This Week (4/19)

44th edition. The EMS block continues are due to record-setting attendance, all houses are still in contention. Not a lot of new updates this week so I will keep it short. 

General:

Resident Respirators –need to be fit tested & cleaned daily. There are instructions in the COVID folder on the drive for more specifics. There will be a video on how to clean sent out shortly on the cornerstone. Old Items:
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

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 – continues this week. There will be an ALIEMu session as well that requires some preparation. Be on the lookout for instructions to come from Jen via email. 

Scheduling:

PGY 2/3 – Block 12 will be published in the next few days. We are just finishing the PGY2 portion. If you have specific questions or need to make plans that can’t wait for publishing, email one of the chiefs and we can let you know. 

Podcast/Blog of the Week:

EmCrit part 2 of the APRV ventilation strategy. Be sure to look at the blog post itself for visuals. This is complicated so I found that the visuals help quite a bit with understanding the physiology. https://emcrit.org/emcrit/philosophy-of-aprv-tcav/

EMCrit Wee – The Philosophy of APRV – TCAV with Nader HabashiA zentensivist discussion of ventilator management. If I get it right, the Patient is breathing spontaneously on a “PEEP or CPAP-level” of 30cmH20 during approximatly 90 percent of the respiratory cycle (during p-High), while you do not monitor the pressure during P-Low (which basically equals PEEPi).emcrit.org

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