Emergency Medicine Physicians (EMP) Is a Stable, Casa Grande Is Located Just South of Phoenix and North of Tucson

Emergency Medicine Physicians (EMP) Is a Stable, Casa Grande Is Located Just South of Phoenix and North of Tucson

ResidentOfficial Publication of the Emergency Medicine Residents’ Association December 2015/January 2016 EM VOL 42 / ISSUE 6 When Lightning Strikes ADVANTAGE: YOU YOU CAN OVERCOME EMERGENCY MEDICINE CHALLENGES AND GAIN CAREER WINS. FIND A GAME-CHANGING CAREER AT TheSGAdvantage.com. SCHM039_ACEP_EM_Resident_Ad_8.5x11_FA.indd 1 7/17/15 4:14 PM Cervical Spine Imaging in Pediatric Trauma CONTENTS Learn to Prioritize Your Own Health 16 Lightning represents a major weather- 18 related health risk Wellness Week We invite you to participate in the first Emergency and was second only Medicine Wellness Week™, Jan. 24-30, 2016. to floods in terms of Jay A. Kaplan, MD, FACEP mortality. 19 When Lightning Strikes 13 Dutch Lessons for U.S. Health Care There truly are no 100% secure places to hide during The Netherlands’ health care system rests on the shoulders a lightning storm. of the huisarts, who handle 95% of all episodes of care. Abdullah Bakhsh, MD, MBBS, and Brett Van Leer-Greenberg, MD Matthew Karp, MD 3 PRESIDENT’S MESSAGE 24 CARDIOLOGY 5 EDITOR’S FORUM 27 CRITICAL CARE 6 ACEP REP PREORT 29 PEDIATRICS 8 ACEP15 RECAP Cervical Spine 32 RESIDENT EDITORIAL Imaging in 10 NEW EMRA LEADERS 34 EMPOWER Pediatric 12 SPRING AWARDS NOTICE Trauma 35 VISUAL DIAGNOSIS 13 HEALTH POLICY 37 BOARD REVIEW QUESTIONS 16 INFORMATICS 22 38 PEARLS AND PITFALLS 18 WELLNESS WEEK 39 PEDIATRIC PEARLS AND PITFALLS 19 WILDERNESS MEDICINE 40 REFERENCES AND RESOURCES 22 PEDIATRICS BOARD/STAFF EDITORIAL STAFF BOARD OF DIRECTORS EDITOR-IN-CHIEF Ramnik “Ricky” Dhaliwal, MD, JD Nida Degesys, MD Abby Cosgrove, MD President Speaker of the Council Washington University in St. Louis Hennepin County Medical Center University of California Minneapolis, MN San Francisco, CA MEDICAL STUDENT SECTION EDITOR [email protected] [email protected] Brian Fromm, MSIV University of Miami Alicia Kurtz, MD Tiffany Jackson, MD President-Elect Vice-Speaker of the Council CRITICAL CARE SECTION EDITOR UCSF Fresno University of Alabama at Birmingham Maite Huis in ‘t Veld, MD Fresno, CA Birmingham, AL Michele Callahan, MD [email protected] [email protected] University of Maryland Matt Rudy, MD Jasmeet Dhaliwal, MD, MPH EKG SECTION EDITOR Immediate Past President Legislative Advisor Dyllon Martini, MD University Hospital Denver Health SUNY Upstate Augusta, GA Denver, CO [email protected] [email protected] HEALTH POLICY SECTION EDITOR Elizabeth Davlantes, MD Alison Smith, MD, MPH Leonard Stallings, MD Emory University ACEP Representative RRC-EM Rep University of Utah East Carolina University Brody SOM PEDIATRICS SECTION EDITOR Salt Lake City, UT Greenville, NC Garrett Pacheco, MD [email protected] [email protected] Whitney Kiebel, MD University of Arizona Nick Governatori, MD Christian Dameff, MD, MS Academic Affairs Rep Informatics Coordinator ULTRASOUND SECTION EDITOR Thomas Jefferson University Maricopa Medical Center Andrew Oh, MD Philadelphia, PA Phoenix, AZ New York University/Bellevue [email protected] [email protected] EDITORIAL ADVISORY COMMITTEE Abby Cosgrove, MD Zachary Jarou, MD Timothy Snow, MD, Vice Chair Secretary/Editor-in-Chief Membership Development Coordinator Icahn SOM, Mt. Sinai New York Washington University Denver Health St. Louis, MO Denver, CO Marvinia Charles, MD [email protected] [email protected] Rutgers NJMS Sean Ochsenbein, MSIV Lucia Derks, MD University of Cincinnati Medical Student Council Chair EMRA STAFF ETSU Quillen College of Medicine Aaran Brook Drake, MD Cathey B. Wise Johnson City, TN St. Luke’s-Roosevelt, New York Executive Director [email protected] [email protected] Jennifer Beck-Esmay, MD Ashley Guthrie, DO New York University/Bellevue Leah Stefanini Member-at-Large Meetings & Advertising Manager St. Joseph’s Regional Medical Center Elizabeth Gorbe, MD [email protected] Paterson, NJ University of Virginia [email protected] Linda Baker Zach Jarou, MD Marketing & Operations Manager Denver Health ¬ ¬ ¬ ¬ [email protected] Melvin Ku, MD Valerie Hunt MISSION STATEMENT SUNY Upstate Managing Editor The Emergency Medicine Residents’ Ari Lapin, MD [email protected] Association is the voice of emergency St. Luke’s-Roosevelt, New York Chalyce Bland medicine physicians-in-training and the Mithil Patel Project Coordinator future of our specialty. Chicago College of Osteopathic Medicine [email protected] ¬ ¬ ¬ ¬ Jessica Wall, MD, MPH, NREMT-P UCLA/Olive View 1125 Executive Circle | Irving, TX 75038-2522 972.550.0920 | Fax 972.692.5995 www.emra.org EM Resident (ISSN 2377-438X) is the bi-monthly magazine of the Emergency Medicine Residents’ Association (EMRA). The opinions herein are those of the authors and not those of EMRA or any institutions, organizations, or federal agencies. EMRA encourages readers to inform themselves fully about all issues presented. EM Resident reserves the right to review and edit material for publication or refuse material that it considers inappropriate for publication. © Copyright 2015 | Emergency Medicine Residents’ Association 2 EMRA | emra.org • emresident.org PRESIDENT’S MESSAGE Feeding the Roots of Emergency Medicine EMRA Ramnik “Ricky” Dhaliwal, MD, JD EMRA President Hennepin County Medical Center Minneapolis, MN am humbled and thrilled to begin my year sense of community, enhance leadership As we’ve all experienced, the stresses of service as your new EMRA president development, and prioritize wellness – the of getting into medical school, getting I after being involved with EMRA for a few wellness of each individual member, of the into residency, being a resident, and years — joining as an intern and becoming organization as a whole, and of the specialty the subsequent practice of emergency more active throughout my five-year as a profession. medicine can be challenging. These residency in EM/IM. struggles recently led 2 amazing young Let’s start with the way we interact with our residents to choose suicide. That’s 2 I chose emergency medicine as my career members and provide you with benefits. too many; the wellness of medical because I was drawn to its fast pace, the Over the next year we want to leverage students, residents, and fellows must breadth of the practice, and its role as technology to create an EMRA the gate-keeper of medicine, providing community that is dynamic and more be addressed. EMRA’s newly formed an access point for patients to be brought responsive to your needs. We want to foster Wellness Committee will focus on wellness into the health care system. In many more member-to-member interaction and resources for individuals as well as ways we give our patients a voice within more involvement, which will in turn allow residency programs. Before we can provide the system, serving as the intermediary us to develop content more quickly and high-quality, compassionate care to our between multiple specialties, stabilizing efficiently. We want to evaluate our strategy patients, we must first ensure we ourselves and resolving acute problems, and so we can feed the growth of the specialty. are healthy and stable. We must be vigilant then deciding who is best suited for the as a community to look out for those Emergency medicine has developed continuum of care. around us and to understand the signs and substantially because of the strength of symptoms of someone who is struggling. As an organization, EMRA serves as the those leaders who formed the root of the Let us make this a year in which we, as an voice of trainees in emergency medicine. emergency medicine tree. EMRA too, has EMRA community, strive to make both It was founded in 1974, when emergency been built upon individuals making time ourselves and our patients healthier. medicine was in its infancy. Now in our 41st in their busy schedules to lead and foster The tree of emergency medicine year, we continue to grow, supporting and the organization. We have entered a time was founded on the strong roots our representing 13,000 members around the of great change in the delivery of medicine predecessors planted, which have allowed it world. With roots anchored in evidence- in the U.S., and we need leaders who are to grow by leaps and bounds. Every year a based medicine and quality of care, ready to take the helm. To do this we must emergency medicine itself has branched continue to get each of you involved. new residency class adds another ring to the out as a specialty, growing every year and We are working to create opportunities for ever-growing tree of emergency medicine. allowing us to weather the ever-changing mentorship and to provide more leadership EMRA will continue to provide you with medical landscape. training avenues to help develop a pipeline the resources you need to grow and for our of future leaders. We must also create an specialty to continue to grow. We are only EMRA must follow suit, branching out army of advocates to ensure that the shifting as strong as our membership, and I am to address needs as they arise. During legislative landscape does not hurt our ability excited for the next year and for the future my presidency, I want to strengthen our to provide the best care for our patients. of EMRA as a growing community. ¬ December 2015/January 2016 | EM Resident 3 HIGH RISK EMERGENCY MEDICINE New lectures to help reduce risk to you and your patients! April 5 – 6, 2016 The Paris Hotel Las Vegas, NV h Annu 27t al Nearly 12,000 of your colleagues have attended this course! “ The HREM faculty are authentic- ‘been there’, current, and engaging...” “... a MUST for new and seasoned physicians alike!” “Fantastic... Best CME I have ever been to...” Attend Our Popular Mock-Deposition It’s fun to watch a deposition when it’s not your own! May 26 – 27, 2016 The Ritz-Carlton New Orleans, LA For more information on all CEME Courses, call toll-free: (800) 651-CEME (2363) Center for Emergency Medical Education To register online, visit our website at: www.ceme.org 4 EMRA | emra.org • emresident.org EDITOR’S FORUM Abby Cosgrove, MD in a desire to do what is best for our pain asking for opioids? Her biggest worry Editor-in-Chief, EM Resident patients.

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