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Critical Care Medicine Section Newsletter - Spring 2014

PDF version of the Spring 2014 newsletter available here for download.

Airway management in cardiac arrest: one size fits all?

Cardiac Arrest ResuscitationCardiac arrest resuscitation and the post-arrest syndrome are areas of active and ongoing research. Emergency department (ED) intensivists, as content experts, must critically appraise studies before modifying existing policy and protocols at our institutions. A notable recent example is the need to revisit the optimal goal for targeted temperature management in arrest survivors.

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“Maximally Aggressive Care, Everywhere”: An Interview with Scott Weingart

Continuing our new column highlighting greats in the EM-CCM universe, we have an interview with Scott Weingart, ED intensivist and medical educator extraordinaire. His podcast, EMCrit, is one of the most popular medical podcasts currently out there. He has huge international followership and lectures extensively throughout the country on a host of EM-CCM topics. 

 weingart 0910What made you decide to pursue a career in emergency medicine (EM) and then critical care medicine?

Well, the order for me is a little bit reversed than most people in that I always knew pretty much from my first year at medical school that I wanted to do critical care. Then the question is which specialty to go through for residency training. The choices were between anesthesia and EM for me. 

Scott Weingart, MD, FACEP

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Prone Positioning: An experience of actually doing it

Prone2Most intensivists have read Guérin’s 2013 NEJM study1 on the mortality benefit of prone positioning. Previous studies2,3 have established that dorsal consolidations improve when the patient is placed prone. Taken together, the practice of prone positioning in select patients makes sense. Despite this, I haven’t found that it is done as often as one might infer from the robustness of its benefit in this study or others.

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Notes from the Chair

Marcolini_9-13Happy New Year everyone! I have so many great things to report on.

In addition to the new opportunities for EM residents to pursue critical care fellowships, we now have news that the Internal Medicine Residency Review Committee (IM-RRC) voted to allow critical care-trained American Board of Emergency Medicine (ABEM) diplomates who are board-certified in Internal Medicine-Critical Care Medicine to supervise internal medicine trainees in medical ICUs.

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Calling all Contributors!

The editorial staff is looking for the following contributions for upcoming ACEP-CCM Newsletters:
•  News
•  Point-Counterpoint Articles
•  Tips and Tricks

Please send your story ideas to Raghu Seethala and click Read More to meet your editorial team.   

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Help us Rename the Newsletter!

After a very tight preliminary vote, the ACEP-CCM Section is sponsoring a run-off election.

Go to the following URL to cast your vote to rename the newsletter:

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Critical Care Board Dates

Critical Care Board Dates at a Glance! 

Application Cycle, Exam and Practice Path Dates for Internal Medicine, Anesthesia, Surgery and Neurocritical Care Pathways.

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University of Arizona Critical Care Fellowship Review

This month we are starting a new regular contribution. We will highlight some of the critical care fellowships that are training emergency physicians.

If you are interested in spotlighting your fellowship, please contact Raghu Seethala.

University of Arizona Critical Care Fellowship

Length of fellowship: 2 years
Number of fellows: 1

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Take the Lead in Education

Shiber_smallEmergency medicine encompasses the care of diverse patients with any type of disease or injury. As such, EM incudes the practices of all specialties to some extent but primarily deals with the resuscitation and stabilization of these disorders. Emergency department (ED) providers are tasked with having a very wide breadth of knowledge in order to recognize, diagnose and initiate treatments before handing over the patient to another specialty provider. Therefore EM is a specialty that although distinct in its approach and goals for patient care, includes aspects of all of the specialties: Internal Medicine, Surgery, Pediatrics, Ob/GYN, Psychiatry, etc. Since EM focuses on the resuscitation and stabilization of the most ill and injured patients, there are certainly aspects of critical care medicine involved with EM. 

However, there are only a handful of specialties with formal fellowship training available to EM physicians.

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