This Week 10/6

16th edition. Congratulations to House Kuehl! After the 10 point bonus for the Rosh Review Quizzes, they won the eye block crown. Moving into the Psych block, the scoring started over with a clean slate. For the annual house championship, the winning house will be most blocks won (9 total before June, with an extra 1 for in-service exam scores). 

General:

Carilion ED Recycling Program – I included this again because it makes me happy. We had a very successful site with the material acquisition head of Trex Furniture last week and are set to become the FIRST health system in the country to sell plastic waste directly to their company. We ran the numbers are we are talking in the 10s of thousands of pounds annually of waste that otherwise would end up in a landfill. #gogreen   

Retreat Stuff – bring warm/outdoor type stuff to retreat. In the afternoon we are going to do an outdoor competition between the houses so pack accordingly. DK has requested NO SODAS BEFORE 4PM. On Thursday morning we are also going to be doing something outdoors for those interested. 
Retreat Bunk Assignments
 – have been assigned, see the attached spreadsheet. 

Cornerstone – there are some new modules that are due next week, October 15th. They don’t take a long time so get them done now. 

Google Drive Education Material – again we will continue to be adding lecture slides and education content to the drive broken down into each block. If you have stuff you want to add feel free. The journal club articles for this block are already in the folder. 

PGY 2 Peds Shift – is back to 2pm – 12a from 3pm, this has already taken effect so make note.

Academic To-Do:

Interns – Foundations modules for this month are Psych, Tox 1, Peds 3. 

Psych https://foundationsem.com/psychiatry-2/Rosen’s – chapters 100-105Hippo ED – 2 videos on dementia/delirium, EtOH abuse. (links on foundations page) 

Tox 1 https://foundationsem.com/tox-environmental/

Rosen’s – chapters 139, 141, 142, 144, 145, 146, 149, 150, 154, 156, 159

Hippo ED – Tox 1, 2, 3, Alcohol, Drugs of Abuse (links on foundations page)

Peds 3 https://foundationsem.com/pediatrics/

Rosen’s – chapters 166, 174, 171, 177

Hippo ED – Peds Neuro, Peds GI (links on foundations page)

PGY2/3 – Aliemu module on psych for 1-hour lecture credit. For the in-class component stay tuned for each specific post that we will be going over.  https://www.aliemu.com/courses/psychobehavioral-2017/

  • In general, as PGY2/3 follow along with the intern foundation’s modules and look at the next level content like the FOAMed links, etc. Make sure you’d covered the Rosen’s chapters and Hippo modules previous as well.

Conference:

No conference this week. Get ready for the retreat!!

Scheduling:

PGY 2/3 – You have now gotten 4 reminders for requests via your calendar. Submit requests NOW for the upcoming block December 8 – February 15th. The deadline for requests is Sunday, October 20th @ 11:59pm. 

Podcast/Blog post of the Week: 

Backing on the lecture last Thursday about Alcohol Withdrawal I wanted to send a link to the IBCC podcast on this topic.https://emcrit.org/pulmcrit/etoh/

This Week 9/30

Welcome to the 15th edition. We are on the final day of the block and the scoreboard is neck and neck. It is going to come down to the Rosh Review quizzes so make sure you get it done ASAP. 

General:

Carilion ED Recycling Program – we have far and away surpassed our goal of 500lbs and are being sent a free Bench. I am proud to say that with the help of Dorris Duff, Nathalia Esteves-Fuentes, Sara Wohlford, Jon Behnisch,  and Wrenn Brendel it has grown into a hospital-wide project. We had a very successful site with the material acquisition head of Trex Furniture last week and are set to become the FIRST health system in the country to sell plastic waste directly to their company. We ran the numbers are we are talking in the 10s of thousands of pounds annually of waste that otherwise would end up in a landfill.    

Bench placement – we are open to suggestions on where to put this. The idea was to paint it the color of the annual house champion and include a plaque with each year’s winners. Should this be at Riverside, resident room, TO in that area next to the CM station, etc. Let us know what you think. 

Google Drive Education Material – has been updated, go to the drive > educational content > eye block (for example) to get all the material from each block. This includes study guides like what myself and Roberta created, Dr Barksdale’s lecture, Hippo material, journal club articles, etc. This will be an easy way to alway have access to materials on the go instead of tracking down emails.

Block showdown – how did it go? We are trying to make this a great experience and are open to feedback. We will be using the buzzers moving forward to help organize. Also, one suggestion is to break up the questions into interns, 2s, 3s to get everyone involved. Let us know if you have ideas. 

Rosh Quiz – Per above, if you didn’t finish it in class get it done immediately. 

Retreat Bunk Assignments – will be assigned for those that haven’t responded. I’ll attach a grid next week. 

PGY 2 Peds Shift – is going back to 2pm – 12a from 3pm, make a note as this starts October 1st. 

Academic To-Do:

Interns – Foundations, psych block. https://foundationsem.com/psychiatry-2/Rosen’s – chapters 100-105Hippo ED – 2 videos on dementia/delirium, EtOH abuse. Links are in the foundation’s page above. 

PGY2/3 – Aliemu module on psych for 1-hour lecture credit. For the in-class component stay tuned for each specific post that we will be going over.  https://www.aliemu.com/courses/psychobehavioral-2017/

Conference:

Thursday, October 3rd – starts with PD Breakfast, 745am at Riverside 3. Ends with Resident Meeting from noon – 1pm. 

Scheduling:

PGY 2/3 – next 10 week requests will be due coming soon. Pay attention for a calendar invite. 

Podcast/Blog post of the Week: 

Kicking off psych block I figured we could start with an EmRap episode on the history of the opioid epidemic in this country. Great listen. https://www.emrap.org/episode/emrap2018july/thehistoryofthe

This Week 9/22

Welcome to the 14th edition. I apologize for the delay I was out of town until late last night. Team Fortuna made up some ground in the attendance department last week and there are now 3 teams withing 3 points leading into the last week.

General:

Wear Your Shirt – around ftown for bonus points. Take a picture as proof, the more exotic the more points. Good way to get some PR and show some pride in our respective houses. 

Aliemu for PGY 2/3s – again, complete the procedure module by the end of the month for 1 hour lecture credit. 

Retreat Bunk Assignments – Only about 10 people got back to me. If we don’t hear from you this week we will just assign bunks so speak now. 

Academic To-Do: 

Interns – Foundations 1 – HEENT but only the parts specific to eye. Try to complete as soon as possible. 
https://foundationsem.com/heent/

Rosen’s chapter 61 – ophthoHippo ED – 2 videos on the eye. Links are in the foundations page above. 

PGY2/3 – As stated above, do the Aliemu module on procedures to get one-hour lecture credit. 

Conference:

Thursday, September 26th – starts with Critical Care Conference, 730am at RMH. Pay attention to room because there is a potential conflict with our normal 1S ED. 

Scheduling:

PGY 2/3 – the schedule is out. Take a look and make sure there aren’t any issues. 

Podcast/Blog post of the Week: 

None – make sure you prepare for the end of block showdown! All things eye related. 

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

This Week 9/15

Welcome to the 13th edition. Lots of action in house competition this week. It’s a tight race with two weeks to go in the block. 

General:

Aliemu for PGY 2/3s – there has been a little confusion here. The 2/3s are able to do a module of Aliemu each month for 1 hour of lecture credit. You need to take the quiz at the end. This month the module is “procedures”. This is independent (sometimes) of the articles from last week that we sent out. 

Retreat Bunk Assignments – get in groups of 4 and let us know as soon as possible so we can assign bunks for the retreat. Rooms need to be gender-specific so match up accordingly. 

Academic To-Do: 

Interns – Foundations 1 – HEENT but only the parts specific to eye. 
https://foundationsem.com/heent/

Rosen’s chapter 61 – ophthoHippo ED – 2 videos on the eye. Links are in the foundations page above. 

PGY2/3 – As stated above, do the Aliemu module on procedures to get one-hour lecture credit. 

Conference:

Thursday, September 19th – SW VA Emergency MedicineConference. 7am at Riverside 2/VTC SOM. Mandatory attendance unless you are out of town.  

Scheduling:

PGY 2/3 – the schedule is out. Take a look and make sure there aren’t any issues. 

Podcast/Blog post of the Week: 

A few people raised some eyebrows and wanted more information on the Taiwan Apartment complex incident I mentioned in peer review last week. Here is (one of) the papers that were published on this incident. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2477708/pdf/hormes-05-63.pdf

This Week 9/8

Welcome to the 12th edition. The academic calendar has begun! Lots of points to go around. The August point total is being counted toward September. We hope to integrate more and more questions into each lecture with a final Jeopardy-style showdown at the end of the block. 

General:

Eye Room Patients – reminder that any patient in the eye room is supposed to be staffed by the TO resident. Try to be on the lookout for eye complaints in the waiting room. We don’t see a ton of good eye pathology so when it comes into the ED a resident needs to see it.  

SW VA Conference – September 19th, Riverside 2. RSVP to Leslie as soon as possible so she can order lunch. This is mandatory. It’s no longer out of town so we should have full attendance. 

Duty Hours in MedHub – needs to be done every week by Sunday. No exceptions. It is one of those GME things that is very easy but incredibly important. If you have the MedHub app on your phone (everyone should) it takes all of 30 seconds. 

GroupMe – everyone should be on the chat by now. At this point, you are responsible for updates sent to the group. 

Academic To-Do (new section): 

Each week I will try to break down a To-Do list for each class to simplify the process. 

Interns – Foundations 1 – HEENT but only the parts specific to eye. https://foundationsem.com/heent/
Rosen’s chapter 61 – ophthoHippo ED – 2 videos on the eye. Links are in the foundations page above. 

PGY2/3 – DUE Thursday. The following FOAMed posts. It is only 6, in the future I’ll try to give more than 4 days advanced notice but we just finalized it over the weekend. 

https://aliemcards.com/cards/eye-ddx/

https://aliemcards.com/cards/eye-painful/

https://aliemcards.com/cards/red-eye/

Conference:

Thursday, September 12th – start the day with Peds Joint Case Conference @730amMedEd conference room. The remainder of lectures for the day will be in 1S ED Conf. We have SIM for all residents after from 1-4pm at the SIM centerfollowing. Long day but we have a short month and are missing a whole day on the 19th. 

Scheduling:

PGY 2/3 – the schedule is not out! My mistake last week. It should be up tomorrow so take a look and address any issues now if you see them. 

Podcast/Blog post of the Week: 

Crackcast part 2 of the eye chapter. https://canadiem.org/crackcast-e071-ophthalmology-part-b/

CRACKCast E071 – Ophthalmology Part B – CanadiEMThis episode of CRACKCast covers Rosen’s Chapter 71, Ophthalmology. Part B of this episode covers ocular trauma, including indications for ophthalmology consult and surgical repair. Shownotes – PDF Here Rosen’s in Perspective If you haven’t listened to Episode 21 and 22, check them out! If you want to review how to do an eye exam… 1) List 10 causes of ↓ vision post blunt eye trauma …canadiem.org

This Week 8/25/19

Welcome to the 10th edition. I’m going out of town tomorrow so sending this out a day early. Last week of vacation before the academic calendar begins. The leaderboard is on damonsdue.com and has not changed. Starting next week conference is in full swing and we’ll have a lot more updates & activities. 

Image preview

General:

4 Houses – Shirts are available in Christie’s office. 

MedHub – needs to be updated immediately with all of your resident activities. Each entry takes about 30 seconds and the program needs to keep track of what we are doing. 

Residency Peer Review – will start again next block so send me cases you think would be useful. Give MRNs to either myself, Barb, or Roberta. 

Annual Learning Modules– These are due August 31st, no exceptions.  No excuse for not getting these done and time is running out. 

Upcoming Social Events:

None

Conference:

Thursday, August 29th – Extraction Day (Interns only), see calendar invitation for details, PGY2/3 have no obligations so get your learning modules finished then if you haven’t already. 

Scheduling:

PGY 2/3 – upcoming 10-week schedule should be out soon. We will send a notification when it is published. As always, take a look and make sure you don’t have any conflicts. 

Podcast/Blog post of the Week: 

With ophthalmology month right around the corner, here’s a link to the EM:RAP crunch time review of “the eye”. These are terrific (brief) summaries of each topic and perfect for on the go learning. 

https://www.emrap.org/episode/theeye/blepharitisand

Crunch Time – Blepharitis and Dacryocystitis | EM:RAPwww.emrap.orgEye Full episode audio for MD edition 45:39 min – 63 MB – M4A Crunch Time EM – Eye – Individual MP3 Files 84 MB – ZIP Crunch Time EM – Eye – Written Summary 221 KB – PDF

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

This Week 8/11/19

Welcome to the 8th edition. 

General:

4 Houses – House Perkins is still holding strong in first place after another solid turnout for the tubing event. Thanks again to all that participated. Be sure to log your community service hours on Med Hub. 

– Shirts are available now in Christie’s office. When you pick up your shirt also get your QR code. 

Master Calendar(s) – are on damonsdue.com. However, we had to embed them separately instead of having them all in 1 calendar. It’s mainly because of sharing permissions from Tangier. We are still trying to figure out a way around this. 

Annual Learning Modules– now available on both MedHub & cornerstone. There is a lot to get done so start working on them now. These are due August 31st, no exceptions. 

Upcoming Social Events:

Sunday, August 11th @ 5:30pm (today)- VTC Mentorship Block Party for medical students, residents, and fellows. Krista Lukos & Andrew’s house. Free food. Family welcome.

Conference:

Thursday, August 15th – Independent Study, this is the day to finish all your learning modules for the year. The due date for modules is August 31st but use Thursday to knock out a good chunk of it. 

Thursday, August 22st – Riverside GME Session, details to follow, tentative time 9am – noon. We need 100% attendance to get this to actually count and free up some time at the retreat. 

Thursday, August 29th – Extraction Day (Interns only), great experience, see calendar invitation for details, PGY2/3 have no obligations so get your learning modules finished

Scheduling:

PGY 2/3 – Sept 29 – Dec 7 requests are due August 11th (today!). Submit as soon as possible. 

Podcast/Blog post of the Week: 

IBCC did a post last week on Angioedema, best I’ve heard on this topic. 

Angioedema – EMCrit Projectemcrit.orgCONTENTS Overview Diagnosis of angioedema Histamine-mediated vs bradykinin-mediated angioedema Airway management Histamine-mediated angioedema Bradykinin-mediated angioedema Pathophysiology Differential diagnosis Evaluation Treatment Extubating the angioedema patient Algorithms Podcast Questions & discussion Pitfalls Angioedema is a common indication for critical care admission.

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

This Week in Residency (August 4th)

Welcome to the 7th edition. The 4 house competition is now underway and House Perkins is off to an early lead after coming out victorious in the trash collecting portion of Thursday’s games.

General:
4 Houses – For those that were not present Thursday, rosters are:

  • Perkins (biohazard logo) – Perkins, JY, J Burton, White, Abii, Linger, Williams, Cassie, Moses, Oswald, Schwab, Taylor
  • Kuehl (bone logo) – Kuehl, Coleman, Meier, Gorman, Enes, Wilkinson, Gollar, Chrabaszcz, Lou, Ickes, Achatz
  • Fortuna (tuna logo) – Fortuna, Hamden, Prusakowski, Hinshaw, Rawlings, Lukos, C Burton, Smith, Bhandari, Kip, Zink, Faiz
  • Clinton (US logo) – Clinton, Borloz, Stromberg, Nguyen, Dykstra, Beauchamp, Taylor, Meade, Kovacs, Jess, Bodeau, Rahul

Greenway Clean-up & Kickball – great experience and thank you to those that participated. I brought home a car load of gross but recyclable products. Every bit counts.  Remember to log your community service hours (Med Hub > portfolios > new entry). House Perkins was victorious in the trash collection with Houses Kuehl/Fortuna establishing dominance on the kickball field.

August Attendancethere have been some questions about whether or not these August sessions are mandatory. The department is providing coverage in the ED in order to free up this time for us, so the expectation is that you are showing up. Obviously, if you are working overnight or on GME vacation this does not apply to you. We have made some adjustments to the schedule (see below).

ED Provider Notes – when charting in the ED you need to complete an “ED provider note” not an “ED note”. I sent out instructions earlier in the week but be conscious of this. Go to ED navigator > provider notes > blank note (if you use a template and not the general note). If you do not know how to do this please confirm with your attending or another resident.

Master Calendar – is up and running, however I can’t seem to get it to load to Damon’s Due. Hopefully you’ll be able to see it this week. It has everything broken down by PGY 1, 2, 3, admin, etc so will be a great place for all things scheduling.

Annual Learning Modules – not available at this time. We will let you know as soon as they are so you can get them done well ahead of time.

Upcoming Social Events:

  • Wednesday, August 7th @ 7:05 pm – Salem Red Sox vs Lynchburg Hillcats. We have 34 tickets to go around so please RSVP. Fun group outing to watch some baseball. This is a social event and not part of the August conference schedule.
  • Sunday, August 11th @ 5:30pm – VTC Mentorship Block Partyfor medical students, residents, and fellows. Krista Lukos & Andrew’s house. Free food. Family welcome.

Conference: Make sure you let your off-service rotations know ahead of time.

Thursday, August 8th – Roanoke River Tubing & Clean-up, meet @ 10am at the Wasena Tap Room.

  • What: clean up the river, relax, and get some tubing in.
  • When: 10am – 1pm, float is about 2.5 hours, lunch after for those that are interested
  • Where: Roanoke River, meet at Wasena Tap Room
  • Misc: Bring sunscreen, water, sodas, etc. Dress for getting wet.

Thursday, August 15th
Independent Study, this is the day to finish all your learning modules for the year. Due date for modules is September 1st.

Thursday, August 22st
Riverside GME Session, details to follow, tentative time 9am – noon. We need 100% attendance to get this to actually count and free up some time at the retreat.

Thursday, August 29th
Extraction Day (Interns only), great experience, see calendar invitation for details, PGY2/3 have no obligations so get your learning modules finished

Scheduling:

PGY 2/3 – Sept 29 – Dec 7 requests are due August 11th. Submit as soon as possible.

Podcast/Blog post of the Week: 

This is a podcast that’s pretty interested if you like infectious disease. Specifically Podcast 19 in which they discuss the best antibiotics in the form of a draft.

Updates 7/28/19

General:

Interns -Congrats on finishing orientation month. Now begins the real journey that is residency. For those of you that start with off-service rotations, feel free to ask any of us for inside tips & tricks. 

PGY 2/3s – Schedule requests are due August 11th for the next 10-week block (September 29 – December 7). You should have gotten four different calendar reminders. These are honored in the order they are received so get them in as soon as possible. 

– Evaluations are to be sent before you leave shift. Please follow the evaluation policy sent out by Dr Kuehl this week. Part of being a resident is being evaluated, so if you finish a block without any completed evaluations from the GME office perspective the rotation didn’t happen. Yes, faculty are being reminded/encouraged to complete said evaluations on their end. 

Lockers – If you don’t have a locker, feel free to take any of the lockers that don’t have a name on it. Some of the lockers still have stuff from graduated residents so you may have to do a little cleaning. Make sure you share a locker with another resident as there aren’t enough lockers. 

Honor Walk – you may have gotten pages recently about this really powerful thing Carilion has started as of June 3. See below link for more information. If you YouTube this you can see what it looks like. DO NOT USE YOUR PHONES per Carilion policy during these walks. Completely voluntary and a really terrific way to show gratitude towards donor patients. Long story short when you get the page, if you want to participate, go to the hallways between the unit the patient is in and the 4th floor OR. 

https://insidecarilion.org/hub/news/honoring-donors-and-their-families-at-crmh

Mobile UpToDate – A lot have asked about getting mobile access so you can use the app on your phones. I renewed mobile access yesterday so thought I’d share the step by step way to do it. 

– drive to medical school parking garage, park in one of the outside “visitor” stalls. You can’t get onto the correct WiFi from underneath the building. Obviously, you can also walk into the school if on foot. 

– connect to the “Virginia Tech” WiFi, not VTCSOM, VTCRI, or any of the others. You will need to make a temporary guest account. 

– go to uptodate.com/login from a mobile browser NOT the uptodate app

– log in with whatever personal account you have

– This will “confirm” your affiliation with VTC and give you mobile access for 3 months, yes you have to renew it every three months. 

Happy learning.

Upcoming Social Events:

Friday, August 2nd – National Parks Radio concert at PGY-3 Jessica Nguyen’s house. Details to follow. 

Wednesday, August 7th @ 7:05 pm – Salem Red Sox vs Lynchburg Hillcats. We have 34 tickets to go around so please RSVP. Fun group outing to watch some baseball. 

Upcoming Residency Events:

The long-awaited unveiling of the 4 house rosters! To be done before kickball this Thursday (see below).

Conference: Make sure you let your off-service rotations know ahead of time. 

Thursday, August 1st – Greenway Clean-up & Kickball (w/ roster unveiling) 

      What: clean up the trash on the Greenway followed by an intense game of kickball. 

      When: 9am – 11am clean-up, 11am – 1pm kickball (or later for those interested)

      Where: Rivers Edge Park

      Misc: Bring sunscreen, water, sodas, etc. Dress for comfort not for show, it will be hot. 

Thursday, August 8th – Roanoke River Tubing & Clean-up, details next week, tentative time 10am-1pm. 

Thursday, August 15th – Cascades Trail Hiking (& Clean-up), details to follow, tentative time 7am – 2pm. 

Thursday, August 22st – Riverside GME Session, details to follow, tentative time 9am – noon. 

Thursday, August 29th – Lake Day Part 2, details to follow, come and go as you wish

Scheduling:

Interns – block 4 schedule requests are due July 29th

PGY 2/3 – Sept 29 – Dec 7 requests are due August 11th

Podcast/Blog post of the Week: 

I couldn’t think of anything overly specific this week so wanted to put this podcast on everyone’s radar. It’s a great monthly summary of the articles published and a great way to stay up to date. Send suggestions for next week!

https://podcasts.apple.com/us/podcast/annals-of-emergency-medicine-june-2019-summary/id301441978?i=1000442570591

‎Annals of Emergency Medicine (Summary – Audio): Annals of Emergency Medicine June 2019 Summary on Apple Podcastspodcasts.apple.com‎Show Annals of Emergency Medicine (Summary – Audio), Ep Annals of Emergency Medicine June 2019 Summary – Jun 24, 2019

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

Updates 7/14/19

General:

Cornerstone – Annual onboarding for providers. Due July 23,2019. GET IT DONE ASAP. If you are reading this email and haven’t completed this task, stop reading and log onto cornerstone. 

Interns – BDLS/ADLS this week. Arrive 15 minutes early. If you are late they will not let you in. This class is offered on a limited basis so there won’t be a chance to make it up.

PGY 2/3s – Committee list was sent out last week. Let Christie know if you would like to stay on your current committee or if you would like to join a new one. 

– Block 2 and 3 schedules are now published. Please look over and let us know if you have any issues. The earlier we know, the more likely we will be able to help. 

August Conferences – Lindsey, Jessie, and I should have a tentative schedule out to everyone tomorrow. All of the events are informal, outdoors, and meant to give us a break from the hospital. Use the rest of the free time in the month to do your admin modules for the year and get ahead on your reading. 

Upcoming Social Events:

Saturday, July 20th – Lake Day at the Kuehl’s House. You should have received an e-vite so respond as soon as possible including how many people are attending. This is for food ordering purposes so please RSVP

Friday, August 2nd – National Parks Radio concert at PGY-3 Jessica Nguyen’s house. Details to follow. 

Upcoming Residency Events:

Tuesday, July 16th, 8am – ED Peer Review, 1S ED conference room. This is the attending version. If you are available it is very useful and interesting. 

Wednesday, July 17th, noon – PEC Meeting, Riverside 1 4th Floor Conference Room. Only pertinent to those on the committee. 

Conference:

Thursday, July 18th – Trauma Conference, 1S ED, 7:30am. Interns this is the monthly trauma conference that we do with the surgery program. 1S ED Conference room is above the coffee shop, climb the stairs, go through the doorway, walk left to the end of the hall then go right, the door is on the right. Arrive early because seating is limited. 

Thursday, July 18th – SIM Lab @ 9am – TBD, still finalizing the exact details. You will get an iCal event this week. Most likely will be at SIM Lab. 

Scheduling:

Blocks 2 & 3 should be available on Tangier. Please let us know if you see any duty hours violations or issues now so we can fix them. 

Podcast/Blog post of the Week: 

With the temperature rising, I thought it would be appropriate to choose a podcast on Hyperthermia/Heat Stroke. This is from last month’s EM:RAP and I thought it was interesting. 

https://www.emrap.org/episode/emrap2019june/heatstroke