Thursday, August 13, 2015

@WUSTL_EM #EMConf: #FOAMed Supplement No. 11

 Welcome to @WUSTL_EM #EMConf, the #FOAMed Edition. The purpose of this weekly column is to identify #FOAMed resources that reinforce and expand on the concepts/facts discussed during weekly conference. Please post additional resources as comments below or tweet to @WUSTL_EM.

1. Resilience - We had a great grand rounds by Brendan Fitzpatrick about resilience and its importance to a long, healthy career in emergency medicine.  The importance of this topic is highlighted by this article  discussing the need for resident education on factors contributing to physician burnout.

There are a large number of TEDx talks on the subject (honestly, just google "TED talk and resilience").  Here are links a couple:
    How to Cultivate Resilience by Greg Eells
   Paul Robertson on Crisis is inevitable, Failure does not have to be

The concept of mental toughness and the role of stress inoculation training was discussed several times on with Michael Lauria on both emcrit and iteachEM.  These are great podcasts if you're interested:
  - Enhancing Human Performance in Resuscitation: Going with the Flow
  - Mental toughness Part I.
  - a link to the emcrit book club for On Combat
 - Stress Innoculation training covered on iTeachEM

2. Complex Diagnosis -  We discussed how our cognitive wiring both helps and hurts us in emergency medicine.  Sometimes we have to react based on pattern recognition, but other times need to slow down and think a little more critically in order to prevent potential patient harms.
   - You can read a New York Time's Review of Daniel Kahneman's book Thinking Fast and Slow.
   - Here is a lecture Daniel Kahneman gave at the Woodrow Wilson school of public and international affairs if you prefer to listen instead of read.

With regard to specific learning points covered:
   - See this EKG challenge on Neurocardiogenic Injury which covers troponin elevations and EKG abnormalities with CNS pathology.
   - The NNT addresses the use for heparin for acute coronary syndromes.
   - The Journal Circulation had a three part series on the pathophysiology of adults with congenital heart disease:  Part 1, Part 2, Part 3.

3. C-spine Radiology
- BE SURE to review the latest recommendations from the Eastern Association for the Surgery of Trauma regarding cervical spine clearance in the obtunded trauma patient.
- University of Virginia has this educational tutorial on cervical spine imaging.

4. Urologic Emergencies  - Urology came and spoke with us about practical approaches to Urologic problems in the ED.  We'll just share some tweeted pearls & a few links to some #FOAMed below.


Don't forget the bubbles covers phimosis in this post on penile problems.
You tube has this video from University of Florida Dept. of Urology on troubleshooting urinary catheters.

Enjoy,
Maia (@maiadorsett) and Sam (@CSamSmithMD)

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