Steven J. White, MD, MS, an attending physician in the ED at University of Maryland Shore Medical Center at Easton, has published a letter titled "Auscultation Without Contamination: A Solution for Stethoscope Use With Personal Protective Equipment," in Annals of Emergency Medicine. He describes a configuration consisting of a digital stethoscope connected to a Bluetooth transmitter, which sends signals to bone-conduction headphones. This arrangement, tested by the author, enables physicians to auscultate heart and lung sounds, even from a distance, while leaving them free from the conversation impediments posed by earbuds. The setup can be helpful when a physician needs to don PPE to treat a patient with a transmittable infection and when an anxious patient or autistic child would find comfort in having a little distance from the examining physician. Dr. White's letter is available at this address:
Amal Mattu, MD, was the keynote speaker at the 8th Annual Risk Management Summit sponsored by Emergent Medicine Associates in Los Angeles. During the conference, held in early February, Dr. Mattu presented lectures titled "Winning at Failure! Modern Management of Cardiogenic Pulmonary Edema," "Pitfalls in the Diagnosis of Acute Coronary Syndromes: Low Risk Chest Pain," "Pericariditis vs. STEMI: ECG Pearls," and "Wide Complex Tachydysrhythmias: Myths and Pitfalls."
R. Gentry Wilkerson, MD, participated in the evaluation of a simulation training program designed to enhance interprofessional education and collaboration among nursing and pharmacy students. The program and the results of its assessment are described by Dr. Wilkerson and his colleages in the Schools of Nursing and Pharmacy in the November issue of Nurse Education in Practice.
Jon Mark Hirshon, MD, MPH, PhD, is a co-author of the article tltled "Hospital Discharge Instructions: Comprehension and Compliance Among Older Adults," which was published in the November 2014 issue of The Journal of General Internal Medicine. By contacting a study group of 650 people aged 65 or older after discharge from the University of Maryland Medical Center, the authors documented noncomprehension rates of 5% for follow-up appointments, 27% regarding medications, 48% for exercise, and 50% for diet. In this mulitidisciplinary study, Dr. Hirshon collaborated with investigators from the Department of Pharmaceutical Health Services Research in the UM School of Pharmacy and from the Department of Epidemiology and Public Health and the Department of Psychiatry in the UM School of Medicine.
Steven Tropello, MD, MS, presented a poster titled "Coaptive Ultrasound: A Novel Procedural Technique Applicable in Acute Care Settings" at the 44th Annual Congress of the Society of Critical Care Medicine, held in Phoenix in mid-January. Haney Mallemat, MD, participated in the study described by the poster, which tested acute care physicians' proficiency in catheter placement using a patented platform technology that combines magnetic guidance and ultrasound visualization.
Drs. Ashley Strobel, Daniel Gingold, and Emilie Calvello published a case report titled “TTP Presenting as Refractory Hypoglycemia in a Patient with Thromboangiitis Obliterans” in the December issue of The American Journal of Emergency Medicine (www.ajemjournal.com).
Drs. Mike Winters, Joe Martinez, and Haney Mallemat, along with Dr. William Brady from the University of Virginia, are the authors of a review of significant critical care articles published during 2013. Topics include cardiac arrest, sepsis, intracerebral hemorrhage, transfusion, pulmonary embolism, and fluid resuscitation. Their article was published in the December 2014 issue of the American Journal of Emergency Medicine.
Dr. Kinjal Sethuraman and Dr. Semhar Tewelde presented the results of their studies of gender-specific aspects of trauma resuscitation and ischemic heart disease, respectively, at the consensus conference titled “Gender-Specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.” The meeting was sponsored by the Society for Academic Emergency Medicine and held in Dallas in May. Their articles describing the studies were published in the “early view” section of Academic Emergency Medicine website in November.
Our department is once again well represented on the pages of Emergency Medicine Clinics of North America. The November issue, on the topic of critical care, was co-edited by Haney Mallemat, MD. Articles were contribued by Drs. David Wacker and Mike Winters ("Shock"), Dr. Michael Scott with Dr. Mallemat ("Assessing Volume Status"), Drs. Kim Boswell and Jay Menaker ("Assessment and Treatment of the Trauma Patient in Shock"), Drs. John Greenwood and Dan Herr ("Mechanical Support"), and Dr. Wendy Chang ("Neurotrauma"). Dr. Mallemat's co-editor on this project was Evie Marcolini, MD, formerly a member of our faculty and now on the emergency medicine and neurosurgery faculties at Yale University. Dr. Amal Mattu serves as the consulting editor for the Clinics series.