has strong problem-solving, communication, and leadership skills. He has professional experience in various physical therapy settings through clinical rotations at Physiotherapy Associates, Sparrow Health System, and McLaren Orthopedic Hospital.
PRINT Conference 2016: Careers in Critical Care
A talk I gave at the 2016 PRINT conference on career planning for soon-to-be doctors interested in a career in critical care.
Prof Tom Marshall - Introduction to the opportunties and support available to...
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This document provides an overview of neuroradiology techniques for evaluating the brain and spine. It describes the basic approaches for CT and MR imaging of the brain, including indications for contrast. It details appearances of various intracranial hemorrhages and infarcts on imaging. It also reviews age-related brain changes, spinal degenerative conditions, and imaging features that help characterize spinal pathologies.
Dan's Soapbox 1 - What's Hot in EM
A 58-year-old man presented with intermittent chest pain for 2 weeks. His initial ECG showed ST elevation but serial troponins were negative. This could represent either benign early repolarization or a subtle anterior STEMI. A repeat ECG 12 hours later helped determine the diagnosis. While early repolarization commonly shows widespread, concave ST elevation in leads V2-V5 and is rare in those over 50, STEMI can still present with negative troponins initially. A study evaluated a mathematical formula to distinguish between the two using measurements of ST elevation, QTc interval, and R wave progression, finding it 86% sensitive and 91% specific. A separate trial found that 1 in 6 patients admitted for syncope
Emergency ophthalmology
This document provides guidance for ophthalmology examinations and referrals. Key points include using a new pro-forma for examinations, only dilating pupils if normal or discussed if abnormal, checking for serious features like reduced vision or pain, and differentiating conditions like adenoviral conjunctivitis, uveitis, herpetic infections, and posterior vitreous detachment. Referrals should include details of why the patient is being referred, what the issues are including visual acuity, and when the referral is needed by.
Visual Diagnoses in the ED
This document provides information on various visual stimuli and their significance in emergency medicine. It describes several cases presenting with different eye conditions like hypopyon, dendritic ulcer, retinal detachment, unequal pupils, and Hutchinson's sign. For each case, it summarizes the visual stimulus, associated risks, importance of urgent referral to ophthalmology or other specialists, and potential sight-threatening implications if not properly managed. The document aims to teach healthcare providers about identifying and interpreting important visual clues in emergency patient presentations.
Ultrasound in undifferentiated shock
This document discusses using point-of-care ultrasound to investigate the cause of undifferentiated shock in emergency department patients. It describes various ultrasound protocols that can be used to examine the heart, lungs, abdomen, and veins to identify causes of shock like hypovolaemia, cardiogenic shock, pulmonary embolism, tamponade, and sepsis. Studies have found ultrasound can reduce the time to diagnosis in shock, decrease the use of vasopressors, and lead to fewer ICU days and lower morbidity compared to clinical examination alone. The limitations of ultrasound include operator dependence and difficulty obtaining views in critically ill patients.
First seizure study SCGH
This document outlines a prospective cohort study to assess the risk of seizure recurrence after a first-ever seizure in adults. The study aims to test the hypothesis that the risk of seizure recurrence at 2 years is 50%, which is the mid-point of estimates from prior studies ranging from 29-71%. Adults presenting to the emergency department with suspected first-ever seizures will be referred to a first seizure clinic, provided a handout, and enrolled in the study if eligible. They will then be followed up as planned to track seizure recurrence rates and improve understanding of prognosis after a first seizure.
How to Present
The document discusses effective presentation techniques. It recommends telling a story with a clear beginning, middle, and end to engage the audience. The presenter should illustrate key points using media like photos or videos. Rehearsing is important to ensure a strong performance that inspires the audience rather than just explaining information.
Resuscitative Thoracotomy
This document discusses emergency department thoracotomy (ED thoracotomy). It describes the procedures as:
1) Releasing pericardial tamponade to improve cardiac output and control cardiac hemorrhaging.
2) Controlling intrathoracic vascular or cardiac hemorrhaging to improve cardiac output and myocardial perfusion.
3) Controlling massive air embolism or bronchopleural fistula to resolve myocardial ischemia and improve contractility and prevent neurological injury.
4) Performing open cardiac massage to improve resuscitative cardiac output and coronary perfusion, especially with limited ventricular filling pressures.
5) Occluding the descending aorta to redistribute limited blood volume to the myocardium and brain
Hyperbaric medicine
This document provides information about hyperbaric oxygen therapy and the Fremantle Hyperbaric Unit. It discusses the history of hyperbaric medicine and describes multiplace and monoplace hyperbaric chambers. It outlines several recognized indications for hyperbaric oxygen treatment including dysbaric injuries, problem wounds, and delayed radiation injuries. The document discusses mechanisms of action, treatment tables, complications like barotrauma and oxygen toxicity, and two case histories involving decompression illness treated with hyperbaric oxygen.
Common Electrolyte Abnormalities in Emergency Medicine
This document discusses common electrolyte abnormalities seen in emergency medicine, focusing on sodium and calcium.
It describes hyponatremia, assessing its causes as hypo-osmolar or hyperosmolar, and outlines treatments including fluid restriction and hypertonic saline. Complications like osmotic demyelination syndrome are also mentioned.
Calcium abnormalities like hypocalcemia are then covered. Causes include hypoparathyroidism after thyroid surgery. Signs, investigations, and treatments like calcium supplementation are summarized.
Finally, hyperkalemia in the context of an acute kidney injury is briefly discussed. Management focuses on enhancing elimination, membrane stabilization, and moving potassium intracellularly with treatments like insulin
Neuroimaging Introduction
This document summarizes a neuroimaging introduction meeting. It discusses measuring the structure and function of the human brain using various modalities like MRI, CT, fMRI, PET. It describes the informatics processing pipeline for neuroimaging data including preprocessing, analysis techniques like segmentation, registration, and statistical tests. Independent component analysis is discussed as a data-driven approach to analyze functional connectivity within networks. The goals of neuroinformatics are also mentioned, such as using public data and machine learning for disorder diagnosis and classification.
(주)뉴로사이언스러닝 회사소개서
뉴로사이언스러닝의 교육 컨텐츠는
[Brain English]와 [Brain Fitness]으로 나뉩니다.
“뇌 과학이론”을 설계기반으로 한 Brain English 컨텐츠는
Fast ForWord - Reading Assistant - DynEd를 통해 영어를 더 잘할 수 있는 두뇌를 만들고,
영어듣기/영어독해 - 영어낭독/영어독서 – 영어말하기 영역을 강화시켜 영어를 효과적으로 배우게 합니다.
1:1 두뇌훈련 트레이닝, Brain Fitness는
기억력 - 주의집중력 - 정보처리능력 - 대인 관계력을 향상시키는 brainHQ 훈련을 통해
우리 두뇌가 더 오래 기억하고 - 더 많이 집중하며 - 더 빨리 생각할 수 있도록 돕습니다.
(주) 뉴로사이언스러닝은 두뇌과학 컨텐츠가 효과적인 학습도구로 역할 하기 위해
온라인과 오프라인을 결합한 다양한 비즈니스 모델을 연구하고 있으며,
학습자에게는 '효과적인 학습'을,
파트너에게는 '성공적인 비즈니스"를 이룰 수 있도록 돕습니다.
Ard spresentation
Acute Respiratory Distress Syndrome (ARDS) is a severe lung condition characterized by diffuse alveolar damage and severe hypoxemia. It is defined by acute onset, bilateral lung infiltrates seen on x-ray, and low oxygen levels with no cardiac cause. ARDS has many potential causes including sepsis, trauma, pneumonia, and near drowning. Treatment focuses on supportive care of the lungs and underlying condition. Mortality was historically high but is now around 30-40% with improved critical care, though long term outcomes are often impaired.
Building Tools for Neuroimaging
1. The document discusses various tools and projects developed by Vanessa Sochat at the intersection of neuroimaging, high performance computing, and web technologies.
2. Sochat's goal is to build tools that improve reproducibility in neuroscience research by enabling researchers to easily visualize, share, and deploy analyses.
3. Examples of tools discussed include NeuroVault, PyBrainCompare, MyConnectome, and tools for clinical use like Recovery Log and a prostate application.
4. Sochat's vision is for reproducibility to be more highly valued in graduate training and for reproducibility centers to help researchers deploy tools and analyses easily.
Wound Care SCGH
This document provides information and guidance on wound care products and pressure injury management from Nicole Walsh, a Nurse Practitioner in Wound Management. It discusses dressing products like Mepitel silicon mesh and calcium alginate for skin tears. It also summarizes pressure injury data from SCGH in 2014, finding a prevalence of 5.3%, lower than the state average of 5.7% but higher than previous years. Key findings were gaps in skin assessment documentation and a lack of identified pressure injuries being documented in patient notes. Prevention strategies are needed to improve documentation and reduce injury rates.
Neuroradiology Head Trauma
Epidural hematoma results from skull fractures that cause bleeding between the dura and skull. It presents as a lenticular or biconvex mass that cannot cross suture lines. Subdural hematoma occurs between the dura and arachnoid membranes from cortical vein tears. It appears as a crescent-shaped mass that can cross sutures. Both require urgent CT imaging and surgical evacuation via burr holes.
First seizure emergency investigation
This document outlines the key considerations and steps in managing a patient presenting with a suspected first seizure in the emergency department. It discusses diagnosing whether the event was truly a seizure, identifying any underlying cause, appropriate investigations including neuroimaging, advising the patient on issues like driving restrictions, and estimating the risk of epilepsy. The goal is to standardize the assessment and management of first seizures to accurately diagnose, treat any acute issues, provide guidance, and predict long-term prognosis.
Non invasive cardiac testing for acute coronary syndrome
This document discusses non-invasive tests for diagnosing acute coronary syndrome (ACS). It begins with some background on the history of cardiovascular disease and current statistics. It then provides an overview and algorithm for the chest pain pathway and risk stratification process for evaluating patients presenting with possible ACS. This involves an initial ECG, troponin tests, and evaluating symptoms and risk factors to determine whether the patient is at high, intermediate or low risk. For low risk patients a non-invasive strategy may be appropriate, while higher risk patients warrant further cardiac investigation and management.
Trauma resuscitation
1) The document discusses a case of a pedestrian hit by a car with injuries including a flail chest, unstable pelvis, and internal bleeding. The goals of treatment are to prevent death from hemorrhage through early intervention, good airway management, resuscitation, and surgical intervention.
2) It introduces the principles of damage control resuscitation (DCR) including permissive hypotension to limit blood loss, early use of blood products to replace lost volume and clotting factors, and damage control surgery to control bleeding. DCR aims to address the "lethal triad" of coagulopathy, acidosis, and hypothermia.
3) Clinical markers like thromboelastography
CME intro 2016/2
This document outlines the format and content of the continuing medical education (CME) program at the hospital. It discusses that CME is a weekly forum focused on topics related to emergency medicine and primarily aimed at registrars but open to all clinicians. Presentations are prepared by consultants, registrars, and allied health staff on relevant topics and range from 15 minutes to 2 hours. Other regular content includes workshops, audits, trauma scenarios, case reviews, and quizzes. Attendance is considered part of registrars' term assessments and contributing presentations is encouraged after consultation with a senior mentor. An upcoming mandatory airway workshop is highlighted.
Intercalation overview
This document provides information about intercalated degree programs offered at Barts and The London School of Medicine and Dentistry (SMD). It outlines the benefits of intercalating, eligibility requirements, timing considerations, courses available and their structures. The application process involves submitting choices by the end of January, and being interviewed and ranked based on exam results and interviews. Places are then allocated according to rank. Students can also apply to external programs but must go through both the SMD process and the external institution's application. The document provides tips for making a strong application, such as clearly outlining reasons for course choices.
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This document provides an overview of neuroradiology techniques for evaluating the brain and spine. It describes the basic approaches for CT and MR imaging of the brain, including indications for contrast. It details appearances of various intracranial hemorrhages and infarcts on imaging. It also reviews age-related brain changes, spinal degenerative conditions, and imaging features that help characterize spinal pathologies.
Dan's Soapbox 1 - What's Hot in EM
A 58-year-old man presented with intermittent chest pain for 2 weeks. His initial ECG showed ST elevation but serial troponins were negative. This could represent either benign early repolarization or a subtle anterior STEMI. A repeat ECG 12 hours later helped determine the diagnosis. While early repolarization commonly shows widespread, concave ST elevation in leads V2-V5 and is rare in those over 50, STEMI can still present with negative troponins initially. A study evaluated a mathematical formula to distinguish between the two using measurements of ST elevation, QTc interval, and R wave progression, finding it 86% sensitive and 91% specific. A separate trial found that 1 in 6 patients admitted for syncope
Emergency ophthalmology
This document provides guidance for ophthalmology examinations and referrals. Key points include using a new pro-forma for examinations, only dilating pupils if normal or discussed if abnormal, checking for serious features like reduced vision or pain, and differentiating conditions like adenoviral conjunctivitis, uveitis, herpetic infections, and posterior vitreous detachment. Referrals should include details of why the patient is being referred, what the issues are including visual acuity, and when the referral is needed by.
Visual Diagnoses in the ED
This document provides information on various visual stimuli and their significance in emergency medicine. It describes several cases presenting with different eye conditions like hypopyon, dendritic ulcer, retinal detachment, unequal pupils, and Hutchinson's sign. For each case, it summarizes the visual stimulus, associated risks, importance of urgent referral to ophthalmology or other specialists, and potential sight-threatening implications if not properly managed. The document aims to teach healthcare providers about identifying and interpreting important visual clues in emergency patient presentations.
Ultrasound in undifferentiated shock
This document discusses using point-of-care ultrasound to investigate the cause of undifferentiated shock in emergency department patients. It describes various ultrasound protocols that can be used to examine the heart, lungs, abdomen, and veins to identify causes of shock like hypovolaemia, cardiogenic shock, pulmonary embolism, tamponade, and sepsis. Studies have found ultrasound can reduce the time to diagnosis in shock, decrease the use of vasopressors, and lead to fewer ICU days and lower morbidity compared to clinical examination alone. The limitations of ultrasound include operator dependence and difficulty obtaining views in critically ill patients.
First seizure study SCGH
This document outlines a prospective cohort study to assess the risk of seizure recurrence after a first-ever seizure in adults. The study aims to test the hypothesis that the risk of seizure recurrence at 2 years is 50%, which is the mid-point of estimates from prior studies ranging from 29-71%. Adults presenting to the emergency department with suspected first-ever seizures will be referred to a first seizure clinic, provided a handout, and enrolled in the study if eligible. They will then be followed up as planned to track seizure recurrence rates and improve understanding of prognosis after a first seizure.
How to Present
The document discusses effective presentation techniques. It recommends telling a story with a clear beginning, middle, and end to engage the audience. The presenter should illustrate key points using media like photos or videos. Rehearsing is important to ensure a strong performance that inspires the audience rather than just explaining information.
Resuscitative Thoracotomy
This document discusses emergency department thoracotomy (ED thoracotomy). It describes the procedures as:
1) Releasing pericardial tamponade to improve cardiac output and control cardiac hemorrhaging.
2) Controlling intrathoracic vascular or cardiac hemorrhaging to improve cardiac output and myocardial perfusion.
3) Controlling massive air embolism or bronchopleural fistula to resolve myocardial ischemia and improve contractility and prevent neurological injury.
4) Performing open cardiac massage to improve resuscitative cardiac output and coronary perfusion, especially with limited ventricular filling pressures.
5) Occluding the descending aorta to redistribute limited blood volume to the myocardium and brain
Hyperbaric medicine
This document provides information about hyperbaric oxygen therapy and the Fremantle Hyperbaric Unit. It discusses the history of hyperbaric medicine and describes multiplace and monoplace hyperbaric chambers. It outlines several recognized indications for hyperbaric oxygen treatment including dysbaric injuries, problem wounds, and delayed radiation injuries. The document discusses mechanisms of action, treatment tables, complications like barotrauma and oxygen toxicity, and two case histories involving decompression illness treated with hyperbaric oxygen.
Common Electrolyte Abnormalities in Emergency Medicine
This document discusses common electrolyte abnormalities seen in emergency medicine, focusing on sodium and calcium.
It describes hyponatremia, assessing its causes as hypo-osmolar or hyperosmolar, and outlines treatments including fluid restriction and hypertonic saline. Complications like osmotic demyelination syndrome are also mentioned.
Calcium abnormalities like hypocalcemia are then covered. Causes include hypoparathyroidism after thyroid surgery. Signs, investigations, and treatments like calcium supplementation are summarized.
Finally, hyperkalemia in the context of an acute kidney injury is briefly discussed. Management focuses on enhancing elimination, membrane stabilization, and moving potassium intracellularly with treatments like insulin
Neuroimaging Introduction
This document summarizes a neuroimaging introduction meeting. It discusses measuring the structure and function of the human brain using various modalities like MRI, CT, fMRI, PET. It describes the informatics processing pipeline for neuroimaging data including preprocessing, analysis techniques like segmentation, registration, and statistical tests. Independent component analysis is discussed as a data-driven approach to analyze functional connectivity within networks. The goals of neuroinformatics are also mentioned, such as using public data and machine learning for disorder diagnosis and classification.
(주)뉴로사이언스러닝 회사소개서
뉴로사이언스러닝의 교육 컨텐츠는
[Brain English]와 [Brain Fitness]으로 나뉩니다.
“뇌 과학이론”을 설계기반으로 한 Brain English 컨텐츠는
Fast ForWord - Reading Assistant - DynEd를 통해 영어를 더 잘할 수 있는 두뇌를 만들고,
영어듣기/영어독해 - 영어낭독/영어독서 – 영어말하기 영역을 강화시켜 영어를 효과적으로 배우게 합니다.
1:1 두뇌훈련 트레이닝, Brain Fitness는
기억력 - 주의집중력 - 정보처리능력 - 대인 관계력을 향상시키는 brainHQ 훈련을 통해
우리 두뇌가 더 오래 기억하고 - 더 많이 집중하며 - 더 빨리 생각할 수 있도록 돕습니다.
(주) 뉴로사이언스러닝은 두뇌과학 컨텐츠가 효과적인 학습도구로 역할 하기 위해
온라인과 오프라인을 결합한 다양한 비즈니스 모델을 연구하고 있으며,
학습자에게는 '효과적인 학습'을,
파트너에게는 '성공적인 비즈니스"를 이룰 수 있도록 돕습니다.
Ard spresentation
Acute Respiratory Distress Syndrome (ARDS) is a severe lung condition characterized by diffuse alveolar damage and severe hypoxemia. It is defined by acute onset, bilateral lung infiltrates seen on x-ray, and low oxygen levels with no cardiac cause. ARDS has many potential causes including sepsis, trauma, pneumonia, and near drowning. Treatment focuses on supportive care of the lungs and underlying condition. Mortality was historically high but is now around 30-40% with improved critical care, though long term outcomes are often impaired.
Building Tools for Neuroimaging
1. The document discusses various tools and projects developed by Vanessa Sochat at the intersection of neuroimaging, high performance computing, and web technologies.
2. Sochat's goal is to build tools that improve reproducibility in neuroscience research by enabling researchers to easily visualize, share, and deploy analyses.
3. Examples of tools discussed include NeuroVault, PyBrainCompare, MyConnectome, and tools for clinical use like Recovery Log and a prostate application.
4. Sochat's vision is for reproducibility to be more highly valued in graduate training and for reproducibility centers to help researchers deploy tools and analyses easily.
Wound Care SCGH
This document provides information and guidance on wound care products and pressure injury management from Nicole Walsh, a Nurse Practitioner in Wound Management. It discusses dressing products like Mepitel silicon mesh and calcium alginate for skin tears. It also summarizes pressure injury data from SCGH in 2014, finding a prevalence of 5.3%, lower than the state average of 5.7% but higher than previous years. Key findings were gaps in skin assessment documentation and a lack of identified pressure injuries being documented in patient notes. Prevention strategies are needed to improve documentation and reduce injury rates.
Neuroradiology Head Trauma
Epidural hematoma results from skull fractures that cause bleeding between the dura and skull. It presents as a lenticular or biconvex mass that cannot cross suture lines. Subdural hematoma occurs between the dura and arachnoid membranes from cortical vein tears. It appears as a crescent-shaped mass that can cross sutures. Both require urgent CT imaging and surgical evacuation via burr holes.
First seizure emergency investigation
This document outlines the key considerations and steps in managing a patient presenting with a suspected first seizure in the emergency department. It discusses diagnosing whether the event was truly a seizure, identifying any underlying cause, appropriate investigations including neuroimaging, advising the patient on issues like driving restrictions, and estimating the risk of epilepsy. The goal is to standardize the assessment and management of first seizures to accurately diagnose, treat any acute issues, provide guidance, and predict long-term prognosis.
Non invasive cardiac testing for acute coronary syndrome
This document discusses non-invasive tests for diagnosing acute coronary syndrome (ACS). It begins with some background on the history of cardiovascular disease and current statistics. It then provides an overview and algorithm for the chest pain pathway and risk stratification process for evaluating patients presenting with possible ACS. This involves an initial ECG, troponin tests, and evaluating symptoms and risk factors to determine whether the patient is at high, intermediate or low risk. For low risk patients a non-invasive strategy may be appropriate, while higher risk patients warrant further cardiac investigation and management.
Trauma resuscitation
1) The document discusses a case of a pedestrian hit by a car with injuries including a flail chest, unstable pelvis, and internal bleeding. The goals of treatment are to prevent death from hemorrhage through early intervention, good airway management, resuscitation, and surgical intervention.
2) It introduces the principles of damage control resuscitation (DCR) including permissive hypotension to limit blood loss, early use of blood products to replace lost volume and clotting factors, and damage control surgery to control bleeding. DCR aims to address the "lethal triad" of coagulopathy, acidosis, and hypothermia.
3) Clinical markers like thromboelastography
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Similar to CME intro 2017.1
CME intro 2016/2
This document outlines the format and content of the continuing medical education (CME) program at the hospital. It discusses that CME is a weekly forum focused on topics related to emergency medicine and primarily aimed at registrars but open to all clinicians. Presentations are prepared by consultants, registrars, and allied health staff on relevant topics and range from 15 minutes to 2 hours. Other regular content includes workshops, audits, trauma scenarios, case reviews, and quizzes. Attendance is considered part of registrars' term assessments and contributing presentations is encouraged after consultation with a senior mentor. An upcoming mandatory airway workshop is highlighted.
Intercalation overview
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The Direct Entry-Hybrid Nursing Program at Northeastern University prepares students with bachelor's degrees in other fields to become registered nurses. The program consists of online theory classes, skills lab practice on campus, and clinical placements in hospitals. Students complete a BSN in 16 months and can then finish an MS part-time while working as an RN. The hybrid program combines online and in-person learning, including skills labs on campus and clinical rotations at hospitals within 50 miles of Boston.
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Patient confidentiality must be maintained in the ED. Personal information about patients cannot be disclosed without consent, except in emergencies or if required by law. Duty consultants should be aware of any VIP patients but provide the same standard of care. Confidentiality must be respected even for those not under the practitioner's direct care. Mandatory notifications to regulatory bodies are required only for specific conduct issues. Advice can be sought from designated hospital staff if questions arise about disclosing information.
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CME intro 2017.1
- 1. CME Intro 2017/1 James Wheeler
- 2. What is CME? • Continuing medical education • Non-confrontational forum for education on topics related to the practice of emergency medicine • Primarily focused at Registrars but also for Consultant and Senior Clinicians
- 3. Format • Weekly Topics to include topics relevant to primarily Part @ teaching program of that week • Presentations prepared by: • ED Consultants & Registrars (with an allocated consultant mentor) • Specialty Consultants or Registrars • Relevant allied health staff • Duration ranges depending on topic from 15 mins – 2 hours • Usually 3-4 presentations per session and a quiz (time allowing)
- 4. Other Content • Airway workshops (6 monthly) • Audits / Registrar Projects (6 monthly) • Trauma Scenario (monthly) • M&M / Interesting case review (monthly) • Radiology Sessions (monthly) • Education Registrar – What’s Hot in Emergency Medicine (monthly) • Toxicology core knowledge • Ultrasound core knowledge • Current research in ED • Weekly Quiz – VAQ’s (ECG’s, Gases, etc…) • Emergency medicine outside of the tertiary hospital
- 5. What do we expect from you? • Check the CME timetable on the website (scghed.com) • Esp. if you are rostered for a day shift on a that Thursday • Arrive on time • If you have something you would like to present during your term – then let me know • When asked to present, prepare well researched content (with suitable references) in consultation with allocated senior mentor • Attend as many mornings as possible • Airway workshop is mandatory • Part 1 & 2 candidates highly recommended to attend all possible during their teaching program • Attendance is considered as part of your term assessment!! • Give feedback
- 6. Upcoming Highlights • Airway Workshop • 23rd March • Attendance mandatory and very beneficial!!
- 7. Charlie’s ED Website (scghed.com) • What is it? • How do I use it? • Is the site complete? • Can I contribute?