This Week (4/13)

43rd edition. The EMS block continues online learning with great attendance again last week. After tallying the Rosh quizzes from last month, House Fortuna has claimed the GI crown and pulls into a tie for second place overall with House Clinton. 

General:

Resident Respirators –need to be fit tested & cleaned daily. There are instructions in the COVID folder on the drive for more specifics. 

Rosh Quizzes – need to be completed and are not optional. Usually, there are only a couple of people (if any) that do not get these done but this month there were several incompletes. Now that we are doing most of the learning online these are MORE important, not less. It only takes maybe 20 minutes to do the three quizzes before the deadline and then you can review them at your leisure. Housing Survey – Faiz & Rahul have created a survey to help incoming residents with housing decisions. Please complete ASAP so we can get them the information now while they are deciding where they want to live. https://forms.gle/zmU8c4UsB2zmuEwaA

Living in RoanokeWe are trying to gather some general info on where residents live, eat out, exercise, and other things people do in Roanoke (pre- and post-Covid) in order to help the incoming interns.forms.gle

PEC Survey – Anne and the program evaluation committee need our feedback on ways to improve charting and other parts of the program. This is very important and helps us make positive changes. Please complete now so we can use it at our next meeting.https://www.surveymonkey.com/r/G2XHXR6

PEC SurveyTake this survey powered by surveymonkey.com. Create your own surveys for free.www.surveymonkey.com

Old Items:

Med Hub GME Module – has been assigned in place of the in-person sessions in the Med Ed building for obvious reasons. Please get this done by the end of the month. It does not take too long. If you are having trouble logging into the video website through Carilion, you need to use “carilion\username” and then your normal password. IM Resident Survey – Previously I sent out a pre-survey as a QI for one of the IM residents. For obvious reasons, he is unable to complete the in-person training component to complete his project. Please go over the attached PowerPoint presentation and fill out his post-survey. It doesn’t take long so please help out a fellow resident. Post survey link:
https://docs.google.com/forms/d/e/1FAIpQLSdzSrVQYsZl48qM44zUspFTfsHMZsrmbLKb1bRbOXs-qS3Kfg/viewform

COVID-19 – continue to check the main residency drive > COVID-19 folder. I will continue to upload all the important documents as they are sent out. 

  • Attendings – if you want access to this folder send me your personal email address and I will send you a link to view. 
  • COVID-19 Links – is a document I made to keep track of the best resources to stay up to date. It is in the drive folder. 

Academic To-Do: EMS/Wilderness Block

Interns – Foundations modules for this month are 12 Trauma III, 22 Tox II, 23 Env

Trauma III – https://foundationsem.com/trauma/

Trauma – Foundations of Emergency MedicineTo create a free, open-access, comprehensive Emergency Medicine curriculum that will serve as the educational gold standard within our specialty.foundationsem.com

Rosen’s: Chapters 56, 134Hippo: thermal burns, electrical burns, special populations, skin & soft tissue

Tox II, Env – https://foundationsem.com/tox-environmental/

Tox / Environmental – Foundations of Emergency MedicineTo create a free, open-access, comprehensive Emergency Medicine curriculum that will serve as the educational gold standard within our specialty.foundationsem.com

Rosen’s: Chapters 143, 147, 151, 152, 153, 157, 158, 131, 132, 133, 135, 136, 137Hippo: high altitude, bites, CCB

PGY2/3 –Environmentalhttps://www.aliemu.com/courses/environmental-2018/

Environmental – 2018 – ALiEMUEnvironmental – 2018. AIR STAMP OF APPROVAL AND HONORABLE MENTIONS. Below we have listed our selection of the 3 highest quality blog posts within the past 12 months, as assessed in December 2017 related to Environmental emergencies in the Emergency Department, …www.aliemu.com

Conference:ZOOM SESSION – will be happening Thursday morning. Stay tuned for a link with a schedule of lectures. Pay attention to emails because part of conference will be an Aliemu session that you will need to sign up for ahead of time. 

Scheduling:

PGY 2/3 – Block 11 is now published and we are working on Block 12. Please let us know if you haven’t already if you have any conflicts during this block that are still happening. 

Podcast/Blog of the Week:

EmCrit did an episode last week as part 1 of a two-part series on APRV. It’s a ventilation strategy that has shown some promise with COVID patients so worth listening to. The blog post is also helpful with visuals that help explain what they are talking about. https://emcrit.org/emcrit/aprv-primer/

COVID19 Respiratory Rescue and Ventilatory Optimization – Airway Pressure Release Ventilation (APRV) Time-Controlled Adaptive VentilationI was able to use APRV (Bivent in SVI vent) as a rescue mode on one of these patients Thursday night and it may have saved him from coding. I started on Phigh 30 (Pplat measured at 30 on prior setting) Plow 0 T high 4.0s Tlow 0.5s.emcrit.org

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