Category: Updates

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/

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

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

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

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/

Acute Angle Closure Glaucoma: ED-Relevant Management

Non-Traumatic Monocular Vision Loss

Central Retinal Artery Occlusion

Conference:

Thursday, September 12th – start the day with Peds Joint Case Conference @730am, MedEd 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

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. 

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

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

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