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Critical Care Medicine Section Newsletter - December 2012

PDF version of the December 2012 newsletter available here for download.

Editorial: ‘Sen’timents

‘Twas one of those long dreary nights on-call as a patient rolled into the ICU after being operated on for bowel perforation and peritonitis. I meet the patient’s daughter at the bedside as the nurse requests me to give them an ‘update.’

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Chair’s Notes: Denver Delights

After having such a positive and productive section meeting at Scientific Assembly (SA) in Denver last month, I wanted to summarize the event for those ACEP EM-CCM members who weren’t able to attend the event.

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Saying ‘Yes’: Tales from ‘Beyond the Bosporus’


One of the best pieces of career advice I received was during my first year of being an attending. At the time, I had a lot of enthusiasm, but not a lot of direction. I asked a visiting grand rounds speaker, someone I didn’t know very well but who has since become a trusted mentor, how to be successful when you are starting out in academics. He said simply, “Say yes to everything.”

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Tips and Tricks: Cold Comfort

The use of post-arrest therapeutic hypothermia, also known as targeted temperature management (TTM), improves both survival and neurologic outcomes after resuscitation from cardiac arrest. Despite this, work from the Center for Resuscitation Science at the Hospital of the University of Pennsylvania has shown that hospitals have been slow to implement TTM as a component of post-arrest care. It is estimated that less than 30% of hospitals routinely provide TTM as a therapeutic option, and those that do offer TTM may utilize it inconsistently. 

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Showcase: EM-CCM in New Mexico

EM-CCMThe Emergency Medicine- Critical Care subspecialty continues to make great strides at the University of New Mexico Health Sciences Center. Over the past seven years, UNM has put together one of the largest EM/CCM groups in the country, currently boasting five EM/CCM trained faculty. This EM/CCM group is part of a larger multi-disciplinary surgical CCM group including Anesthesiologists, Trauma Surgeons and CT surgeons and Neurologists. The faculty direct and staff the three adult surgical ICUs at UNM: a Trauma-surgical-burn ICU, Neurosciences ICU, and Cardiothoracic ICU.

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Making a Mark: Profiles in Excellence

Kevin Jones, MD and Jeffrey Rea, MD (pic not available) were named the co-directors of the Division of Emergency Critical Care, Department of Emergency Medicine at Albany Medical College, Albany NY.  Jason Cohen DO is the third attending in the division. All have dual appointments in Surgery and Emergency Medicine with 50/50 clinical work in the ED and the Surgical ICU. 

Christopher Hogan MD, FACEP and Julie Mayglothling MD, FACEP got promoted as Associate Professors in the Departments of Emergency Medicine and Critical Care, Virginia Commonwealth University, Richmond, VA.

Henry E Smoak MD FACEP was honored for more than 30 years of service to Manatee Memorial Hospital Emergency Department; he recently just completed a Medical Missionary Trip to the rural mountain areas of Guatemala serving the Mayan Indians.

David Wallace MD, MPH has been appointed as Assistant Professor in the Department of Emergency Medicine and Critical Care at the University of Pittsburgh. He was recently successful in his NIH K grant application studying spatial epidemiology in critical care and also published his work in the New England Journal of Medicine!!

Kevin Barlotta, MD was appointed the Co-Director and Treasurer of the Alabama Chapter of AOA Honor Medical Society at the UAB School of Medicine. He also serves as the medical director for the department of critical care transport and has completed the Critical Care Transport Medical Directors Certification through AMPA (Air Medical Physician Association).

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Update from the AOBEM-AOBIM

AOBIM has come to an agreement with AOBEM and there will now be a certification pathway for Osteopathic EM graduates.

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Editor's Comments

Join the Discussion forum in ‘Googlegroups’

Download: Penn Hypothermia Discussion Forum Manual  

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Op Ed: Through the Looking Glass

So what can EM/CCM devotees do next to further establish greater ties between our two favorite specialties? Particularly, what can EM residents, EM/CCM Fellows, and EM/CCM junior faculty do? – because EM/CCM’s future is in your hands!

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Evie’s Musings: Matters of the Brain

With the current agreements being forged between ABEM and ABIM, ACS and ASA, this is a very exciting time for graduating EM residents considering fellowship training in Critical Care. One of the Critical Care pathways that has been open to Emergency Physicians since 2005 is the fellowship in Neurocritical Care founded by the United Council for Neurologic Subspecialties (UCNS).

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Post Script


How they do it? In conversation with Paul Dark, MD, FRCS, FCEM, Senior Lecturer and Critical Care Emergency Medicine Consultant, University of Manchester, Manchester, UK

Journal Watch: ECMO in the ED... In response to Joe Bellezzo MD’s path-breaking study, comments from EM-CCM experts

....and much more!
To hit the stands in Feb-Mar 2013!!

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