https://www.tampaemergencymedicine.org/blog daily 0.75 2026-02-02 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1594326875677-A4TS1W2RVQX6D4OS9BBN/0---City---Tampa-Skyline-1.jpg Blog https://www.tampaemergencymedicine.org/blog/revolutionizing-care-usf-emergency-medicine-research-updates monthly 0.5 2025-07-25 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/57a75030-79a4-4b34-ab55-c671391d82e0/Acute+Care+Meeting+7.18.24.jpg Blog - Revolutionizing Care: USF Emergency Medicine Research Updates - Make it stand out Our Acute Care Research Team https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/103d60e9-8107-4812-bd2d-999d4cc4121b/Picture2.png Blog - Revolutionizing Care: USF Emergency Medicine Research Updates - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/59cefa39-dbab-42ad-bc0e-be71c9f06790/edd115a9-d9f9-4380-9277-3dd997c543eb.JPG Blog - Revolutionizing Care: USF Emergency Medicine Research Updates - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/6d6dc0ef-8774-4e9a-9978-c3bd920e6109/trivedi+2.png Blog - Revolutionizing Care: USF Emergency Medicine Research Updates - Traumatic Brain Injury & Hyperbaric Medicine Dr. Mala Trivedi, pictured, will serve as the medical director for the USF Hyperbaric Oxygen Program. Dr. Trivedi and others, including Dr. Daniel Lende from the USF Department of Anthropology, will be investigating Hyperbaric Oxygen Therapy in Veterans with TBI. This trial receives state funding allocated to USF. The USF EM group has a significant fingerprint in this trial. Dr. Wilson is leading a funded, collaborative mixed methods study of the TBI trial that both examines potential barriers to implementation of clinical trial results, as well as the role of ritual by leveraging a unique opportunity to assess a cultural outcome on top of a randomized clinical intervention. We are actively recruiting a faculty level anthropologist researcher to join the HBOT team and our Social EM division. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c0c37d68-4fc5-43d0-8014-07b464080849/FullSizeRender.jpg Blog - Revolutionizing Care: USF Emergency Medicine Research Updates - Pediatric EM Research Pediatric Emergency Medicine also has been actively engaged in research and scholarly activity. Dr. Jasmine Patterson serves as site PI of a trial investigating a new biotechnology device for assessing temperature in febrile pediatric patients and will be a site investigator for a pediatric HIV study in collaboration with the USF Department of Pediatrics. Dr. Patterson has also partnered with Drs. Okonkwo and Mauriello on a research project focused on pediatric syncope and palpitations utilizing ambulatory cardiac monitoring devices and a cardiology follow up pathway. This project will provide more information regarding our pediatric patients who present with syncope or palpitations and has been key in identifying patients at increased risk that require specialty follow up. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c67de84c-9cd0-41a6-a086-ae6b8a1ed7dc/IMG_7616.jpg Blog - Revolutionizing Care: USF Emergency Medicine Research Updates - Social EM Research The Social EM, Population and Global Health team has been very busy as we continue to grow structurally. We recruited three faculty members to Social EM (Dr. Heather Henderson, Dr. Bernice McCoy, and Dr. Rebecca Campbell-Montalvo). These PhD EM faculty will help lead our USF EM research efforts in obtaining increased external federal funding and come with a portfolio of exciting research programs. The Social EM Division has multiple active studies and clinical QI projects over a broad range of topics such as HIV/HCV routine screening and linkage to care, standards of care for acute substance use disorder treatment, intimate partner violence, sexual assault care, sickle-cell related pain, soft-tissue infection and endocarditis in patients with substance use disorder, integrating harm reduction principles in direct care delivery for structurally vulnerable patients, gun violence related injuries, and more. In the past year, our Social EM work has examined and addressed healthcare inequities while also overlapping with clinical trials. Graduating resident Autumn Bass, MD was awarded a GME grant to explore inequities in arrhythmia diagnoses through use of a remote superficial heart monitor program. That work is part of Dr. Okonkwo’s long-term project examining the implementation of a superficial remote heart monitor for discharge and transitions of care of participants with syncope and/or palpitations. Dr. Wilson has continued work as a site-PI on a multi-site PCORI funded study examining transitions of care interventions in underrepresented people with Medicare using peer support (similar age, similar health care condition, similar race/ethnicity) to reduce racial disparities in hospital readmissions and negative outcomes post-hospitalization. Dr. Wein will take over the site PI duties and Dr. Wilson will join the PCORI team as a co-I for the multi-site study. Dr. Okonkwo is continuing her work on the intersection between emergency medicine, and transitions of care in patients who present following sexual assault. This project has resulted in improved awareness of gaps in care and translated to the development of care pathways that improve medical care inside the ER and in the community. Most recently, Dr. Okonkwo partnered with Dr.Howard and the Poison Center to investigate substance-facilitated assault patterns in our community. Read more about the impact our Social EM Division is having on substance use disorder and infectious disease treatment below! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/a5477986-eff3-48c8-a19d-6341df8a99ac/IMG_4258.JPG Blog - Revolutionizing Care: USF Emergency Medicine Research Updates - Make it stand out Dr. Angus Jameson and members of the Pinellas Technical Rescue Team. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1725725931435-ZFIFZJMN7X3QSSVNOBTN/IMG_5792.jpg Blog - Revolutionizing Care: USF Emergency Medicine Research Updates https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1725725933723-J6385QILAKRVDBAFCBW8/IMG_4536.jpg Blog - Revolutionizing Care: USF Emergency Medicine Research Updates https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1725725933547-XIDC0ZVHI95N8KIZCNZ2/IMG_0143.jpg Blog - Revolutionizing Care: USF Emergency Medicine Research Updates https://www.tampaemergencymedicine.org/blog/a-bloody-mess-management-of-prehospital-hemorrhage monthly 0.5 2024-08-05 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/b1e5a266-277d-4c67-8f36-29eaa8e5678a/whole+blood.jpg Blog - A Bloody Mess: Management of Prehospital Hemorrhage - O-positive Whole Blood may be the Solution. As organizations consider the preferred blood product to administer, many have settled on low-titer O-positive whole blood as it is a balanced resuscitation of red blood cells, platelets, and clotting factors. It is more readily available than O-negative blood. While the potential for alloimmunization in females of child-bearing age has been considered, it is perceived as an acceptable risk when compared to the mortality risk of withholding or delaying blood products in hemorrhagic shock (Yazer 2019). https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/49aaca41-a718-4557-aa8e-5038ebf898b1/Transexemic+Acid.jpg Blog - A Bloody Mess: Management of Prehospital Hemorrhage - Tranexamic Acid, Revisited A recent meta-analysis examined randomized controlled trials (RCT) comparing tranexamic acid (TXA) to placebo for trauma patients with features of hemorrhagic shock. This found strong evidence of a moderate benefit, with a reduced mortality at 24 hours and at 1 month (Fouche 2024). In these studies, the baseline risk for 1-month mortality was 18% and the therapeutic benefit was a 1.8% reduction of mortality, suggesting a number needed to treat of 61. The potential harms of TXA – allergic reaction and thrombotic events – were not significantly present in the studies that comprised this meta-analysis, suggesting that the medication can be used safely. https://www.tampaemergencymedicine.org/blog/introducing-our-sports-medicine-division monthly 0.5 2024-07-09 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1720542604690-GYJ3O9MRAWRNUJ3RU9VY/IMG_9828.jpg Blog - Introducing Our Sports Medicine Division https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1720542601781-0T6V100H7TKZVS62VQCN/9003cb76-5eb2-460a-836f-21990a7db359.JPG Blog - Introducing Our Sports Medicine Division https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1720542641596-ZV1F058WWYJ4TJ4RY4UC/IMG_7033.jpg Blog - Introducing Our Sports Medicine Division https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1720542603346-G2OX9WPZJK65XXIQL33B/281eeec8-9571-4861-9826-5aca681e609a.JPG Blog - Introducing Our Sports Medicine Division https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/6646d829-998d-4f4c-b5f9-4050a57443d7/kiel.jpeg Blog - Introducing Our Sports Medicine Division - Dr. John Kiel Dr. Kiel completed his Bachelor of the Arts in Psychology at the University of Maine, Masters in Public Health at Emory University Rollins School of Public Health and Doctorate in Osteopathic Medicine at University of New England College of Osteopathic Medicine. He completed a residency in Emergency Medicine at the University of Buffalo in Buffalo, NY and a Primary Care Sports Medicine Fellowship at the University of Kentucky in Lexington, KY. Prior to joining USF, he worked for the University of Florida College of Medicine in Jacksonville, FL and was core faculty in their residency program. Now at the USF Morsani College of Medicine, Dr Kiel is an Associate Professor of both Emergency Medicine and Sports Medicine. His clinical interests include the intersection of emergency medicine and sports medicine, FOAM, MSK Ultrasound, orthopedic trauma and resident education. Personal passions include CrossFit, cycling and spending time with his family and dog’s Remmy and Huey. He is also a major in the Florida Army National Guard. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/60d94a7c-3d13-4a1d-ad46-fb37c4113980/Vanica.jpg Blog - Introducing Our Sports Medicine Division - Dr. Vanica Guignard Dr. Vanica Guignard is an Assistant Professor of Emergency Medicine and Sports Medicine at the USF Morsani College of Medicine in Tampa, Florida. She holds a faculty position in the Department of Emergency Medicine where she is regularly involved in medical education. She completed a residency in Emergency Medicine at the Detroit Medical Center, Detroit Receiving Hospital, MI and a Sports Medicine Fellowship at Medstar Washington Hospital Center (Georgetown University) in Washington, DC. Her academic interests include MSK ultrasound and healthcare disparities. Personal passions include Peloton, hiking, attending concerts, sporting events and comedy shows, trying new restaurants and traveling. She is also involved as a faculty leader for our Women in EM group. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e0123d9e-5da0-4c4c-833b-df43507fe9fe/Diego+Riveros+Headshot.jpeg Blog - Introducing Our Sports Medicine Division - Dr. Diego Riveros Dr. Diego Riveros is an Assistant Professor of Emergency Medicine and Sports Medicine at the University of South Florida. A lifelong Gator fan, Dr. Riveros completed his medical school training at the University of Florida before coming down to Tampa to complete his Emergency Medicine residency at USF. Afterwards, he spent a year in Morgantown WV completing his Primary Care Sports Medicine fellowship at WVU. Dr. Riveros enjoys spending time with his friends and family, including his wife and two Labrador Retrievers. Personal interests include camping, hiking, boating, and snowboarding. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/2d92b99b-9de1-4e40-b921-281ad391b98a/Wikism-logo.png Blog - Introducing Our Sports Medicine Division - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/the-social-fabric-of-health-unraveling-the-role-of-social-medicine-in-emergency-care-settings monthly 0.5 2024-05-26 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4c1c01e7-b61f-4882-929c-beefb179a8a6/beautiful-shot-of-a-little-girl-with-dark-hair-loo-2023-11-27-04-58-54-utc.jpeg Blog - The Social Fabric of Health: Unraveling the Role of Social Medicine in Emergency Care Settings - What is Social Medicine? Social medicine is an interdisciplinary field that examines how societal factors, including economic conditions, cultural practices, social policies, and environmental influences impact health, disease, and healthcare delivery. It extends beyond the individual to consider the wider community and societal contexts, advocating for healthcare that is informed not just by clinical symptoms but by the broader social determinants of health. Learn more about Social EM and what we’re doing at USF by visiting our Social EM Division page. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1715181018514-VAYZY2PX95WI0RPPY894/IMG_1786.png Blog - The Social Fabric of Health: Unraveling the Role of Social Medicine in Emergency Care Settings https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1715181117618-LKXH7ILJCIMJHWW5OLWQ/refugee+hereos.jpg Blog - The Social Fabric of Health: Unraveling the Role of Social Medicine in Emergency Care Settings https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1715182742504-ZZ1EX41WH0D8VZYGR5DP/refugee+staffing.png Blog - The Social Fabric of Health: Unraveling the Role of Social Medicine in Emergency Care Settings https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/b9b7a05d-f516-404a-88ff-96fad72b2804/social+em+2.jpg Blog - The Social Fabric of Health: Unraveling the Role of Social Medicine in Emergency Care Settings - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4d09db1a-aae6-4e20-bbec-6f3969d147b7/IMG_7606.jpg Blog - The Social Fabric of Health: Unraveling the Role of Social Medicine in Emergency Care Settings - Make it stand out Our resident team participating in Street Medicine. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/fb542d9c-1253-403c-b039-26c609324b37/Scholarship+Program+Flyer.jpg Blog - The Social Fabric of Health: Unraveling the Role of Social Medicine in Emergency Care Settings - Make it stand out Fill out an application for the Social EM Scholarship here. https://www.tampaemergencymedicine.org/blog/drowning monthly 0.5 2024-05-02 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c2e00639-b5ce-41e4-b436-f910cb7aac8b/Screenshot+2024-04-16+at+5.49.58%E2%80%AFPM.png Blog - Acute Care of the Drowning Victim - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/b819bfce-2610-4133-8104-c957f219e6e5/Screenshot+2024-04-16+at+6.05.30%E2%80%AFPM.png Blog - Acute Care of the Drowning Victim https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/34f4d0fa-64e2-4e9e-9294-6c0aa9fd7643/Screenshot+2024-04-16+at+6.07.51%E2%80%AFPM.png Blog - Acute Care of the Drowning Victim https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/55f3e379-4065-43ed-873c-28de1f1aac5e/Screenshot+2024-04-18+at+4.48.23%E2%80%AFPM.png Blog - Acute Care of the Drowning Victim - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/balloon-tamponade-in-gi-bleed monthly 0.5 2024-04-16 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/118716bf-6665-4b4f-90bb-344082e9e6a1/Screenshot+2024-03-15+at+4.43.18%E2%80%AFPM.png Blog - Balloon Tamponade in GI Bleed - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/379efffd-6250-43e2-a922-aa0acf24f44b/Screenshot+2024-03-15+at+4.47.24%E2%80%AFPM.png Blog - Balloon Tamponade in GI Bleed - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/76282189-c8bf-4ad2-ab23-77934f1963e1/Screenshot+2024-03-15+at+4.55.52%E2%80%AFPM.png Blog - Balloon Tamponade in GI Bleed - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/84daed21-2b31-4634-9017-9a25e1a4327c/Screenshot+2024-03-15+at+5.16.53%E2%80%AFPM.png Blog - Balloon Tamponade in GI Bleed - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4249cfc3-080e-41fc-a75a-65ce28d41bf0/Screenshot+2024-03-15+at+5.50.32%E2%80%AFPM.png Blog - Balloon Tamponade in GI Bleed - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/f9d40114-bbd3-4408-b886-4ba643703a14/Screenshot+2024-03-15+at+5.52.49%E2%80%AFPM.png Blog - Balloon Tamponade in GI Bleed - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/bronchiolitis-rsv-covid-flu-and-rhino-oh-my monthly 0.5 2024-02-04 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/543593ab-f5db-4c0b-835b-444faf5ac880/a-pediatrician-is-blowing-boy-s-nose-during-her-me-2023-11-27-05-35-36-utc.jpg Blog - Bronchiolitis: RSV, covid, flu and rhino oh my! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/570f901c-c031-4d5d-9b54-ec1f761dbad3/Untitled+%2811%29.png Blog - Bronchiolitis: RSV, covid, flu and rhino oh my! - What is bronchiolitis? Bronchiolitis: Umbrella term for viral URI causing cough/congestion and lung mucus and inflammation leading to trouble breathing and wheezing in children under age 2 years old. RSV is the most common cause, however all viruses can cause bronchiolitis. Bronchiolitis is typically seen in the winter months or “flu season”, though in Florida we seem to see it nearly year-round! Viruses that cause this are easily spread by coughing and sneezing and most children have had RSV infection by the age of 2. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/27d73691-bfbb-4e4b-b27d-7675e4626cf5/doctor-examining-baby-in-clinic-2023-11-27-05-23-56-utc.jpg Blog - Bronchiolitis: RSV, covid, flu and rhino oh my! - How does bronchiolitis present? Child <2 yo typically presenting with cough/nasal mucus/possible fever. Normally, around day 3 of illness, with worsening breathing issues. You may note the child has increased work of breathing (nasal flaring, tachypnea, grunting, subcostal or intercostal retractions, or belly breathing). On exam, you hear a musical wheeze/crackles that comes and goes with cough/screaming. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/751fda02-1a68-4a08-981f-2cd6d8097a0f/Untitled+%2812%29.png Blog - Bronchiolitis: RSV, covid, flu and rhino oh my! - RSV Vaccines RSV vaccines—It’s a monoclonal ab! Nirsevimab targets the F fusion protein on RSV (inhibits fusion with human target cell) with a longer half-life than synagis (1). Only one shot covers the same time as the 5 monthly synagis vaccines. Approved in Oct 23 for infants < 8 months during RSV season who’s parent didn’t get RSV vaccine during last 32-36 weeks or pregnancy and at least 14 days before delivery. A Randomized trial showed that vaccinated infants had 70% and 78% lower medically attending RSV infections and incidence of hospitilizations. RSV vaccine for adults: Arexy approved in May 2023 for age >60yo and found up to 94% efficacy against severe RSV related lower resp tract illness. In places where monoclonal ab vaccine for infants isn’t available, vaccinated moms with Abryso (inactivated/nonadjuvanted vax) can be given to mom at 32-37 weeks in Sept-Jan time frame to prevent infection in newborns and infants. https://www.tampaemergencymedicine.org/blog/cyanide-housefires-and-when-to-give-hydroxocobalamin monthly 0.5 2023-12-11 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c4b29660-7022-49b8-b0b3-9239c49430d8/house+fire.png Blog - Cyanide, Housefires, and When to Give Hydroxocobalamin - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/f9216497-ae23-4cc7-b80f-969906636a0c/rosh.png Blog - Cyanide, Housefires, and When to Give Hydroxocobalamin - Make it stand out Image Courtesy of Rosh Review https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/9939aa5e-29a6-4faa-8f12-263df270a705/SIGNS.png Blog - Cyanide, Housefires, and When to Give Hydroxocobalamin - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/a23eb00c-effc-4d94-bca3-3df42efc57ca/Untitled+%283%29.png Blog - Cyanide, Housefires, and When to Give Hydroxocobalamin - Lactate is the most important lab you’ll need to assess. Remember that the cessation of ATP production will lead to the accumulation of lactate (due to preferential anaerobic metabolism). As a result, you will expect to see a very high lactate in these individuals. In fact, a lactate of <8 mmol/L reliably excludes clinically significant cyanide poisoning. This is incredibly helpful!!! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/bcf17f0b-a1ba-4636-a6bf-5df7f2201200/Picture4.gif Blog - Cyanide, Housefires, and When to Give Hydroxocobalamin - Make it stand out Hydroxocobalamin can cause red discoloration of the skin and bodily fluids. https://www.tampaemergencymedicine.org/blog/gastric-ultrasound-for-aspiration-risk-determination monthly 0.5 2023-11-20 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/600d231f-9fde-4004-835d-6ebe95f9f0f4/Screenshot+2023-10-26+at+5.40.32+PM.jpg Blog - GUARD Protocol: Gastric Ultrasound for Aspiration Risk Determination https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/7d8ed021-d1ac-4ab5-8fdf-a1bee1bfc7de/Screenshot+2023-10-26+at+6.15.06+PM.png Blog - GUARD Protocol: Gastric Ultrasound for Aspiration Risk Determination - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/5bc4d98d-3455-4bbb-8a52-5103ec733b3b/Screenshot+2023-10-26+at+6.37.08+PM.png Blog - GUARD Protocol: Gastric Ultrasound for Aspiration Risk Determination - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/6733b312-43db-41d0-bfef-bdffb0036a75/Screenshot+2023-10-26+at+7.26.36+PM.png Blog - GUARD Protocol: Gastric Ultrasound for Aspiration Risk Determination - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/017b6efe-0847-453c-8f52-ae79a2f0159e/Screenshot+2023-10-26+at+7.38.36+PM.png Blog - GUARD Protocol: Gastric Ultrasound for Aspiration Risk Determination - Make it stand out Image 5. Complex or “full” gastric antrum. This appearance is considered at elevated risk for aspiration duringsedation and no CSA needs to be performed to further risk stratify. CSA= cross-sectional area. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/0f453b25-3000-41a3-827d-9b5127924d91/Screenshot+2023-10-26+at+7.37.38+PM.png Blog - GUARD Protocol: Gastric Ultrasound for Aspiration Risk Determination - Make it stand out Image 4. Full vs. Fluid vs. Empty. The “full” gastric antrum may have a “frosted glass” or dirty shadow appearance.Early in consumption of food and fluids, you may have more echogenic air bubbles. It is challenging to see thelayered walls of the antrum with a full stomach. If any simple appearing “fluid is identified, a CSA should bemeasured. The “empty” antrum has identifiable layered walls and a mucosal surface juxtaposed and hyperchoic. CSA= cross-sectional area. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/5cc43635-2927-4776-b6d3-4fa175535834/Screenshot+2023-10-26+at+7.46.57+PM.png Blog - GUARD Protocol: Gastric Ultrasound for Aspiration Risk Determination - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/maximizing-the-simulation-experience-how-to-get-the-most-out-of-hybrid-learning-as-a-learner-and-educator monthly 0.5 2023-11-16 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/ef225b0b-9ec5-4584-818a-594a0be96eb2/20190821-USFH-CAMLS-IPEsim-42.jpg Blog - Maximizing the Simulation Experience: How to Get the Most out of Hybrid Learning as a Learner and Educator - Tips for Implementing Hybrid Sim From Dr. Phrampus · Start with a needs assessment to guide expectations and outcome measures. · Begin with the end in mind by creating a detailed list of exactly what learners should know or perform prior to generating or gathering learning materials. · Incorporate active learning in the pre-course material. · Ensure learners are clear on their responsibilities associated with the completion of the online materials and what the consequences are if they do not. · Link the pre-work to the simulation to create an integrated continuum of learning. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/b07303b3-731f-423d-bbae-a71df61ff263/Untitled.png Blog - Maximizing the Simulation Experience: How to Get the Most out of Hybrid Learning as a Learner and Educator - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1698776211484-BP4THI4UT0QAC96AP0PB/adult+learning+2.jpeg Blog - Maximizing the Simulation Experience: How to Get the Most out of Hybrid Learning as a Learner and Educator https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1698776211510-4XVLIRVI390V9Q0TP812/adult+learning+3.jpeg Blog - Maximizing the Simulation Experience: How to Get the Most out of Hybrid Learning as a Learner and Educator https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1698776213934-ETNV7IV63JFPQ1F49YI0/adult+learning+4.jpeg Blog - Maximizing the Simulation Experience: How to Get the Most out of Hybrid Learning as a Learner and Educator https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1698776215690-4JYX2HFQNH7OQDVQB8EJ/adult+learning.jpeg Blog - Maximizing the Simulation Experience: How to Get the Most out of Hybrid Learning as a Learner and Educator https://www.tampaemergencymedicine.org/blog/airway-pocus-cricothyrotomy monthly 0.5 2023-07-21 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/ab0a5ddd-59cd-4efc-a170-f947c67fc88d/Screenshot+2023-07-21+at+11.25.54+AM.png Blog - Airway POCUS: Cricothyrotomy Image 1 (1). The cricothyroid membrane can be identified between the thyroid cartilage and the cricoid cartilage, which can be seen in the longitudinal picture below. Thyroid cartilage is a hypo-echoic structure most superior (picture left) connected to the other also hypo echoic cricoid cartilage via a bright, hyper echoic linear air mucosal border of the membrane. This membrane is the cricothyroid membrane (CTM). (Th – thyroid cartilage; CTM – cricothyroid membrane; Cr – cricoid cartilage) https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/804621b9-2bd8-45a3-8bd1-12147a2ec8e3/Screenshot+2023-07-21+at+11.31.45+AM.png Blog - Airway POCUS: Cricothyrotomy - Make it stand out Image 2. A transverse POCUS image of the cricothyroid membrane (RIGHT) is displayed. The hyperechoic membrane with air filled larynx is seen in the far field. Air posterior to a reflective surface creates reverberation artifact or A-lines. This is seen deep to the membrane. The image to the LEFT is a CT showing the laterally displaced cricothyroid membrane. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/f07f75b6-8efe-4a6e-97f7-c866844315eb/Top+Takeaways.jpg Blog - Airway POCUS: Cricothyrotomy - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/maha-ttp-hus-dic-oh-my-understanding-microangiopathic-hemolytic-anemias monthly 0.5 2023-04-26 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/ed7a1918-fd8f-411b-ab5a-1571f65f8478/word+salad.jpeg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - INTRODUCTION This blog post is going to focus on microangiopathic hemolytic anemias (MAHA) – namely, three major conditions characterized by microangiopathic hemolytic anemia: Thrombotic Thrombocytopenic Purpura (TTP), Hemolytic Uremic Syndrome (HUS), and Disseminated Intravascular Coagulation (DIC). These conditions should be added to the “Can’t Miss List” for Emergency Physicians. If you’re a medical student or physician who struggles to keep these conditions straight, you are not alone! However, understanding and recognizing these conditions may make the difference between life and death for a patient, further emphasizing the need to translate this word salad into clinical knowledge that can be applied in the ER. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/dda68c80-3560-458c-a731-df5eeee02d78/microvascular+hemolytic+anemia.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c7459759-ab0b-4776-9fdc-59e3f7208cd5/Buzz+word+alert.jpeg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/16496556-348d-4c6e-864e-5fc6be888a18/pentad.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out **Disclaimer to our nursing friends, we don’t endorse the use of this mnemonic, but it is quite helpful. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/79079fec-67ae-4ab5-8dde-8f5c57e4268e/TTP+vs+HUS.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/07c2dc44-0d3a-4695-ae87-c0fb6b022248/suggested+work+up.jpeg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - What type of work up will help differentiate between these conditions? While the presentation and history may help differentiate these conditions, the laboratory work up will be important to confirm the diagnosis and differentiate between entities. All of the conditions mentioned above have two major laboratory abnormalities in common: thrombocytopenia and anemia. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/32a63ba0-a7d8-4b5f-ac8a-2b15b663ef57/Thrombocytopenia+and+anemia.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4cd63c53-9e0d-4a59-9697-0747625f81d9/schistocytes.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Image Source: Peripheral blood smear of a patient with microangiopathic haemolytic anemia with schistocytes in HUS (arrows). ResearchGate. https://www.researchgate.net/figure/Peripheral-blood-smear-of-a-patient-with-microangiopathic-haemolytic-anemia-with_fig2_261547808 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/3dfe4697-8b52-4e6e-b426-be26a8b12155/Lab+clue.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/faf43eea-24fa-43e9-acfb-f30b07bbcef2/chart+of+TMAS.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Thrombotic microangiopathies (including TTP, ST-HUS, and C-HUS) - EMCrit Project https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c3d72990-a807-4620-8fb7-d8cbf0e96044/red+flag.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - ITP is often confused with these conditions but does NOT cause MAHA. ITP, or Immune Thrombocytopenic Purpura, is an autoimmune condition that causes thrombocytopenia but does not result in hemolytic anemia. ITP is often confused with thrombotic microangiopathies, but it does not fall under the category of TMAs and DOES NOT cause MAHA! Patients with ITP may have signs of thrombocytopenia such as petechiae or bruising, or even more serious manifestations such as spontaneous intracerebral hemorrhage depending on the platelet level. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/d7b44444-1651-4b32-8c42-10fd414acb48/Labs.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e971d567-fbc0-461d-8124-3f2d2b4c3d4a/IMG-7331.jpg Blog - MAHA, TTP, HUS, DIC... Oh My! Understanding Microangiopathic Hemolytic Anemias - Make it stand out Dr. Lorena Martinez (right), presented this case of aHUS at Symposium by the Sea in August 2022. https://www.tampaemergencymedicine.org/blog/dvtin123 monthly 0.5 2023-04-10 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/9d24abce-65d6-4708-b538-1bbb44cfdc64/Screenshot+2023-04-10+at+12.34.21+PM.png Blog - DVT in 1, 2, 3! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/08519d51-7d0b-40e9-8df4-7e8e43ba9d8a/Screenshot+2023-04-10+at+12.36.57+PM.png Blog - DVT in 1, 2, 3! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c5d0019e-60f1-4c5a-a3e6-53ae5e21a280/Screenshot+2023-04-10+at+12.39.23+PM.png Blog - DVT in 1, 2, 3! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/8a43a21f-1601-4195-8dfa-c884a8d514d6/Screenshot+2023-04-10+at+12.41.08+PM.png Blog - DVT in 1, 2, 3! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e851cdfa-1731-448e-a33f-f17f45da67ac/Screenshot+2023-04-10+at+12.45.03+PM.png Blog - DVT in 1, 2, 3! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/case-files-apical-hypertrophic-cardiomyopathy monthly 0.5 2023-03-17 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4215f656-f577-452e-91df-76353235fe47/inverted+t+waves.jpg Blog - CASE FILES: Apical Hypertrophic Cardiomyopathy - Make it stand out Abnormal inverted t waves seen in a patient with Yamaguchi syndrome. Source: Gillen J P, Riveros D, Azari L (November 18, 2022) Unusual Cause of a Cardiac Arrest in a Former African American Collegiate Athlete. Cureus 14(11): e31645. doi:10.7759/cureus.31645 https://www.tampaemergencymedicine.org/blog/us-guided-subclavian-vein-cannulation-what-approach-should-we-take monthly 0.5 2023-03-02 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/51a98f13-7291-4da4-8122-b57713ea037b/Screen+Shot+2023-03-02+at+12.09.18+PM.png Blog - US Guided Subclavian Vein Cannulation: What Approach Should We Take? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1ee0a756-2237-4454-92cc-50a00e4bc28a/Screen+Shot+2023-03-02+at+12.12.50+PM.png Blog - US Guided Subclavian Vein Cannulation: What Approach Should We Take? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/dc91967e-c1c1-422e-b642-fa9ee669f2dd/Screen+Shot+2023-03-02+at+12.14.31+PM.png Blog - US Guided Subclavian Vein Cannulation: What Approach Should We Take? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/a8233dc8-7aee-4ce8-859e-fe1fe8f48250/Screen+Shot+2023-03-02+at+12.15.23+PM.png Blog - US Guided Subclavian Vein Cannulation: What Approach Should We Take? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/799e433f-02a3-40f0-9c81-563a20f19129/Screen+Shot+2023-03-02+at+12.15.34+PM.png Blog - US Guided Subclavian Vein Cannulation: What Approach Should We Take? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/de821870-f0ec-4df6-9c63-994d01628117/Screen+Shot+2023-03-02+at+12.15.41+PM.png Blog - US Guided Subclavian Vein Cannulation: What Approach Should We Take? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/pocus-for-peritonsillar-abscess monthly 0.5 2022-12-07 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/af99a5bd-02af-4cd7-8368-262e6a3f594f/Screen+Shot+2022-12-06+at+8.44.09+PM.png Blog - POCUS for Peritonsillar Abscess - Make it stand out Table 1. Outcomes of Costantino et al. Randomized Trial Comparing Intraoral Ultrasound to Landmark-based Needle Aspiration in Patients with Suspected Peritonsillar Abscess https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/d9faa7b4-be7a-48a1-8992-6e760d9dfd8f/Screen+Shot+2022-12-06+at+8.49.49+PM.png Blog - POCUS for Peritonsillar Abscess - Make it stand out Table 2. Results of Gibbons et al. study summarized by: https://www.ultrasoundgel.org/posts/X_iZeT5q6pSW2I8xLfbDZQ https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/04daf0e6-dd6a-44b0-bcd0-41cf5f487039/Screen+Shot+2022-12-06+at+8.54.43+PM.png Blog - POCUS for Peritonsillar Abscess - Make it stand out Image 1. With the above intracavitary US transverse view, we were able to accurately measure the dimensions of the PTA which measured 1.36 x 1.38 cm. Our third measurement observed the depth necessary for needle drainage and insertion into the abscess ~0.63mm. Lastly using color doppler, we appreciated the carotid artery which lies posterior and lateral to the tonsil, which was approximately 1.69cm in depth. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/314a2f06-8952-4b8d-ab17-67317c2e97ad/Screen+Shot+2022-12-06+at+8.55.49+PM.png Blog - POCUS for Peritonsillar Abscess - Make it stand out Image 2. This image shows a brief video clip of the carotid artery, which was confirmed by using color doppler while in transverse view. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/69109573-8eb5-4a85-bccb-9045490906a7/Screen+Shot+2022-12-06+at+8.57.15+PM.png Blog - POCUS for Peritonsillar Abscess - Make it stand out Image 3. For educational purposes, this is another patient’s tonsil found using intraoral US. This transverse plane image helped identify abscess versus cellulitis in a patient without CT neck performed. We see a tonsil with hyperemia which commonly can be seen in patient with tonsillitis. While enlarged, there was no sizable abscess appreciated on exam or by ultrasound to further pursue I&D. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/b6bcd898-94f4-4e29-8224-f3237b4f0f60/Screen+Shot+2022-12-06+at+8.59.50+PM.png Blog - POCUS for Peritonsillar Abscess - Make it stand out Image 4. For further orientation, here is an anatomic illustration by AAFP showing landmarks. It is vital to keep in mind the carotid artery lies posterior and lateral to the tonsil as a major complication/risk is injury to the carotid artery during this procedure. For this reason, insertion should be 8mm or less. (Image and information provided by AAFP [4]). https://www.tampaemergencymedicine.org/blog/faculty-spotlight-dr-haru-okuda monthly 0.5 2022-11-16 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/3a5cba29-64ca-468a-98a7-3c920e8cd9db/1554_2022+IMSH.JPG Blog - Faculty Spotlight: Dr. Haru Okuda - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/3beacc53-8aca-4fd8-a6f3-954798557e8a/My+project-1+%288%29.jpg Blog - Faculty Spotlight: Dr. Haru Okuda - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c7bf06eb-701a-45f0-a288-beb09f4d5a5b/07F1A1C1-E5F1-46C0-986D-0DF0453183E0.JPG Blog - Faculty Spotlight: Dr. Haru Okuda - How did Dr. Okuda develop SIMWARS? I wasn’t going to leave an interview with Dr. Okuda without first finding out how he developed the idea of SIMWARS! It turns out that the inception of SIMWARS was during Dr. Okuda’s time at Mount Sinai. Picture this: it’s 2008 in New York - Scott Weingart is getting into critical care, Dr. Okuda is developing his interest in simulation, and Andy Jagoda decides to host a city-wide critical care conference. Okuda, Weingart, and Andy Godwin (Chair, UF Jacksonville) brainstorm how to create a fun, innovative simulation experience at the conference and SIMWARS was born. After launching it at the conference, it wasn’t long before the group was asked to host events at numerous other conferences. Now, SimWars is basically a branded method of education that has become widely popular and is a key component of any good emergency medicine conference and has been embraced on a national and global level. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/9cad4135-6a5e-4d99-ab64-791fbef01ef5/image001+%281%29.jpg Blog - Faculty Spotlight: Dr. Haru Okuda - Make it stand out Dr. Okuda just returned from Riyadh, Saudi Arabia, where he conducted a workshop on how to implement SimWars in the Middle East. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/18b856f2-3987-4e4e-a2c7-25ae241bd0a8/healthcare+superteams.png Blog - Faculty Spotlight: Dr. Haru Okuda - How did he become the voice behind the USF podcast? Dr. Okuda is a bit of a celebrity in the EM world, but my admiration for Dr. Okuda grew even more when I began listening to a podcast he started in 2020 called, “Healthcare Superteams.” This podcast which Dr. Okuda created and hosted focused on high functioning teams and the importance of teamwork, communication, and diversity to improve healthcare. I asked Dr. Okuda how he ended up leading a podcast. He responded, “I like doing new things. The idea of the podcast probably started as a result of my commute to work. My Assistant Director and I were thinking about how we could reach a large audience and do a podcast on interprofessional teams and education. We decided on a podcast and the first topic we chose was this idea of healthcare teams.” The first season looked at successful teams outside of healthcare and concepts of high functioning teams that could be put into practice within the world of healthcare. The second season included thought provoking discussions centered on the importance of diversity and healthcare and the newest season focuses on something that is especially of interest to EM physicians as it focuses on mental health and combatting burnout. Dr. Okuda’s interviews tackle important issues we face in healthcare today. Take a listen! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/5b945627-f9a3-4dec-a986-d2bfb64e17b8/IMG_0271.JPG Blog - Faculty Spotlight: Dr. Haru Okuda - Make it stand out Dr. Okuda recording Healthcare Superteams. https://www.tampaemergencymedicine.org/blog/shoulder-dislocations-reduction-and-stabilization monthly 0.5 2022-10-27 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e6650693-8064-475a-ac3d-fa6762c6b1d5/sh.gif Blog - Shoulder Dislocations: Reduction and Stabilization - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/7c3e9df7-3c34-4054-936c-9eb1fb463bd8/sh2.png Blog - Shoulder Dislocations: Reduction and Stabilization Patients with acute shoulder dislocation will typically present with shoulder pain, inability to move the shoulder, and may have signs of neurovascular injury. In cases of anterior dislocation, the arm is held in slight abduction and external rotation, will have a “squared off” appearance to the deltoid, humeral head may be palpable anteriorly, and the patient will resist internal rotation. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e3a8fb59-1b5e-4b6e-82eb-cfd26c20153f/sh3.png Blog - Shoulder Dislocations: Reduction and Stabilization In cases of posterior dislocation, the arm is held in adduction and internal rotation, anterior shoulder may appear flat with prominent coracoid process, palpable humeral head beneath the acromion posteriorly, and the patient will resist external rotation. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/21d6d340-4b08-4bb0-b0f4-d836079e4222/sh4.png Blog - Shoulder Dislocations: Reduction and Stabilization In cases of inferior dislocation, the arm is often fully abducted with the elbow flexed behind the patient’s head, and the humeral head may be palpable along the lateral chest wall. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/bf58d606-4f4c-4310-b69a-ef8d58458059/Screen+Shot+2022-10-27+at+9.36.35+AM.png Blog - Shoulder Dislocations: Reduction and Stabilization - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/9e06700e-f7e0-4cac-afc3-cfe0c1496cff/Screen+Shot+2022-10-27+at+9.43.45+AM.png Blog - Shoulder Dislocations: Reduction and Stabilization - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e63038dc-64ca-48d4-8741-2cf1595e9c9b/sh5.jpg Blog - Shoulder Dislocations: Reduction and Stabilization After successful reduction, confirmation with post-reduction radiograph, and ensuring the patient remains neurovascularly intact, it is important to immobilize the shoulder in a position of stability. This is especially important to reduce risk of further injury and recurrent dislocation. For anterior shoulder dislocations, this is typically achieved by having the patient in a position of adduction and internal rotation using either a collar and cuff, sling and swathe, or shoulder immobilizer. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/535d037b-a68a-4f60-88cc-89ebbd52b444/sh6.png Blog - Shoulder Dislocations: Reduction and Stabilization However, for patients with posterior dislocation placing them in a shoulder immobilizer would put them in a position of instability (internal rotation and adduction); therefore, it is important to have these patients stabilized in external rotation or in abduction with neutral rotation. This can be achieved utilizing commercial orthotic braces such as an ultrasling or gunslinger brace. https://www.tampaemergencymedicine.org/blog/an-eggcelent-pocus-finding monthly 0.5 2022-09-22 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/8f34942b-7fd4-46f9-94ff-37e62a830f19/Screen+Shot+2022-09-22+at+4.44.37+PM.png Blog - An Eggcelent POCUS Finding - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/df4a59f9-39d8-4a8b-8b6a-2d286b66cbec/Screen+Shot+2022-09-22+at+4.46.17+PM.png Blog - An Eggcelent POCUS Finding - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4f92b607-19b1-474d-89bb-e89265378de8/Screen+Shot+2022-09-22+at+4.34.58+PM.png Blog - An Eggcelent POCUS Finding - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/bfba93d9-3742-4c8b-9a38-bb28e5b26420/Screen+Shot+2022-09-22+at+4.41.19+PM.png Blog - An Eggcelent POCUS Finding - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4dad0f7c-d85b-4327-b8a1-dbbf72b048df/Screen+Shot+2022-09-22+at+4.42.06+PM.png Blog - An Eggcelent POCUS Finding - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/usf-emergency-medicine-and-usf-morsani-college-of-medicine-medical-students-well-represented-at-symposium-by-the-sea-research-session-2022 monthly 0.5 2022-08-19 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/b53f3a27-8e59-4ee9-9f93-1b68d9701265/unnamed+%282%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 - Make it stand out Above, PGY-2 Resident Physicians Daniel Mbom (L) and Lorena Martinez (R) take a break after the CPC. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c68333ec-d886-41e2-9cfc-dd7c2c5d526a/unnamed+%283%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 - Make it stand out USF Medical Students at Symposium by the Sea. Claire Dalby, Ayesha Anwar, Jack Jimenez, Jay Shah, Theo Sher, Andre Elder. Not shown but also presenting was Thomas Shen. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/d9141928-9033-484a-9db5-d3d679504ea2/unnamed+%284%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 - Make it stand out Claire Dalby, MS2, discusses her award winning poster with EM Division Chief, Dr. David Orban https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906542998-FL09B0GA5EECJD6QZXJL/unnamed+%282%29.png Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906536332-6IABE1SMCFUTSKDJPTQF/unnamed+%2810%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906538422-273PBD8T68VMVWSKIHDM/unnamed+%289%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906540948-BMJY6AAX0814HOLO2A1M/unnamed+%288%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906543071-48C3O64ALA451TK9ABWP/unnamed+%287%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906545388-PV8CF3SZ4D1XJIG1I6J1/unnamed+%281%29.png Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906544930-3YTX7I5LLSSJKQHOJO7H/unnamed+%286%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906546370-53BB6G1WA5UC86Q35BQT/unnamed+%285%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906893077-U0GGX0R6BV1PI4V4NCYW/unnamed+%2811%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660906891897-1LQFOP91VO7LY7V9QLB8/unnamed+%2812%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/f41d5d24-c311-43c9-9a94-fafcdb2b1f62/unnamed+%2813%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 - Make it stand out Dr. Daniel Mbom, PGY-2, CPC Faculty Mentor Dr. Enola Okonkwo, and Dr. Lorena Martinez, PGY-2 at the CPC https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/d2cb7839-ed81-4979-a67d-d9d7799efc7d/unnamed+%2814%29.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 - Make it stand out Dr. Courtland Samuels (L) and Dr. David Orban (R) stand with awards for best medical student poster (Claire Dalby, MS2) and participation in the CPC (Dr. Lorena Martinez and Dr. Daniel Mbom) https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/50746ee2-e6c4-4c03-824b-8b2c1a4985c6/IMG-7320.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 - Make it stand out Resident physician Vincent Costers, checking out the vendors. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660928431721-GVASCQP5OMBR1EU46BKP/IMG-6040.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660935781470-BDW0EUTMYZV8UX03G8Q7/IMG-6031.jpg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660935916920-A5H7W4CT6SLRRXAE655C/dinner.jpeg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1660936074425-MPPT4PAAG67T53A95ESM/dinner.jpeg Blog - USF Emergency Medicine and USF Morsani College of Medicine Medical Students Well Represented at Symposium by the Sea Research Session 2022 https://www.tampaemergencymedicine.org/blog/fish-hook-removal monthly 0.5 2022-08-03 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/bef254fe-0840-4cda-818a-ad964e701682/Screen+Shot+2022-08-03+at+4.47.13+PM.png Blog - Fish Hook Removal - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/63624f90-2745-4c65-9849-df2dc6efeff2/Screen+Shot+2022-08-03+at+4.49.44+PM.png Blog - Fish Hook Removal - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e1d025d9-7327-4a89-a8aa-a74ad20e9808/Screen+Shot+2022-08-03+at+4.51.01+PM.png Blog - Fish Hook Removal - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/39d43bf5-a72e-4fe3-acfa-8a934477f09e/Screen+Shot+2022-08-03+at+4.52.03+PM.png Blog - Fish Hook Removal - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/68a7a9f4-29ce-42b4-a145-d738f03674fd/Screen+Shot+2022-08-03+at+4.52.35+PM.png Blog - Fish Hook Removal - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c999d772-3ce1-438d-8ed3-b784792791cb/Screen+Shot+2022-08-03+at+4.53.08+PM.png Blog - Fish Hook Removal - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/3340dbd5-50c3-4ca3-a3a0-c9005076497a/headhook.jpg Blog - Fish Hook Removal - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/an-unusual-ultrasound-surprise monthly 0.5 2022-06-20 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/5b97bf03-e6a5-4376-a229-23b0b2d26aa0/botfly+article.PNG Blog - An Unusual Ultrasound Surprise! A Creepy Crawler! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/7e6990be-bb76-4c0c-abcc-c6e8d33d6c1c/botfly.jpg Blog - An Unusual Ultrasound Surprise! A Creepy Crawler! - Think you’ll never see this? Think again! This picture is one I pulled out (Dr. Okonkwo) from a pediatric patient in North Carolina who came in with an “abscess” after being in Costa Rica. Check out this critter (actual photo)! To pull it out, I put vaseline over the hole and waited until the botfly started to crawl out. Then, I just grabbed it with a pair of forceps. . https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1c805917-78ef-4b21-b481-f5bb2134179d/My+project+%2846%29.jpg Blog - An Unusual Ultrasound Surprise! A Creepy Crawler! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/tick-alert-rocky-mountain-spotted-fever-is-on-the-rise monthly 0.5 2022-06-19 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1635358692517-L5VD0O8QR5JVFYB6VIX6/Epidemiology+and+Statistics.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! - Make it stand out Image Source: Epidemiology and statistics. Altanta, Georgia: Centers for Disease Control and Prevention. https://www.cdc.gov/rmsf/stats/index.html https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/b913288a-b280-4f6b-b13c-c50d7c30c0a4/Screen+Shot+2022-06-11+at+12.36.40+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/ce612674-c478-4d7c-97d6-eb46e8d042ec/Screen+Shot+2022-06-11+at+12.33.51+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/584a123c-e467-43e6-a2d6-c2dfc0431fa1/Screen+Shot+2022-06-11+at+1.06.10+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1654969942644-KZZRNWJCK0HJPVMKWJMZ/Screen+Shot+2022-06-11+at+1.27.38+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1654969943915-S4JAHIK0J81H2WA722EW/Screen+Shot+2022-06-11+at+1.51.10+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1654969943474-0LAF9BC86KCDCP2M4X8B/Screen+Shot+2022-06-11+at+1.49.15+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1654969944579-GON6DZ16XY72KGJMJDVF/Screen+Shot+2022-06-11+at+1.47.03+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1654969945474-OLVBG5AK5E2B2I0OLPYK/Screen+Shot+2022-06-11+at+1.43.07+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1654969945747-NH4CPFX6S0GKE8EGWH0Y/Screen+Shot+2022-06-11+at+1.39.23+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1654969946236-53O22OI8UARXBS1W317G/Screen+Shot+2022-06-11+at+1.29.56+PM.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/28fe8032-686d-4758-90a8-ed9ea0a5927e/hedl.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! - Make it stand out [23] https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e6e4cdfa-e927-4189-bfa6-5bd190a6e9a6/gr.png Blog - TICK ALERT – Rocky Mountain Spotted Fever is On the Rise! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/heat-related-illness-deep-dive monthly 0.5 2022-05-21 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/80feca7d-a3ff-4bae-bec3-be4f1c1c34d8/warm+hiker.jpg Blog - Heat-related Illness Deep Dive - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/5f3fe915-1e75-4587-91c9-30662899556c/Picture1.jpg Blog - Heat-related Illness Deep Dive - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/dca83d61-2aad-4e39-b51b-67a704af6d01/heatstroke-students-d1b27e19.jpg Blog - Heat-related Illness Deep Dive - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/f2cfaeb6-133a-4806-b8d5-1e7a5490e63b/gr1.jpg Blog - Heat-related Illness Deep Dive - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/womens-history-month-special monthly 0.5 2022-03-28 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/442445ef-26ac-4581-a835-73271c837391/My+project+%2824%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1647435825355-F04ZA7E50VH1JO41OOWK/women+1.jpg Blog - Women's History Month Special! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1647435863679-NYZ62ZQH80T1EGI7P1G2/Girls.jpg Blog - Women's History Month Special! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1648055982242-85Q1Z5MXALRASF4X37YP/ladies+9.jpg Blog - Women's History Month Special! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/d68b2e03-a64b-47e9-8e7a-61ff53bb3e4b/Char.JPG Blog - Women's History Month Special! - Dr. Charlotte Derr Dr. Derr is the first woman to serve as the Program Director for USF Emergency Medicine. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/91f60c43-ee29-41bd-84aa-b7686e714a48/derr+US.jpg Blog - Women's History Month Special! - Dr. Derr is a trailblazer in EM Ultrasound! Dr. Derr is a national ultrasound expert and is responsible for rolling out the resuscitative Transesophageal echo (TEE) program in our emergency department, making our program the first in Florida. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/3e94dd55-73d8-4631-823b-a68ca7d2e0d8/skiing.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/380a2577-7279-4f6d-bfb8-7e3c8447c37e/IMG_2711.jpg Blog - Women's History Month Special! - Dr. Jillian Kiely Dr. Jillian Kiely is one of our emergency medicine residents. She carries herself with a sense of maturity and awareness that is rarely developed so early on in one’s career, maybe that is the result of working in pharmaceutical consulting and obtaining a Master’s in Public Health prior to medical school. Her prior experiences have helped her succeed in residency and in the coming year, she will serve as a Chief Resident. I asked Dr. Kiely what her goals were in this new role and she responded, “My overall goal will be to promote a positive residency culture where residents have both formal and informal opportunities to provide feedback on their residency experience. Specifically, in my role as Scheduling Chief, I would like to create scheduling solutions that allow residents to pursue a special project or rotation while still meeting all ACGME requirements.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/8eaedb95-2b84-4c39-ac75-17861cff641d/IMG_2636.jpg Blog - Women's History Month Special! - Dr. Kiely has a passion for Global Health. Dr. Kiely obtained a Master’s in Public Health and has prior international medicine experience. In true Dr. Kiely fashion, she went above and beyond being a resident with an interest in Global Health and was a co-creator of an International Medicine Lecture series during the 2021-2022 academic year. As you can imagine, Covid-19 created many obstacles for international travel during residency, but it made global health and having an international perspective more important than ever. She recognized this as an opportunity and quickly established a high quality lecture series designed for medical students and residents. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/a2f2c214-65b2-4078-bb99-c4254a8e3467/IMG_1704+%281%29.jpg Blog - Women's History Month Special! - Life outside of medicine…. What does Dr. Jillian Kiely enjoy outside of medicine? She is a wife and dog mom! She enjoys exploring with them and traveling. Her other hobbies include working out, cooking, and learning to knit more than just scarves (which aren’t very useful in Florida). https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/7a1b6d53-f4cc-434a-98b8-13db2c2b9f12/My+project+%2828%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/212ecd1d-718a-47b9-9bb1-5ba481efa348/IMG_1226.jpg Blog - Women's History Month Special! - Vanessa Cirri, RN About a year ago I shared a patient with Vanessa and watching the compassion and empathy she had for our patient was inspiring. It reminded me of why I went into medicine. Her level of empathy and compassion proved to be as important to our patient as the medical management I was trying to provide. Our patient was suffering a Type A aortic dissection and was quite unstable. I was laser-focused on optimizing his hemodynamics, getting a CT scan, and tracking down a surgeon. Vanessa was the one that recognized the fear in his eyes and helped him remain calm. She spoke quietly and held his hand. She reassured him and listened to him, all while managing multiple medication drips and performing her other nursing duties. She offered to call his wife before the surgery. Her actions seem simple, but when you work in a busy ER, it is easy to lose that type of connection with patients. This wasn’t the first time, or the last time, I heard Vanessa use that soft, reassuring tone with her patients. Recently, I asked her how she maintained that level of empathy and connectedness to her patients because it is something we should all strive to do. She responded, “It can be hard, especially during covid times. People can be irate, disrespectful, and just plain unkind, but you get those few individuals that are appreciative and share a kind word or express their gratitude. I harness that energy, tucking it away, holding firm to the idea that those are the people that are more prevalent in the world. The kind, appreciative people, and most days it helps keep me bonded with my patients.” My interactions with Vanessa made me curious why she chose nursing. I always tell my residents, “Don’t forget the Why behind why you chose medicine.” Her answer surprised me. “I became a nurse for all the wrong reasons. Growing up I never had the aspiration to be a nurse or a doctor. My parents did not go to college and my father moved to the U.S at 16 and started working with no more than a middle school education really. So the concept of going into a medical career was something I never thought of. I wanted to become a teacher. It was not until I got married and divorced at a young age that a friend told me to attempt nursing school. I was a young mother that wanted to be both self-sufficient and available for my daughter. So, the schedule of working three days a week with lots of flexibility appealed to me. The irony of that statement now! Nursing does offer a lot of opportunities and freedoms. There are so many different types of nursing care and each is important...” I guess hearing her response was surprising because I find her to be such a fantastic nurse. In all reality though, emergency medicine is appealing to many women for the same pragmatic reasons. Though she doesn’t carry the official title of a teacher, she is definitely teaching us all to be better providers. She recently stepped into the role of a Relief Charge Nurse and I have a feeling that position will entail a lot of learning and teaching as well. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/d8f795e8-68c8-42ef-be2a-079a31e3501b/My+project+%2827%29.jpg Blog - Women's History Month Special! - Describe the team dynamic in the ER and a time that stands out. In my final question to Vanessa, I asked her to describe the team dynamic in the ER and if she could recall a time that stood out. “The teamwork in the ED is why I love the ED…The physicians are approachable and willing to collaborate with the nursing staff for exchange of critical thinking ideas and suggestions on plans of care…I was part of a team that saved a young woman in cardiac arrest. The team was led by female physicians and it was a female resident that had the idea to do a FAST exam on this woman, which ultimately saved her life. I followed her case for weeks because she was down for so long. The woman ended up with an emergent surgery, tracheostomy, and a prolonged hospital stay. A few days before she was discharged the resident went to see the patient and shared with me that the patient was fully functioning neurologically. While these stories are far and few in between, it makes the job worth it.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/cf899a11-b414-404f-8e72-964db26ffe1e/2BB0C725-A85B-44D3-A9E3-5EC7F86EC1BC.JPG Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/94a51559-9f1c-43cd-86a8-943d07da7cbc/My+project+%2825%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4e022553-0f89-4dd8-9680-7bc21098a400/blazer+pic.jpg Blog - Women's History Month Special! - Dr. Melissa Leming Dr. Leming is an EM Attending Physician at TGH and the Hillsborough County Mass Casualty Director. She completed medical school here at USF, residency at Christiana Care, and completed a Disaster Medicine Fellowship at UMass. Every year Dr. Leming plans mass casualty drills for Hillsborough county and our program. In addition, she assists with the placement of special needs populations into hospitals and shelters during real disasters and responds to disasters at the Hillsborough County EOC Emergency Operation Center. Her ability to help her community prepare and respond to disasters is one of the aspects of her career she is most proud of. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/d1953d26-c6ad-4189-9a70-1ed768285395/IMG-7867.jpg Blog - Women's History Month Special! - Dr. Leming speaks about the importance of work-life boundaries. You will be hard-pressed to find a woman who loves medicine more than Dr. Leming. It shows in the way she cares for her patients and in the way she teaches the resident physicians she works with. She’s wickedly smart and full of enthusiasm for her job. She takes pride in working at a teaching facility and seeing the resident physicians transform into capable attending physicians. She describes her time at work caring for patients and teaching residents as “one of the joys” in her life. So what are the other joys in her life? A few years ago she became a wife and mother and since then she’s been on the journey that so many female physicians face - how to be an amazing wife, mom, doctor, and still make time for herself too (she loves reading, running, and wine tasting). After becoming a mother, she shifted her ER schedule to nights which allows her more control over her schedule. I wanted to talk to Dr. Leming about her life as a mom, wife, and 3rd shift ER physician because I think many women are looking for guidance on how to succeed in all these roles. “Dr. Leming, what does a typical workday look like for you?” “I wake up around 4:30 PM and have a cup of coffee while snuggling and playing with my 2-year-old. At 5PM I pack for work and have an early dinner with my family from 5:30-5:50PM. I leave for work 6PM and work from 7PM-7AM. I get home around 8:30AM and watch an episode of Mickey Mouse Club House while my kid slowly wakes up on my lap and then I go to bed. I am lucky that my husband is able to cook dinner for the family most nights which gives me more time away from the kitchen and with my family.” When asked what advice she had for other women trying to find the right balance she said, “Create time in your schedule for working at home and some family time and stick to it. When I'm working from home, I am in my office with the door shut. When it is time for my family, all work is put away and out of sight. The dedicated time and mental divide is very important to give each my complete attention.” Her message to young women considering a career in medicine was clear, “If you’re passionate about medicine, you should reach for your dreams. Medicine is much more open to women today than decades before. Women are able to have a very rewarding career and family life simultaneously.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/9b7239a6-b71b-472c-bc15-540799fb837b/My+project+%2829%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/235ad491-6c2c-43eb-b1e5-74abdb4b70f4/Eva.jpg Blog - Women's History Month Special! - Eva Larson, PA of the Year! Eva Larson is a Physician Assistant (PA) who completed her training at the Medical College of Georgia and completed an additional year of training (PA residency) in Emergency Medicine. She has worked in the ER ever since where she has maintained her love for learning and her desire to provide the best care possible for her patients. In 2020-2021 she was named Tampa General Hospital’s PA of the Year. I asked her how it felt to receive such an award and she responded, “I can’t even begin to tell you what it felt like, it was an honor and very humbling. That was a rough year for our ER (Covid-19 hit our community hard) and to be recognized was such accolades it made me want to work harder. I felt like I needed to earn it.” Anyone who has ever worked a shift with her can attest that she is deserving of the award! In addition to emergency medicine, Eva has taken courses in Wilderness Medicine and is actually working on a Wilderness Medicine Fellowship. If she’s not in the hospital you can find her spending time with her family which she describes as her “heart and soul”. Whether they are camping, paddleboarding, cooking, or exercising - they are together. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/dd8788ff-85fe-4db2-a5e7-5a4caab57a9b/47f3a613-652d-401d-a228-7b366d84fe90.JPG Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/40834622-2a09-4555-aa7b-6f751cd76e30/86c21b5c-4770-4b2a-be4a-8cbab69fe1a4.JPG Blog - Women's History Month Special! - Eva Larson, PA, shares memories of her mother and why she finds inspiration in her family history. “When I reflect on Women’s History month, many women come to mind, Rosa Parks as a symbol of civil rights movement, Marie Curie, Malala Yousafzai, Amelia Earhart, but the one that truly sticks in my head is my mother. A woman born in a very large and low-income family. She made her way through life with a fourth-grade education. She had four children, three of which were back-to-back, poor thing was pregnant for 3 years straight. Born in the 1930s, she lived in a very male chauvinistic Spanish culture. She never held a job outside the house. She made breakfast every morning for all of us, but she would always take breakfast to my dad in the bedroom first before he would head out to work, that was the custom. She did all the chores of the house, never really complaining. She filled the role that was expected of women at that time; yet my mother always taught all of her girls to never depend on a man, to work hard, to study hard, to make something of ourselves, so we never had to depend on a man. I recall going through PA school where classes were 8 to 5 every day for a year with back-to-back exams. It was quite brutal and so many times I just wanted to quit, but it was my mom’s voice that kept me going. “Don’t ever depend on a man.” I have my mother to thank for that, for she inspired me to be the woman I am today and break away from that chauvinistic archaic thought of the time…” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/13b0ae56-ffbd-45a7-ac4b-6f185efb036f/My+project+%2830%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4759f0c2-ec26-4ecd-8810-b544d8349ac6/Headshot+-+Beige+background+%281%29.jpeg Blog - Women's History Month Special! - Dr. Juliana Lefebre Dr. Juliana Lefebre is the Director of Aeromed, a life-saving air service made up of more than 75 pilots, nurses, and medics. She is the WOMAN responsible for making sure their protocols reflect the most up-to-date medical practices. Her protocols are the guidelines used to care for critical patients transported by the Aeromed team and she ultimately carries the responsibility of educating and providing medical control coverage for Aeromed. Sound like a high-pressure job? It’s nothing that Dr. Lefebre can’t handle! What advice does she have for other females considering taking on a major leadership position? “You can do it! Don't ever let anyone persuade you otherwise. If you have the ambition and willingness to go through some tough times, you can succeed.” Dr. Lefebre completed medical school at the Georgia campus of Philadephia College of Osteopathic Medicine. She went on to complete her EM residency and EMS fellowship right here at USF and was ultimately hired as the Director for Aeromed. Her hard work, dedication, and charisma have undoubtedly made her an effective leader and a successful emergency physician. In the coming year, she will be working with her team to participate in the Elevate 2022 conference, an air flight medical conference hosted in Tampa this year. In addition, she works as an Attending Physician at TGH with our residents and is an active participant in our Women in EM group. She is someone who sees the value in mentoring so I asked her, “What role do you feel mentors play for women in medicine?” She replied, “I believe mentoring encourages others to pursue the things that they didn't feel were possible or that they were afraid of.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/ed502660-6551-4031-95c0-d9ec48313972/IMG_9827.JPG Blog - Women's History Month Special! - What is Dr. Lefebre most proud of in her career? I am proud of completing my EMS fellowship and becoming the Medical Director for Aeromed, but I am even more proud of becoming a mother and still being able to balance my job in the emergency department and with Aeromed. It's like having three full time jobs. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/102fb8a0-eeb3-4fb2-885d-ecb8171f020b/My+project+%2832%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/91e5118f-f0b4-466e-a824-e141a58355c5/IMG-3493.jpg Blog - Women's History Month Special! - Dr. Jennifer Shin Right about this time last year, our residency had just matched Dr. Jennifer Shin, from Albert Einstein College of Medicine in New York. During her interview, she won us over with her cheerfulness and poise (her stellar CV was also impressive). She still carries that pleasant demeanor with her every day at TGH, where she is excelling as an emergency medicine resident. Dr. Shin’s interests in medicine includes critical care, social medicine, and global health. As she nears her PGY 2 year she is focused on taking time each shift to learn how to work up a particular type of patient really well. She admits that the thought of being a second-year resident is exciting but feels daunting at times. I can attest from my personal experience during residency that the transition between intern year and second year, feels like a big jump in emergency medicine and is a challenging time. It’s important to be surrounded by uplifting colleagues and mentors during training to help with such adjustments. I asked Dr. Shin, “Does your training environment provide adequate exposure to women in leadership and mentors to help you navigate your career goals?” “Yes!” she responded, “One of the things that stood out about USF was women in leadership. It is very empowering to see and be surrounded by. It's great showing up to work and seeing that many of the attendings are female.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/5a23ddf3-4ac0-47ba-9060-23f818425433/IMG-2097.jpg Blog - Women's History Month Special! - As you reflect on Women’s History Month, who inspires you most? “My mom! She's always been the most positive and supportive person I have ever known. Everyday she inspires me to carry myself the way that she does.” What advice do you have for other young girls or women considering a career in medicine? “We've all worked extremely hard to get to where we're at now. I think my strongest advice is to stay true to yourself and don't let biases or others' opinions bring you down.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/8cd01d47-bcb7-4a03-b05e-a7d7703e08e3/Jenn.jpg Blog - Women's History Month Special! - Make it stand out Dr. Jennifer Shin and co-resident, Dr. Nabi Ferra, who participated in the couples match in 2021. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/deb4ef09-7d36-4267-a4db-9b9db311365b/My+project+%2833%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4d9b4b89-c908-45d0-9782-47454e3e5604/IMG_2057.jpg Blog - Women's History Month Special! - Dr. Megan Tyler Dr. Tyler is an EM Attending Physician at Tampa General and currently leads our Women in EM Mentoring Group for USF Emergency Medicine. Dr. Tyler completed medical school at SUNY Upstate Medical University and EM residency at USF. I asked Dr. Tyler, “What is your inspiration behind leading the Women in EM group at USF?” She responded, “After moving to Tampa from NY without any friends locally I relied a lot upon my female colleagues in EM for support, mentally, emotionally and professionally. Residency is a difficult time and EM is a challenging specialty. I wanted to create a network of support for all of our current and incoming female physicians to help navigate the challenges that we face in this male-dominated field. By finding a mentor or network of mentors, women can have guidance and support from people who have been through what they are going through. Every female member of our residency and faculty have different perspectives and experiences navigating these challenges through different stages of training and life.” Dr. Tyler had this to say for young women considering a career in medicine, “Go for it! It's scary but so worth it. I have been through a medical school long-distance relationship, moved across the country, struggled with fertility and navigated becoming a new mom and new attending at the same time. Every time I faced one of the challenges the thought of tackling it seemed so overwhelming but then you realize you are stronger than you think. And when you come through on the other side you realize how much you've grown from these experiences. It's not easy but it is possible.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/a2769782-19d6-42c4-a663-961ab84edbcd/IMG_9159+%281%29.jpg Blog - Women's History Month Special! - What are Dr. Tyler’s hobbies outside of medicine? When she’s not in the ER, She likes to go paddleboarding, attend sporting events, play piano, and chase her toddler around! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e5f75012-6e13-4169-9017-047b81f0af48/UNADJUSTEDNONRAW_thumb_5d5d.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/3bb298a4-49c7-49b2-af7c-6b9a88c4cd07/My+project+%2834%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/8cca85a4-113d-4a32-9f2f-edcf6c5ac640/Resized-Snapchat-1612330778.jpg Blog - Women's History Month Special! - Hazel Hinds, RN, CCMC, MSN At TGH we are lucky to have Case Managers on our ED team and Hazel Hinds is one of those incredible people! She has the challenging role of helping determine the best resources for the patient and assisting with an endless list of tasks centered around reducing bounce backs and readmissions, patient transfers, and referrals for other services. Hazel is the type of person who is always encouraging those around her. She has a genuine desire to help the medical team and our patients. I asked her, “What do you love most about your job?” She responded, “This might sound corny, but I love the people I work with. I like helping others who need help.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/3ed6bd8c-7f3a-46bb-8629-907fa8811a6d/imagejpeg_0%281%29+%281%29.jpg Blog - Women's History Month Special! - Why is Women’s History Month important to you? “Women's history month is time to showcase to our young women that women can become whatever they dream. While it seems like everyone knows who Rosa Parks was, not everyone knows how female code breakers were instrumental in the success of WW ll. Mainstream media showcases some of these important historical female figures via movies such as Hidden figures and Self Made during Women's history month…Women's history month reminds us that women are instrumental in making change throughout the world. This validates the importance of women to our younger female generations and encourages them that they too can reach for the stars and make historic changes. ” What role do you feel mentors play in a women’s professional development? “There are very few female-dominated fields. Having a strong female mentor is very important in helping young female professionals to navigate a mostly male-dominated world. While there are more female professionals breaking the career glass ceiling, it can be a very daunting world for a young female professional to navigate. A successful mentor can guide, advise, and be a sounding board for their mentee.” Can you tell me about your hobbies outside of work? “I love shooting (yes, guns at the shooting range), scuba, bicycling, reading, and listening to audio books. My favorite pastime is spending time with my granddaughter and developing her interest in riding, soccer, gymnastics and shooting.” https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4966c472-27b6-4f07-983b-d6932faf5b0a/My+project+%2835%29.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/5b360b4f-3210-4cb8-98a6-76ce38719deb/aeromed_shift+9819+wr_april_3+19.jpg Blog - Women's History Month Special! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/7b7dddcf-b138-452a-a334-a55bebd68e7e/rachel.jpg Blog - Women's History Month Special! - Make it stand out Dr. Rachel Semmons speaks on a TGH Leadership panel. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/e179e9dc-0be7-4d62-85df-6e9982912a5c/Tiffany+Vasey.jpg Blog - Women's History Month Special! - Make it stand out Tiffany Vasey, an NP in our Department and the award recipient for Tampa General NP of the year, was featured in Tampa Bay Times and WUSF News. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1648254344795-UGCQ94LGN8BP9GC2S0V3/My+project+%2836%29.jpg Blog - Women's History Month Special! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1648254370295-RA13IHW8KY4VVFAOW027/Tiff+pl.png Blog - Women's History Month Special! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1648254405567-IN2DPV3D4L6EN0CTIAUQ/Elie.png Blog - Women's History Month Special! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1648255301119-D79Q7FDDCWYTS4RUYYK8/My+project+%2837%29.jpg Blog - Women's History Month Special! https://www.tampaemergencymedicine.org/blog/the-activ-6-clinical-trial-has-arrived-amp-other-treatment-options-for-outpatient-covid-19 monthly 0.5 2022-02-02 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1d8a70b4-a0e1-464f-a438-aa2152203223/unnamed%2810%29.png Blog - Outpatient treatments for Covid-19 &amp; ACTIV-6 study - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/91ea1785-2ee1-46a3-a758-6dba3da8678f/ACTIV6+POSTCARD.png Blog - Outpatient treatments for Covid-19 &amp; ACTIV-6 study - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/b3950e25-dd29-4bbc-90d7-86759ab61d38/My+project+%2810%29.jpg Blog - Outpatient treatments for Covid-19 &amp; ACTIV-6 study - Paxlovid Fast Facts The EUA for Paxlovid can be found at this link EUA allows for outpatient treatment of mild-to-moderate COVID-19 in adults and pediatric patients (12 years of age and older weighing at least 40 kg) Start within 5 days of symptom onset RX: Take 3 pills in the morning (2 X 150mg nirmatrelvir, 1 X 100mg ritonavir) and 3 Pills in the evening (2 X 150mg nirmatrelvir, 1 X 100mg ritonavir). Requires adjustment based on CrCl. Multiple potential drug interactions. No available data in pregnant women or those that are breastfeeding Not authorized in those younger than 12 years of age No cost to patient, $530 cost to US Government https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c5746c13-a65d-4148-aea4-1e716b739dbf/molnup.png Blog - Outpatient treatments for Covid-19 &amp; ACTIV-6 study - MOVe-OUT Trial This was a randomized, controlled trial which compared placebo to molnupiravir to evaluate the efficacy and safety of treatment with molnupiravir started within 5 days after the onset of signs or symptoms in nonhospitalized, unvaccinated adults with mild-to-moderate, laboratory-confirmed Covid-19 and at least one risk factor for severe Covid-19 illness. A total of 1,433 patients were included. 709 received molnupiravir & 699 patients received placebo. The 29 day combined hospitalization or death for molnupiravir group was 6.8% versus 9.7% in the placebo arm. The investigators of the trial concluded that the early treatment with molnupiravir reduced the risk of hospitalization or death in at-risk, unvaccinated adults with Covid-19. View the study here. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/01a64e6d-4575-4201-bb44-2602b2492f6a/My+project+%286%29.jpg Blog - Outpatient treatments for Covid-19 &amp; ACTIV-6 study - Molnupiravir Fast Facts Must be 18 years old Start within 5 days of symptom onset Rx: 800mg twice daily for 5 days (40 pills) 200mg pills, 4 pills each dose (comes in a 40 pill bottle) Do NOT take if pregnant (embryo toxicity); bone/cartilage toxicity (not safe for kids) No known drug interactions No cost to patient, $712 cost to US Government https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/38c04845-6c52-49bb-8fdb-888c5d8914f4/about-this-study.jpg Blog - Outpatient treatments for Covid-19 &amp; ACTIV-6 study - Propel Zotatifin Covid Study Zotatifin is an "investigational" antiviral treatment because it has not been approved by any government agency. It has not been given to people for the treatment of COVID-19 prior to this study but has been given to people in ongoing research studies of other diseases. In this research study, we will compare zotatifin to a placebo to see if it works better or is safer than not taking anything at all. The Principal Investigator at the TGH site is Dr. Enola Okonkwo. For more information visit: https://www.yourpropelstudy.com/about-this-study/ https://www.tampaemergencymedicine.org/blog/a-holiday-ultrasound-parfait-recipe-thats-sure-to-be-a-hit monthly 0.5 2022-01-07 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/a5a841e3-920f-48ee-b8d7-92410a7d0357/XR.png Blog - A Holiday Ultrasound “Parfait” Recipe That’s Sure To Be a Hit - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/6dfe2099-b902-4f4c-bc5d-011b396e0dd6/Fat+Pad.png Blog - A Holiday Ultrasound “Parfait” Recipe That’s Sure To Be a Hit - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/4e7b7b96-1621-4c76-9d33-c5e1ea90c7c4/CT.png Blog - A Holiday Ultrasound “Parfait” Recipe That’s Sure To Be a Hit - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/a3b43897-f663-4745-aed2-752f3ee0a8b9/Effusion.png Blog - A Holiday Ultrasound “Parfait” Recipe That’s Sure To Be a Hit - Make it stand out Image 4 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/c2321c21-2f08-4276-8a00-a44ae6277ddc/Fracture.png Blog - A Holiday Ultrasound “Parfait” Recipe That’s Sure To Be a Hit - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/update-new-data-supports-the-use-of-fluvoxamine-in-reducing-severity-of-covid-19-infection-l57pr monthly 0.5 2022-01-05 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/2948819c-5fbc-4ffc-923c-aeca5df7e058/lancet_Page_01.jpg Blog - Update! New Data Supports the Use of Fluvoxamine in Reducing Severity of Covid-19 Infection. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/6769b7be-f747-48dd-825e-313823d1edb7/F99B9D45-DFAF-48D2-BB05-15140F3B16CC.jpg Blog - Update! New Data Supports the Use of Fluvoxamine in Reducing Severity of Covid-19 Infection. - Take Home Message: For now, it is reasonable to consider outpatient usage of fluvoxamine. The ACTIV-6 trial (which will likely be an even larger sample size, funded by NIH and in the United States) will probably lead to the ultimate arbiter of fluvoxamine use in Covid (and eventually likely some other work to see if there is value-add on top of the oral protease inhibitors coming to market specifically designed for this condition). For now though, it is reasonable to consider outpatient usage of fluvoxamine. Suggested dosing: 100 mg BID x 10 days. https://www.tampaemergencymedicine.org/blog/hocus-pocus-for-aortic-stenosis-in-the-ed monthly 0.5 2021-11-09 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/06606cbd-e211-4c7c-8fac-478544510264/Aortic+valve.PNG Blog - Hocus Pocus for Aortic Stenosis in the ED - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/69481ba8-f35d-4c58-83fa-68d3c0ce523c/AS+velocity+measurement.jpg Blog - Hocus Pocus for Aortic Stenosis in the ED - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/a07950f7-e49e-49ff-8f2a-db6d8b7083a4/aortic+table.PNG Blog - Hocus Pocus for Aortic Stenosis in the ED - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/own-the-code monthly 0.5 2021-09-30 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1632365861946-B715CLNQJC8KXKURQIS0/Bloody+trauma.jpg Blog - Own the code - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1631199398159-M2TDUI5T7LLPNAOHUDEZ/Own+the+code.JPG Blog - Own the code - So how do you own the code room? How would you like to be viewed as a leader and general human being? Start with a moral compass, and let it guide a set of principles. 1.) Preparation. It’s a word used so often, it may come across as contrived, but it’s anything but. It’s essential to establish a set of standards in your room before the code arrives. The pharmacist and med nurse will work in tandem to keep on schedule for medications. They will keep time and announce that the medication was given for the room and request your assistance only if needed. The timekeeper will make the announcement for pulse check. No one else will make that announcement. Techs and nurses doing compressions, kindly assemble a line. “RT, you’re with me, I like a Mac 4, bougie, and 8.0 tube prepped. Suction and BVM of course. I’ll let you know when. Medics, Place the largest IVs you can. If the patient does not have access, place an IO. I trust you with this task and will assume it’s handled unless you request assistance. You do not need to ask me for permission to get access.” 2.) Quiet is confident. A loud code room is a sign of disorganization or personal insecurity (Or worse, both). Quiet leadership commands a room. I tell the team that the noise level of the room reflects directly on our team, and if an inpatient team is passing by, I want them to see how we do it down here. 3.) Report comes first. EMS report is given before I take over the management of the code. Never interrupt. You can ask questions after. It’s the only chance you have to get essential data. EMS will know to continue compressions while giving report. If they inadvertently pause compressions, instruct them to resume compressions while giving report. 4.) Teamwork. No code will be called before every team member is individually given the opportunity to make a suggestion or offer an objection. 5.) Time of death. In the final moments of a person's life, no chatter. Pin drop silence please. When time of death is called, the person's name is read aloud (if available), and the room takes a moment of silence to honor the dignity of human life. 6.) Family conversations. Even if that means you’re an hour over shift. No questions left unanswered or unaddressed. 7.) Team debrief. What did we do well, and where did we mess up? 8.) Self-reflection. Find a way to feel connected, every single time. Don’t let it become routine. Find a way to connect even if momentarily. 9.) The process of release. When you have completed the first seven steps, take a deep breath, exhale, and release. You have done all you can do. You have provided comfort to the family. You were there for humanity in someone's worst moments. But after that exhale, you release it. You have to return to your own life. We will all grieve at some point in our lives, but today's grief does not belong to us. Today's grief is borrowed, not owned. And when the exhale is done, the lease has ended. Never walk directly into your home after a shift. Sit in the car for ten minutes, go for a walk. Exhale every last bit of mental fatigue. Read, listen to music, open a window. When you walk into your home, your scrubs come off. Both physically and metaphorically. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1632368866668-I0Z9PYIKZ39CP8E9N4TO/lone-man-at-usa-pacific-coast-beach-P68557U.jpg Blog - Own the code - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/er-cardiology-case-files-syncope-ecg-reveals-epsilon-like-waves-in-patient-with-repaired-tetralogy-of-fallot monthly 0.5 2021-09-07 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1631033490992-9UVFOGXYEARI21IHIVP3/Chaska+Lab+table.png Blog - ER Cardiology Case Files: Syncope ECG Reveals Epsilon-Like Waves in Patient with Repaired Tetralogy of Fallot - Make it stand out Table 1. Abbreviations: pO2: pressure of oxygen, pCO2: pressure of carbon dioxide, SO2: saturation of oxygen, HCO3:bicarbonate concentration, Glu:glucose, Cre:creatinine, Na:sodium, K: potassium, Cl: chloride, Ca:calcium, ALT:alanine aminotransferase, AST: aspartate aminotransferase, WBC: white blood cell, Hg: hemoglobin, Plt: platelet, TSH: thyroid stimulating hormone, free T4: free thyroxin https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1631035642325-XXFLMS14DUQW17W9R0U3/Chaska+epsilon+waves.png Blog - ER Cardiology Case Files: Syncope ECG Reveals Epsilon-Like Waves in Patient with Repaired Tetralogy of Fallot - Make it stand out Figure 1. Epsilon waves are appreciated in leads V1 and aVR. A right bundle branch pattern is visualized with diffuse conduction abnormalities seen throughout the ECG. https://www.tampaemergencymedicine.org/blog/red-on-yellow-or-red-on-black monthly 0.5 2021-09-01 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1630508493071-WN6T9XPXQ3809BRWS9WE/coral-snake-LKRNLV8.jpg Blog - “Red on yellow, or red on black?” - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1630510336409-8X7OEVNWQ28FRCND4UFB/texas-coral-snake_t20_4eegP8.jpg Blog - “Red on yellow, or red on black?” - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/airway-day-2021 monthly 0.5 2021-07-29 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627518431689-7XZF4920JO1K3DHRIIFO/Airway+Lecture.jpg Blog - Airway Day 2021 - We started out in lecture We started off in lecture… https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627518758144-10LX9YM395UB7KVZ3GR5/Airway.jpg Blog - Airway Day 2021 - But things quickly went to hands-on learning https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627519360749-0UZH3H2YOPTXQAMJMTCD/Bagging.jpg Blog - Airway Day 2021 - We started with bag valve mask This airway skill, while basic, is perhaps the most vital for all emergency providers https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627519734917-4HI58YY9MWIIH1YHYUYP/Direct+Laryngoscopy.jpg Blog - Airway Day 2021 - Next we turned to direct laryngoscopy https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627520002464-WAZ9FKO6PVTX7TTEU4SH/Video%2BLaryngoscope.jpg Blog - Airway Day 2021 - And from there we moved to video laryngoscopy https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627520504836-DNEOOTLDFE2RX3BABZJF/Fiberoptic.jpg Blog - Airway Day 2021 - Over to Fiberoptic Intubation https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627520725436-X2PI5IYWTCBG75OFZX17/Cric.jpg Blog - Airway Day 2021 - And then to cricothyrotomies USF EM residents practicing cricothyrotomies on pig tracheas while Dr. Wein supervises https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627520950474-AXDUCPE7BS6SH8OO7E8G/Dumas.jpg Blog - Airway Day 2021 - The residents then applied their skills in a series of cases Pictured is Dr. Dumas in the middle of a bougie-assisted cricothyrotomy https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1627521212377-73WY1CHM8OJXKKF0T4U2/Duckys.jpg Blog - Airway Day 2021 - Last but not least, a little wellness USF Emergency Medicine residents enjoying the brief wonderful period between Covid vaccinations and the rise of the delta variant https://www.tampaemergencymedicine.org/blog/scalloping-and-red-tide monthly 0.5 2021-07-21 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626870642140-2FO3RG92O2TI4TMU2HVL/Costers1.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626870816339-KZ598YD7BEOIYO3U0MWC/Costers2.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626870852599-7YM7U96BG0UNX47U8M35/Costers3.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626871286362-U2TSPTUJ7PP14Z9H3RNX/Costers4.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626874331590-7M7Q5BJYDFQK3SKPXS6O/Costers5.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626871698775-0O8GO6O70TZFB4BD910U/Costers6.png Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626871813633-QGFHYF6VC9YCKMNG1S6M/Costers7.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626871888986-DW4CSZKK3IYEZRNQE32P/Costers8.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626871960674-SCAZ220MHEJMFYSWRE5D/Costers9.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626873613722-98DJ2YXI4WYMGUSACPKA/Costers10.jpg Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1626873918835-Y78NETJ9Y89D6NWJ9QT5/Costers11.png Blog - Scalloping and Red Tide - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tampaemergencymedicine.org/blog/spbagabch5rn4dqnlgn1a6xv595wbm monthly 0.5 2021-06-11 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1623199274589-RSA5QTTPMFQCXKLH2JP2/hospital-corridor-at-night-7PXKB6R.jpg Blog - Kirk's Story - A Personal Reflection of Faith, Perseverance, and Triumph - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1623199525503-NQ3F672NXR055KOVP128/1694F8FB-F438-4C58-94DA-4DF1472ABA81.jpeg Blog - Kirk's Story - A Personal Reflection of Faith, Perseverance, and Triumph https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1623199525367-19SLG1J7CR0HJRYBET1W/74D98FC8-ACEE-407A-BBC6-0FE9313913D3.jpeg Blog - Kirk's Story - A Personal Reflection of Faith, Perseverance, and Triumph https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1623199526077-U6D5CP1V5JE3UG5ROY8D/9D14C068-6E9E-4BAA-B4AA-46F1B34AB6FB.jpeg Blog - Kirk's Story - A Personal Reflection of Faith, Perseverance, and Triumph https://www.tampaemergencymedicine.org/blog/awake-and-facilitated-intubations-the-often-forgotten-option-in-our-airway-toolbox monthly 0.5 2021-06-02 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1622423803176-LJSBMDVT8K5TEYBG22VZ/Airway+checklist.jpg Blog - Awake and Facilitated Intubations - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1622422592520-UUSM05ZX1OYFKFJ9LUDO/Picture2.png Blog - Awake and Facilitated Intubations - If you can’t find an atomizer device or it has to “come from central” you can get crafty! Items you need: 20g IV catheter, O2 tubing, 3-way stopcock, 10 cc syringe with lidocaine. Attach as shown here and run the O2 at around 5L. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1622428210834-G7SXOOKZCHN5OHKQV048/Airwayuse.png Blog - Awake and Facilitated Intubations https://www.tampaemergencymedicine.org/blog/s2veplrpol6tn8o1bvdrz5euscr1eh monthly 0.5 2021-05-04 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620144989053-AQISPUY8W718D6QJFL9A/pericardiocentesis.jpg Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! A group of EM residents practice pericardiocentesis, a potentially life-saving procedure to remove pathologic fluid from around the heart, in the cadaver simulation lab. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620145245484-Z85V53ORY73DMGDNC4B3/interprofesssional+sim+2.jpg Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! An interprofessional group runs a mock code at the simulation center. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620145364105-FZSJ409WVHZLMQKPS1BR/Hockey+Simulation-05.jpg Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! Dr. McKenna leading an interprofessional simulation-based training session for the medical staff for the Tampa Bay Lightning, a multidisciplinary group of physicians, athletic trainers, and Tampa Fire Rescue paramedics who provide care to the team and referees. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620145645989-FGKAZOPPK05D0CU54AE6/Mckennasim.JPG Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! - Dr. McKenna’s Ability to Adapt During Covid Kept Providers Safe. During the Covid pandemic when many simulation programs were canceling operations, Drs.McKenna and Okuda recognized the need to adapt the simulation training environment. This year, to maximize the experience for all residents and in response to the challenges of Covid-19, Dr. McKenna split the simulation training into smaller groups of residents, knowingly and happily accepting the increased workload because he was convinced that it would provide both the best and safest experience for the residents. Dr. McKenna worked with Dr. Okuda and the CAMLS team to develop airway management videos to educate providers about how to safely intubate a patient with COVID-19. In-situ COVID-19 code blue simulations were also conducted at TGH, which enabled our department to quickly train TGH employees, identify latent safety threats, and test systems prior to caring for patients in these spaces. We believe this proactive approach, which emphasized team member and patient safety, was one of the preventative measures responsible for our very low ED provider infection rates. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620148574237-LBK9K1727LCK1K33BB7G/My+Post+%281%29.png Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! - About Dr. McKenna Dr. McKenna completed medical school at Chicago College of Osteopathic Medicine at Midwestern University. He went on to complete his emergency medicine residency at the University of Florida College of Medicine-Jacksonville. Following residency, he pursued a Simulation Fellowship at Mayo Clinic Florida. He joined our Core Faculty Team in 2017 as the Simulation Director for USF Emergency Medicine. He currently also serves as the Fellowship Director of the Interprofessional Simulation Fellowship at USF Health CAMLS. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620149836004-KNN9B9QE2MBUFYKJCXP8/IMG_4435.JPG Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620149839160-6059LL4B25SJWRVZ96T2/mckenna+1.png Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620149843114-R2HDVANFQCA4Q30J2UW0/mckenna+2.jpg Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1620149850184-X6T94RSCMFK0CD9ICHZ0/mckenna+3.jpg Blog - Dr. Ryan McKenna, Emergency Physician, Named the 2021 USF MCOM Outstanding GME Faculty Award Recipient! https://www.tampaemergencymedicine.org/blog/emergency-management-of-umbilical-cord-catastrophes monthly 0.5 2021-04-21 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1618946315317-W8G9E5ENBVGAL7CQTVFN/My+Post+%2866%29.jpg Blog - Managing Umbilical Cord Emergencies https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1618962373102-GNYYFH1R9ZL0XG80DVW5/My+Post+%2867%29.jpg Blog - Managing Umbilical Cord Emergencies - Case #1 Mom was a 27 y/o G4P3 female who presented to the ED in labor and precipitously delivered a 7 lb 8.5 oz male. Baby had a nuchal cord with space for 1-2 fingers between the cord and neck. As the cord was reduced over the baby’s head, it ruptured and started spurting blood. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1618963439862-J03F2KT2FN0E8J1VO4QX/Picture1.png Blog - Managing Umbilical Cord Emergencies Image Source: https://medicalguidelines.msf.org/viewport/ONC/english/5-5-nuchal-cord-51417002.html https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1618963969103-N5PD211IWNSRHVFSCWHP/My+Post+%2873%29.jpg Blog - Managing Umbilical Cord Emergencies - Case #2 A 28 y/o G2P1 female at 37w gestation presents to the emergency department 1 hour after she started having abdominal cramps and felt a gush a fluid. “I think my water broke and I’m afraid the baby is coming out because I feel something in my vagina!” Manual exam is significant for a pulsating structure present in the vaginal vault. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1618964179375-SILIHA2URWMDUCKSUMKX/Picture3.jpg Blog - Managing Umbilical Cord Emergencies Image Source: https://medlineplus.gov/ency/presentations/100193_4.htm https://www.tampaemergencymedicine.org/blog/cardiac-vti-the-new-ivc-for-fluid-responsiveness monthly 0.5 2021-04-11 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617722413513-9SF6XE9CZYNHPXW7DQFW/My+Post+%2863%29.jpg Blog - Cardiac VTI - The New IVC for Fluid Responsiveness? Image on the left showing the negative waveform tracing used to calculate the VTI. Image on right shows the 5 chamber view. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617725474598-9415VELROR85Q7S9VDHU/Image+3+vti.png Blog - Cardiac VTI - The New IVC for Fluid Responsiveness? The LVOT is measured in a parasternal long axis. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617725762524-6GMAK29Q32YC0EBY5OM3/Image+4+vti.png Blog - Cardiac VTI - The New IVC for Fluid Responsiveness? https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617751718908-INCHTII6LOWT3FK6Z41L/figure%2B1.jpg Blog - Cardiac VTI - The New IVC for Fluid Responsiveness? https://www.tampaemergencymedicine.org/blog/an-unusual-ecg-finding-in-a-young-cardiac-arrest-patient monthly 0.5 2021-04-06 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617679269825-MQ4ZDMBJOCO2X1J262AX/Epsilon%2Bpublication_Page_1.jpg Blog - An Unusual ECG Finding in a Young Cardiac Arrest Patient - What’s an Epsilon Wave? Epsilon waves are characterized as abnormal depolarizations occurring between the end of a QRS complex and the beginning of a T wave. Usually, the epsilon wave is a tiny little notch best seen in the septal leads. Epsilon waves are widely known to be associated with structural abnormalities of the heart, most notably arrhythmogenic right ventricular cardiomyopathies (ARVCs). In ARVC, the normal myocytes become replaced with a fibrofatty infiltrate that affects conduction and makes the heart prone to potential arrhythmia. Emergency Physicians need to be familiar with the Epsilon wave because this abnormality can be associated with sudden cardiac death. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617672965552-JFJXKDBEWL0DE1IEGO1J/epsilon-wave-IIb-590x250-2.jpg Blog - An Unusual ECG Finding in a Young Cardiac Arrest Patient Epsilon wave courtesy of LITFL. https://litfl.com/epsilon-wave-ecg-library/ https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617659462620-7RFE54KSZY1ELAUJKRIK/syncope.png Blog - An Unusual ECG Finding in a Young Cardiac Arrest Patient - Develop a Mental Checklist The ECG is an essential part of the diagnostic workup for patients presenting to the emergency department with syncope or cardiac arrest. The Epsilon wave is one of many ECG findings I am looking for as I evaluate an ECG in the setting of syncope or cardiac arrest. Emergency physicians train their minds to be on the lookout for high-risk features that may provide clues to the underlying etiology and may even help guide treatment. Did this person collapse because they were having a heart attack? Did the patient code because of hyperkalemia? Do they have an abnormal conduction system that makes them prone to arrhythmia? Did they overdose on a sodium channel blocker? Could they have a massive pulmonary embolism? These are all questions emergency physicians think about when interpreting ECGs in the setting of syncope or cardiac arrest. It’s important to develop a mental checklist when evaluating ECGs. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617677735788-T5AZ2DH0SUHYYRRB5Z18/My+Post+%2861%29.jpg Blog - An Unusual ECG Finding in a Young Cardiac Arrest Patient https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617677749158-GPDDIOHTKABI4542GZBB/hyman.jpg Blog - An Unusual ECG Finding in a Young Cardiac Arrest Patient https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1617677882900-Z2TDJ8O7A109VLYMF9IJ/Christian+2.jpg Blog - An Unusual ECG Finding in a Young Cardiac Arrest Patient https://www.tampaemergencymedicine.org/blog/regional-anesthesia-in-the-emergency-department monthly 0.5 2021-03-24 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1616593518139-GEWLZL7P6XFHBJYJBVDH/IMG_6878.jpg Blog - Regional Anesthesia in the Emergency Department https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1616594558804-GFL0E871U1QJJ237KF79/IMG_6952.jpg Blog - Regional Anesthesia in the Emergency Department - How to Perform a Posterior Tibial Block 1. Position the patient and clean the medial ankle with chloraprep. 2. Place the linear probe just posterior to the medial malleolus. 3. Locate the neurovascular bundle. The posterior tibial nerve is located posterior to the tibial artery and veins. Nerves have a distinct hyperechoic honeycomb appearance. 4. Insert a 22g needle using an in-plane or out-of-plane approach. If using an in-plane approach, the needle should enter just anterior to the Achilles tendon. In the out-of-plane approach, the needle is inserted inferior and perpendicular to the probe. 5. Anesthetize the skin and advance the needle until it is in close proximity of the nerve, but you do not want to inject into the nerve. 6. Aspirate prior to injection to ensure the needle is not in a vessel. Inject 5cc of local anesthetic in close proximity to the nerve so that the nerve is bathed in the local anesthetic. If the patient complains of pain or shocking sensation during injection, stop injecting and withdrawal the needle slightly to avoid injecting into the nerve. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1616607050447-O03JJ5VVE65G1J3FR9OT/AV+nerve.png Blog - Regional Anesthesia in the Emergency Department The vessels and the nerve are shown above. Note the honeycomb appearance of the nerve. Click the photo to watch a great video from 5 min Sono. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1616595810952-NO4XL6J0D1QRPVZTOUVG/IMG_6866.jpg Blog - Regional Anesthesia in the Emergency Department https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1616595823018-5M3FV4LZTWJBQLXL5GBZ/IMG_6898.jpg Blog - Regional Anesthesia in the Emergency Department https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1616595834007-N74BTBLMA4C49JM4ISME/IMG_6908.jpg Blog - Regional Anesthesia in the Emergency Department https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1616595945540-OAHHV678X403SV05G28L/Usgra.jpg Blog - Regional Anesthesia in the Emergency Department https://www.tampaemergencymedicine.org/blog/usf-em-at-the-superbowl monthly 0.5 2021-03-22 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1615560055436-25K8BVLJJC439XRM0GWK/IMG_2610.JPG Blog - USF EM at the Superbowl https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1615560942388-PD2O2M0CKK5439YNEVA9/IMG_3322.JPEG Blog - USF EM at the Superbowl https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1615560976844-GKW66BN8WZINOKCKEEVO/IMG_3319.JPEG Blog - USF EM at the Superbowl https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1615560922961-TX7U04U6QMEV7IP8YH62/IMG_2609.JPG Blog - USF EM at the Superbowl https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1615560884309-AWC8FLMNXL0AZVR7AWKO/IMG_2611.JPG Blog - USF EM at the Superbowl https://www.tampaemergencymedicine.org/blog/rsi-medication-choice-and-patient-safety-study-at-usf-em-demonstrates-how-medical-students-can-get-involved-with-research-present-their-findings-and-publish-the-results monthly 0.5 2020-12-22 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608676265202-8JSVHW09FL0N6KAXOQTV/gillen+abstract.jpg Blog - RSI Medication Choice and Patient Safety Study Demonstrates How Medical Students Can Get Involved with Research! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608679247473-4UBZPUBIYZE3JMLJ3GEL/image+%286%29.png Blog - RSI Medication Choice and Patient Safety Study Demonstrates How Medical Students Can Get Involved with Research! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608678059358-2CLWFMSKCCJICTY9V1EQ/Gillen+table+1.png Blog - RSI Medication Choice and Patient Safety Study Demonstrates How Medical Students Can Get Involved with Research! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608678148920-Z0AJPEPRBX6UOQO3KFU6/gillen+table+2.png Blog - RSI Medication Choice and Patient Safety Study Demonstrates How Medical Students Can Get Involved with Research! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608678227100-9FO9ZLT86IM3SBJMAO8U/Gillen+table+3.png Blog - RSI Medication Choice and Patient Safety Study Demonstrates How Medical Students Can Get Involved with Research! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608678287237-ZNM9BIMC60VYTQVMAU6E/gillen+code.png Blog - RSI Medication Choice and Patient Safety Study Demonstrates How Medical Students Can Get Involved with Research! https://www.tampaemergencymedicine.org/blog/all-i-want-for-christmas-is-my-covid-19-vaccination monthly 0.5 2020-12-24 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608503026788-7Z6PC87WAHZPCBT0M3FY/16F40A4D-4706-42F6-ADD8-485F3ED6AA9F.PNG Blog - All I want for Christmas is my Covid-19 Vaccine! - Spirits are Merry & Bright at TGH It feels like we’ve been dealing with COVID-19 for an eternity, but in reality, it was one year ago, December of 2019, when this virus changed the world. It spread like a destructive wildfire reaping havoc. As an ER physician, it is hard to describe what it was like to suddenly find myself treating patients in the middle of a pandemic. Many healthcare providers have shared their stories. These stories have often centered on the exhaustion, frustration, fear, loneliness, and tragedy associated with this disease. On December 14th, 2020 (approximately one year after the first cases were reported) a new story emerged. For the first time in a long time, the message was hope. The Pfizer BioNTech COVID-19 vaccine arrived just in time for the Christmas and TGH began vaccinating their frontline workers. Those working in the Emergency Department were among the first to receive the vaccine. We all experienced one undeniable side effect - Hope. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608506194374-9IWUZC186H4W27SHDET9/9FEB6904-B3EF-4BDD-9556-BD0FD5FC38DB.PNG Blog - All I want for Christmas is my Covid-19 Vaccine! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608469320752-CAZZIK5O1I8NMMS9C785/Wilson+vaccine.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! - Dr. Jason Wilson I appreciate Creative Loafing Tampa publishing this op-ed in which I describe my Covid Vaccine experience, how the vaccine works, and the vaccine safety data. I then bust some myths that have popped up around the internet. This is THE article to answer your questions about the vaccine - please take a look at the article below! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608502491384-15GP74OIL6M2VJALXD0U/creative+loafing.png Blog - All I want for Christmas is my Covid-19 Vaccine! Visit Creative Loafing Tampa Bay https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608467623180-OOBQO2J1W87TYVUS91UR/derr+shot.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! - Dr. Charlotte Derr Dr. Charlotte Derr Grateful to work for an organization that takes care of their frontline healthcare workers . USF Infectious Disease Dr. John Sinnott stayed late to administer COVID vaccines to frontline staff at TGH. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608508941804-Z5ZQBEIOX5L0XE5WVYF3/IMG_5742.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! - Dr. Yuya Burkhart I’m thankful to be one of the first to receive this historic vaccine. #peaceoutcovid. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608505465744-4888G1X9JH15BJ2NOTYP/arnold.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! - Dr. Justin Arnold COVID Vaccine 1st dose! I’m excited for the beginning to an end of all the sorrow and loss COVID has brought us. I encourage everyone who is able to get the vaccine to get it when it’s your turn so we all can get back to living! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608502876811-DVKA47LYGJ3WCS12UV4N/karen.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! - Karen Carmichael Whetzel, RN I am proud to be a nurse and hopeful that this is the path to emerging from this pandemic. I am grateful for the opportunity to be one of the early recipients of the Pfizer Covid-19 vaccine! Science is awesome! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608505433347-KZHUFKMXBCB7POHNE553/Eastman.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! - Dr. Jacob Eastman I am immensely grateful to have recently been given the opportunity to receive the first of my two COVID vaccine injections. It is an absolute testament to human ingenuity that research scientists were able to rapidly develop, test, and prove its safety and efficacy in such a short time-frame. I trust the data and chose to take the shot to protect not just myself but also you and your loved ones. I can now see the light at the end of this dark tunnel and know that if enough people join me, the end of this pandemic is inevitable. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608510527333-HYQXFLTD5X0FR5SMR880/IMG_0984.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! - Dr. Lauren Shapiro I am thankful to have the opportunity to protect myself against COVID-19 so that I can continue to safely protect our patients in the surrounding community. I am grateful to be a part of this incredible hospital system at TGH and a frontline worker as an emergency medicine resident physician. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608505360365-C34YBD4POCVODORSBUHV/farish.jpg.png Blog - All I want for Christmas is my Covid-19 Vaccine! - Dr. Alex Farish I am thankful that after a long shift at work Friday night—at the end of what has been a long week— I was fortunate enough to get vaccinated! Also thankful that my dad was also able to get vaccinated this week as well! #byeCovid #Notthrowingawaymyshot https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608531736691-0YWDNQAO2C3QKOGX1HXT/pfizer+vs+moderna.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608746338144-EZOCQS8QE9TRXPNEVWKQ/Reactogenicity+Table.png Blog - All I want for Christmas is my Covid-19 Vaccine! Figure taken from NEJM. Symptoms following administration of vaccine versus placebo. The numbers above the bars are the percentage of patients reporting the symptom. https://www.nejm.org/doi/10.1056/NEJMoa2034577?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608571252822-833D6Q2E9CG25NZO9SHZ/vaccine+in+a+year.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! Source: https://www.nature.com/articles/d41586-020-03626-1 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1608746873224-N202BGQFX4GGRJ1S2TJW/Efficacy+of+Pfizer+Vaccine.jpg Blog - All I want for Christmas is my Covid-19 Vaccine! Figure on the left taken from NEJM. Figure demonstrates the incidence of Covid-19 in placebo versus vaccine group. Recipients begins to diverge by 12 days after the first dose. https://www.nejm.org/doi/10.1056/NEJMoa2034577?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed https://www.tampaemergencymedicine.org/blog/spike-protein-increases-risk-of-venous-thromboembolism-blood-clots-in-patients-with-covid-19-the-activ-4-trial-aims-to-reduce-vte-risk-with-apixaban-eliquis-or-aspirin monthly 0.5 2020-12-07 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607358861377-RP71VFFFV0HIIJ95IJQ0/activ4+photo+1.jpg Blog - The ACTIV-4 Trial aims to reduce venous thromboembolism (blood clot) risk in patients with covid-19 with apixaban or aspirin. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607360028906-FYUEOIPG48XTXVR2INXV/activ-4+photo+2.jpg Blog - The ACTIV-4 Trial aims to reduce venous thromboembolism (blood clot) risk in patients with covid-19 with apixaban or aspirin. https://fnih.org/sites/default/files/final/activ-4b.pdf https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607360405807-GA9RXQA3K59ZQODEMIO4/activ4+Picture3.jpg Blog - The ACTIV-4 Trial aims to reduce venous thromboembolism (blood clot) risk in patients with covid-19 with apixaban or aspirin. https://fnih.org/sites/default/files/final/activ-4b.pdf https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607360509041-8NDGW34R01L2W93Y5173/activ4.jpg Blog - The ACTIV-4 Trial aims to reduce venous thromboembolism (blood clot) risk in patients with covid-19 with apixaban or aspirin. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607360598614-BGSWDTWIHRWG3JLRL77A/activ4Picture6.jpg Blog - The ACTIV-4 Trial aims to reduce venous thromboembolism (blood clot) risk in patients with covid-19 with apixaban or aspirin. https://fnih.org/sites/default/files/final/activ-4b.pdf https://www.tampaemergencymedicine.org/blog/hip-dislocations-with-dr-gerges monthly 0.5 2020-12-09 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607126379678-XAYKSDZK1LRUB03OR4YT/Keep%2BCalm.jpg Blog - Hip Dislocations with Dr. Gerges https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607127794568-0LT9BJNB0G8IW4HDK1N8/Acetabular+fracture.jpg Blog - Hip Dislocations with Dr. Gerges https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607127966977-X28F5NDZ7VGSO0T72YKK/Captain+MOrgan.png Blog - Hip Dislocations with Dr. Gerges https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607128138585-P6FVJFPP9C0W4G91SO6L/Waddell.png Blog - Hip Dislocations with Dr. Gerges https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1607128248510-OLCEF6XSXBEAV5R5PEL1/Hip.jpg Blog - Hip Dislocations with Dr. Gerges https://www.tampaemergencymedicine.org/blog/common-class-of-antidepressants-may-help-withcovid monthly 0.5 2020-12-22 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1606761729979-DLSX3PJ7ZI8W1UZW6896/abstract+wilson1.png Blog - Common class of antidepressants may help with…Covid? https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1606761914457-RM8LWA4YVGYB0MDOMJRE/enrollmentwilson.png Blog - Common class of antidepressants may help with…Covid? Figure 1 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1606761388079-YL240ESBW7HYHXNA6UEH/table+2+wilson.jpg Blog - Common class of antidepressants may help with…Covid? https://www.tampaemergencymedicine.org/blog/5-tropical-illness-all-em-providers-should-know monthly 0.5 2021-09-23 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1605486213928-B7CEGZPUZB7HHERVZOAG/malaria+pic+2+osi+fever.jpg Blog - Tropical Medicine in the ER https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1605486378275-Z5Q223C47EAEGEOJRSQ3/Think+malaria.jpg Blog - Tropical Medicine in the ER https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1605493437988-WUNYNPQ53FCN50YX6WBN/Picture3+symptoms+of+malaria.jpg Blog - Tropical Medicine in the ER https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1605504583782-2LLWNKM1ADD8U7CBXVM2/Malaria+Picture4+thick+and+thin.png Blog - Tropical Medicine in the ER https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1605504664672-WAJGSD3BT7PGTBQVPU0G/Picture5malaria.jpg Blog - Tropical Medicine in the ER https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1605504864238-9Y314SPYIHAM767MM6EB/Picture6complicatedmalaria.png Blog - Tropical Medicine in the ER https://www.tampaemergencymedicine.org/blog/all-about-knee-dislocations monthly 0.5 2020-11-08 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1604264644142-EC92FL005ZPMNGLEY1XH/ortho.jpg Blog - All About Knee Dislocations Radiographic evidence of knee dislocation https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1604264786823-IWTPCCNXZ1OG7QB8WEBK/ABI.png Blog - All About Knee Dislocations https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1604264865771-STIZR2MUU404QR8B66VE/Knee+Flowsheet.png Blog - All About Knee Dislocations https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1604264933229-INY5S1WRA7NFP6BMISUV/Knee+flow+2.png Blog - All About Knee Dislocations https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1604265089366-CUY4F3MZX3CWSO62NA0G/Reduction.gif Blog - All About Knee Dislocations https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1604265142852-T2833122W9JY5ZQ60LSG/DImple.png Blog - All About Knee Dislocations Radiographic evidence of posterolateral knee dislocation with corresponding dimple sign on physical exam https://www.tampaemergencymedicine.org/blog/hyperthermic-emergencies monthly 0.5 2021-01-17 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1603097015195-NM3UOFVIL94LNI1NGJHM/IMG_4161.jpg Blog - Tox Files: Hyperthermic Emergencies https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1603119599948-05CWRXAWC3KBSO5CV6MZ/CBC6EB09-62E4-4F6F-A1F2-38667D339530.PNG Blog - Tox Files: Hyperthermic Emergencies - The Exam Muscle rigidity - generally severe Hyperthermia > 38 C on 2 or more occasions Other possible findings: Autonomic dysfunction: hypertension or labile BP fluctuation, tachycardia, tachypnea, diaphoresis AMS Tremor https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1603119848202-WQ48N1HNVPG96VXTCXNI/tox+hyperthermia+differential.jpg Blog - Tox Files: Hyperthermic Emergencies Slide taken from Dr. Arnold’s Presentation, “It’s Hot in Here,” September 16, 2020. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1603120042546-KDAVPPTUXGQJ010X9UZ3/IMG_4163.jpg Blog - Tox Files: Hyperthermic Emergencies Image Courtesy of Pepid EM Platinum https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1603144099161-PGVNLOYCX0HEFRDW0MJS/Replace+arnold.png Blog - Tox Files: Hyperthermic Emergencies - Chatting with Dr. Arnold When did you develop your interest in toxicology? As a resident I was privileged to do a toxicology rotation with J. Ward Donovan, MD at Pinnacle Health in Harrisburg, PA. Dr. Donovan was a legend in toxicology and made it my most memorable month in residency. What's an average day like in the life of an EM toxicologist at Tampa General? As the Medical Director for our Poison Center, much of my day is split between clinical and administrative duties at the Poison Center and teaching. I spend a lot of time reviewing cases at the poison center, talking with our Poison Specialists and other physicians, developing guidelines, and teaching our residents, medical students, and pharmacy students. I really love the time teaching – it’s my favorite part of what I do every day! What's your favorite toxicology topic? This is a hard one. I really love critical care toxicology such as calcium channel blocker and bupropion ingestions. I also love natural toxins like snake and marine envenomations as well as poisonous plants and mushrooms. Any plans of expanding the TGH program or starting a fellowship? We actually just added another Medical Toxicologist to our staff and as we continue to add more we hope to start a robust inpatient consult service and someday a Medical Toxicology Fellowship. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1603122038441-6CDO2U0UK7MWQSBRRS8T/witch-apothecary-jars-magic-potions-halloween-deco-P2897YL.jpg Blog - Tox Files: Hyperthermic Emergencies - What strange toxicology related items line his office shelf? Toxicologists are notorious for having strange collections and bizarre chemistry related equations adorning their offices. What oddity is in your office? I’m no exception to this. One of the strangest things in my collection is probably homemade moonshine that is contaminated with the 2nd highest concentration of lead reported. This belonged to a couple I treated in the hospital for lead poisoning while in fellowship and I actually obtained it by going to their house. What is the biggest advantage of taking a toxicology rotation at USF? Residents rotate at the Poison Center which is directly across the street from the ED. We have a robust toxicology faculty group. Our teaching emphasizes current poison control cases involving critically ill patients and a good variety of uncommon exposures. Residents see a breadth of pathology that is unlikely to be seen at a single hospital. Our residents leave the rotation comfortable in managing most poisonings, overdoses, and envenomation that would present to their ED. What's your favorite non-work related activity in Tampa? I’m a big fan of anything to do with the ocean. Specifically, I love boating with my family and fishing inshore, nearshore, and offshore with my friends. https://www.tampaemergencymedicine.org/blog/svt-on-the-ecg monthly 0.5 2020-10-15 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602125512707-M7D285JHLKACO5WJ34W1/SVT+we+all+know+and+love.jpg Blog - SVT on the ECG! - 1) It’s Fast. This is the SVT that we all know and love. This is the ecg that shows up on exams and the ecg that the triage nurse generally recognizes and leads to the patient being whisked off to the resuscitation bay. By definition, supraventricular tachycardia must be fast. This rhythm is usually narrow since it originates above the ventricles. However, it is possible for SVT to have a wide complex in the presence of a pre-existing bundle branch block, rate related aberrant conduction, or an accessory pathway. An example of a wide complex SVT will be reviewed later in the blog. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602125901428-FG23MMQRXZ4EYAVKV0VA/retrograde+p+waves+blog.jpg Blog - SVT on the ECG! - 2) There are No normal p waves. The absence of normal p waves are one of the things that typically define SVT. With a good eye though, you may see retrograde p waves which can create a pseudo R’ in V1 and pseudo s wave in inferior leads secondary to retrograde p waves. Check out the retrograde p waves in this ecg. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602126190453-YJBI2TC7QCDD72BBKGK9/SVT+with+avr+elevation+and+diffuse+depression.jpg Blog - SVT on the ECG! - 3) SVT can create scary looking ST depressions and avR elevation. ECGs with avR elevation and diffuse depression immediately make me worry about ischemia associated with a proximal LAD lesion or other scary things like aortic dissection. However, in the setting of SVT, avR elevation and diffuse ST depression are common findings and do NOT correlate with CAD unless they persist following restoration of sinus rhythm. Notice the elevation in avR and the diffuse ST depression that is demonstrated in this ecg. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602126630439-II1S090GJDBZQPIBFXEK/SVT+vs+vtach+blog.jpg Blog - SVT on the ECG! - 4) SVT may demonstrate a wide complex if there is an underlying bundle branch block or accessory pathway. In regards to wide complex SVTs, It is very difficult to tell the difference between a wide complex SVT and ventricular tachycardia. Multiple algorithms and tips exist, but the bottom line is that these approaches are not reliable and it is usually safest for your patient to assume that the wide complex is ventricular tachycardia and treat it as such. Realistically, you may be dealing with SVT with an underlying bundle branch block or SVT with an accessory pathway such as an antidromic WPW pathway. Here’s an example of a wide complex SVT that is difficult to distinguish from ventricular tachycardia. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602126845164-AWIDO829OGW47CCLS0FU/pseudoelectrical+alternans+blog.jpg Blog - SVT on the ECG! - 5) SVT may cause a pseudoelectrical alternans pattern. Pseudoelectrical alternans has been reported in SVT. This would look much like the ecgs seen in tamponade with alternating voltages. The overall voltage of pseudoelectrical alternans is relatively normal in SVT as opposed to true tamponade. Of course, if I ever see this pattern my first thought would be to put an echo on the chest and look for effusion. In the setting of SVT related pseudoelectrical alternans you would not expect to see pericardial fluid. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602697865001-FJXMR7CRZNPEA9J0HMEH/afibrvr.jpg Blog - SVT on the ECG! Atrial fibrillation with rapid rate which can be mistaken for SVT. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602128102591-N45M0A8E89JBRNZHPGAJ/fluter+that+looks+lke+svt.jpg Blog - SVT on the ECG! Atrial flutter which looks like SVT on this ecg. Flutter waves were not visible until adenosine given. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602128140424-O4BA5X7829YZCNRO2VRJ/flutter+tgh+mistaken+for+svt.jpg Blog - SVT on the ECG! Atrial flutter initially thought to be SVT. Note the p waves visible in V2. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602128165622-C6D517UUL6A82DC8EM33/flutter+tgh+mistaken+for+svt+pwaves+marched.jpg Blog - SVT on the ECG! Flutter p waves marched out. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602128238912-RA1B2P0K34DQIYBC6CJK/Flutter+again%21.jpg Blog - SVT on the ECG! Atrial flutter with inverted p waves marched out. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1602128344183-24TNP236ZG6GHJ88PMSD/sinus+tach+mistaken+for+svt.jpg Blog - SVT on the ECG! Sinus tachycardia mistaken for SVT. https://www.tampaemergencymedicine.org/blog/usf-maintains-a-strong-presence-at-the-2020-symposium-by-the-sea-conference monthly 0.5 2020-09-10 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1599367691398-NHZET2PCZ8URFHSYYVWH/Symposium+picture.jpg Blog - USF Maintains a Strong Presence at the 2020 Symposium by the Sea Conference https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1599529230041-STPHLV69D80132R11R36/Elkes.jpg Blog - USF Maintains a Strong Presence at the 2020 Symposium by the Sea Conference https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1599368865388-HF2RVPMIIGQQQZETE0TR/SBS+koby.jpeg Blog - USF Maintains a Strong Presence at the 2020 Symposium by the Sea Conference - The Case Dr. Koby Solved! HPI: ● 48 male w/ hx of Afib and RHD s/p MV replacement on LMWH ● Presents w/ 2 days gradually worsening, atraumatic, non-radiating L hip, back, and inguinal pain that began spontaneously upon awakening ● Associated w/ LLE weakness and inability to ambulate Read More Below https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1599368650071-MO0R9KRP37GIQMCJL0T7/labs+sbs.jpg Blog - USF Maintains a Strong Presence at the 2020 Symposium by the Sea Conference https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1599370094657-M73EM38JDX5U08XJKO35/SBS+Gaccione.jpeg Blog - USF Maintains a Strong Presence at the 2020 Symposium by the Sea Conference Dr. Marti Gaccione presenting at the CPC competition. He will share his case with our Emergency Medicine Student Interest Group on September 16th, 2020. https://www.tampaemergencymedicine.org/blog/ekg-learning-on-a-budget-or-high-stakes-sudoku-for-the-emergency-physician monthly 0.5 2020-09-06 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1599343395406-QQ8CQRMV5Q8F04Z5TR0F/ekg-graph-4DCCXQY.jpg Blog - EKG Learning on a Budget, Or: High-Stakes Sudoku for the Emergency Physician https://www.tampaemergencymedicine.org/blog/dr-jason-wilson-is-advancing-usf-emergency-medicine-research-and-increasing-public-health-awareness-both-on-and-off-shift monthly 0.5 2020-09-05 https://www.tampaemergencymedicine.org/blog/keeping-your-torsades-patient-alive-in-5-slides monthly 0.5 2020-08-11 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595445432639-CHY3JH12RJP90K0K50IW/5%2Bslides%2Bto%2Bkeep%2Btorsades%2Balive.jpg Blog - Managing Torsades - 5 Slides to Keep Them Alive https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595445710128-EKZ1BMG944C67HLLCGS3/torsades%2B1.jpg Blog - Managing Torsades - 5 Slides to Keep Them Alive https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595445974119-XTF9TR3KMK02821NC2HP/torsades%2B3.jpg Blog - Managing Torsades - 5 Slides to Keep Them Alive https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595446058857-RR6PMUIITP0VZ9C2OKSN/torsades%2B4.jpg Blog - Managing Torsades - 5 Slides to Keep Them Alive https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595446185627-AGZO7ANPY6Q8S8GKESHZ/torsades%2B5.jpg Blog - Managing Torsades - 5 Slides to Keep Them Alive https://www.tampaemergencymedicine.org/blog/refractory-ventricular-fibrillation monthly 0.5 2020-08-11 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595272854214-M52QXXP9BQFBLQG6YPU5/dual-sequential-defibrillation.jpg Blog - Refractory Ventricular Fibrillation https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595277436315-PDWYJ0BVM3WCLDNXGG3D/dual+sequential+figure+1.jpg Blog - Refractory Ventricular Fibrillation - Double Sequential Defibrillation When we’re talking about double sequential defibrillation, we mean placing a second set of pads in the anterior posterior position in addition to your normal anterior-lateral positioning. In the anterior-posterior position, one pad is placed on the anterior chest between the two antero-lateral pads, and the other pad is placed directly posterior to it on the patient’s back. With both sets of pads in place, you then charge both sets and fire one immediately after the other (not simultaneously). Really what we care about here is successfully defibrillating the left ventricle, and so there are a few proposed hypotheses for how this may help: Hypothesis 1: The extra energy is more likely to succeed than with one set of pads. Hypothesis 2: It is the change in the vector that’s most important, in that the anterior-posterior positioning is a much more direct current to the LV. Hypothesis 3: The cardiac tissue somehow becomes primed by the first shock, making the second more effective. https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595279832049-WK669X7LB6NUZRJKO5A6/image-asset.png Blog - Refractory Ventricular Fibrillation https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595280125891-4GJDV98M9SM1HLBFTID8/table2.PNG Blog - Refractory Ventricular Fibrillation https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595280315162-EKP5NF6T8EI98QFAESG6/table3.PNG Blog - Refractory Ventricular Fibrillation https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595280425214-H4N5RORCR6CR42ZAOVIL/table4.PNG Blog - Refractory Ventricular Fibrillation https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1595280537069-UGGMO8H2AZZ2YDZVEJM2/table+5.PNG Blog - Refractory Ventricular Fibrillation https://www.tampaemergencymedicine.org/blog/usf-emergency-medicine-residents-participate-in-futuristic-training monthly 0.5 2020-08-11 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1592583643888-ROI2B3P5DPPXA8WMI23N/7.1-blog-2-virtual-reality.jpg Blog - USF Emergency Medicine Residents Participate in Futuristic Training https://www.tampaemergencymedicine.org/blog/the-usf-emergency-medicine-blog-has-arrived monthly 0.5 2020-08-11 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1592584359836-04D0TS72252T7UPBDZYC/The+USF+Emergency+Medicine+Blog+has+Arrived.jpg Blog - The USF Emergency Medicine Blog Has Arrived! https://www.tampaemergencymedicine.org/blog/category/Pediatrics monthly 0.5 https://www.tampaemergencymedicine.org/blog/category/GI monthly 0.5 https://www.tampaemergencymedicine.org/blog/category/Team+Spotlight monthly 0.5 https://www.tampaemergencymedicine.org/blog/category/Conferences monthly 0.5 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https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1591883103514-9RD8TC556DHVXTELWI2X/Tampa-General-Hospital-Building.jpg History of USF Emergency Medicine https://www.tampaemergencymedicine.org/usf-emergency-medicine-womens-group daily 0.75 2022-09-14 https://images.squarespace-cdn.com/content/v1/5ed0cc8d53def72c34431866/1597720772785-VZYFILZXOP5Y1EDOYZ2L/superwoman.jpg USF Emergency Medicine Women's Group - USF Emergency Medicine Women’s Group This group brings awareness to the need for increasing female representation in our field and provides a mechanism for supporting women along that journey. We aim to provide support and mentorship to female residents and medical students. Our strong female faculty come from all different backgrounds with various career and life experiences. We encourage medical students to join us in conversation and mentorship early on. Medical students interested in attending our events may email Dr. Megan Tyler, megantylermd@gmail.com. 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