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This Weeks Critical Care Objectives

Discuss prioritization of treatment in multi-trauma patient.
Discuss etiology and management of respiratory distress in Downs patient.
Discuss management of aortic dissection.
Discuss management of hypotension/bradycardia/hyperkalemia.
Discuss management of inferior MI.
X-ray case.

Academic Calendar: Monday
Benchmark Procedure Lab

Academic Calendar: Tuesday
Medical Student Lecture
Procedure Lab
Medicine Core Curriculum Conference
Social Journal Club
ATLS
ACLS

Academic Calendar: Wednesday
Medical Student Lecture
Procedure Lab
Emergency Medicine-Cardiology Conference
MEMF

Academic Calendar: Thursday
Core Curriculum Conference
Critical Care Conference
Morbidity and Mortality
Cube Case Conference

Academic Calendar: Friday
Benchmark Procedure Lab

Recent Critical Care Objectives

Discuss resuscitation of victim of 4-story fall.
Discuss placental abruption after MVC.
Discuss unusual complication of CVP line.

Discuss role for HBO Tx in management of CO toxicity.
Discuss management of penetrating chest trauma.
Discuss recognition and management of aortic dissection.
Discuss management of severe CHI.
Discuss management of cardiac arrest

Discuss complications of pelvic fracture
  Discuss approach to severely agitated patient with multiple GSW to abdomen.
  Discuss approach to syncope in 66 year old male.
Discuss approach to bradycardia in 79 year old female.
  Discuss prehospital management of dysrhythmias.

Discuss diagnosis and management of spinal cord injury.
Discuss approach to cardiac arrest in 3 month old.
  Discuss approach to respiratory distress in infants.
Discuss management of chest pain.
  Discuss approach to ethylene glycol ingestion.

Discuss airway management in penetrating neck trauma.
Discuss diagnostic evaluation of intraabdominal injury.
  Discuss indications for thoracotomy in blunt chest trauma.
  Discuss cardiac arrest in agitated patients.
  Discuss management of severe asthma.

Review management of near drowning.
Discuss management of stab wound to chest.
Discuss management of blunt chest and abdominal trauma.
Discuss management of severe extremity injury.
Review x-rays and management of pelvic fractures in children.
Discuss presentation after burn from spray paint can explosion

Discuss importance of historical information for elderly trauma victims.
Discuss approach to young women with shock (on Depo Provera).
Discuss CVA / Thrombolytics in acute aphasia.
Discuss etiology of sudden collapse during  racquetball.
Discuss management of selerious acid overdose /  ingestion.

Discuss approach to multiple trauma.
  Discuss approach to dog attack victims.
Discuss management of hemodynamically significant bradycardia.
Discuss cardiac arrest in 44 year old woman.
Discuss cardiac arrest in OD patient.

Discuss importance of historical information for elderly trauma victims.
Discuss approach to young women with shock (on Depo Provera).
Discuss CVA / Thrombolytics in acute aphasia.
Discuss etiology of sudden collapse during  racquetball.
Discuss management of selerious acid overdose /  ingestion.

Discuss approach to trauma in rural Minnesota.
  Discuss approach to injured patient, fall from moving vehicle.
Discuss approach to difficult airway management in cardiac arrest.
Discuss chest pain in 36 year old man.

  Discuss approach to multiple multiply injured children.
  Discuss unusual presentation of life threatening disease.
  Discuss combined electrical injury and near drowning.
  Discuss recognition of cardiac disease in young patients.
  X-ray Review

Discuss differential diagnosis and treatment of chest trauma.
Discuss differential diagnosis of altered mental status after dialysis.
Discuss treatment of rapid A-fib.
Discuss differential diagnosis and treatment of retained products of conception.
Discuss diagnosis and treatment of acute MI.

  Discuss differential airway management in trauma.
  Review diagnosis and management of c-spine injuries.
  Discuss differential diagnosis of cardiac arrest in blunt trauma.
  Discuss differential diagnosis and management of hypotension and hemoperitoneum.
  Discuss management of decreased pulses in extremities with penetrating trauma.

  Discuss differential airway management in trauma.
Review diagnosis and management of c-spine injuries.
  Discuss differential diagnosis of cardiac arrest in blunt trauma.
Discuss differential diagnosis and management of hypotension and hemoperitoneum.
Discuss management of decreased pulses in extremities with penetrating trauma.

  Discuss evaluation and treatment of multiple trauma.
. Discuss differential diagnosis of pulseless leg and pericardialeffusion.
. Discuss diagnosis and management of acute MI.
Discuss differential diagnosis of ingestion and cardiac arrest.
  Discuss evaluation and treatment of INH OD.

Discuss diagnosis and management of stab wound to the heart.
Discuss reduction of c-spine injury. How quickly should these be reduced with neurologic deficit.
Discuss diagnosis and hyperkalemia.
Discuss diagnosis and management of air embolism.

. Discuss approach to power take-off injury.
Discuss approach to acute agitation and motor vehicle crash.
Discuss approach to infant apnea.
  Discuss approach to seizure with altered mental status.
Discuss CT.

Describe prioritization of injuries in the multiple trauma patient.
Describe differential diagnosis of the obtunded toddler.
Describe ICB presenting as minor head trauma in the intoxicated patient.
Describe use of t-PA in acute CVA.

Discuss airway management in adult epiglottitis.
  Discuss differentiating MI from cardiac contusion.
  Discuss rectal exam in acute MI.
  Discuss hemiparesis following MVA.
. Discuss delayed acute abdomen following MVA
  Discuss differential diagnosis of positive Morison's Pouch.
  Discuss management of malignant hypertension.
  Discuss management of severe asthma.
  Discuss management of bradycardia.
  Discuss management of reported GSW to L flank.

Evaluation and treatment of injuries associated with falls.
Evaluation and treatment of penetrating abdominal trauma.
Recurrent chest pain after angioplasty.
Treatment of atrial fibrillation in the face of AMI.
Ethylene glycol ingestion

Approach to multiple trauma.
Occult hemorrhage in multiple trauma in a 70 year old.
Cardiac arrest in a 42 year old female.
Management of severely agitated postictal patient.
Approach to unknown unconsciousness.

Discuss approach to multiple trauma with a positive Morison's pouch.
Discuss management of pelvic fracture with occult hemorrhagic shock.
Discuss approach to head injury in coagulopathy.
Discuss electrical storm management.
X-ray Review.

Approach to aortic dissection types.
Approach to unknown unconscious male.
1st time seizure work-up.
Management of acute MI.

Post-surgical course of ascending aortic dissection.
Elderly abdominal pain.
Thrombolytics and catheterization in status post cardiac arrest.

Discuss approach to multiple trauma with a positive Morison's pouch.
Management of pelvic fracture with occult hemorrhagic shock.
Approach to head injury in coagulopathy.
Discuss electrical storm management.

Management of exsanguination in GI bleed.
Multiple stab wounds and cardiac arrest.
Suicidal adolescent with multiple injuries.
WPW  in pregnancy.
Pacemaker failure in ESRD.
Co-existant psychiatric agitation and acute MI.

Evaluation and management of pediatric trauma.
Indications for ER thoracotomy in trauma.
Pacemakers and ICDs.
GHB overdose and management.
Management of respiratory failure from allergy.
Management of profound hypothermia and cardiac arrest.
Management of penetrating thoracic trauma and burns.
Approach to pelvic fracture with rectal injury.
Management of acute MI.
Pre-hospital needle thoracostomy in cardiac arrest.
Early management of head trauma.
Management of penetrating thoracic trauma and burns.
Diagnosis of AMI.
Management of critically ill medical patient with co-existing 
gastrointestinal/cardiac emergencies.
Approach to types of aortic dissections.
Airway emergency in thyroid cancer.
"Would you use heparin with omeprazole?"
Approach of recurrent AMI in 38 year old male.
CT findings in fall down stairs.
Snowboarding injuries.
Hypothermia and multiple injuries in newborn.
Emergency catheterization following cardiac arrest resuscitation.
Cardiac arrest in a young woman.
Prehospital approach to respiratory arrest in 9 month old.
Management of thoracoabdominal stab wounds.
Laryngeal mask airway for intubation.
Management of subarachnoid hemorrhage.
Management of resuscitated ventricular fibrillation arrestwith acute 
myocardial infarction.
Differential diagnosis of an unusual neurological presentation.
X-ray presentation of severe lower extremity trauma.
Profound hypothermia.
Recognition and management of AAA rupture.
Ddetergent ingestion in children.
Multiple trauma and overdose.
Management of head trauma.
Abdominal stab wounds.
EKG manifestation of AMI and data on missed MI and overcalled 
Discuss management of cardiac arrest in a 35 year old male.
Discuss airway management of a patient with pharyngeal mass.
Discuss approach to impalement injury.
Discuss approach to patients after falls.
Discuss approach to cardiogenic shock.
Discuss tachycardia in observed head injured patient.
Discuss airway management decisions in burn patients.
Discuss approach to patient with air embolism and difficult airway.
Discuss approach to severe symptoms following bee stings
Discuss approach to epigastric pain in young patient with prior negative workup for myocardial ischemia
X-ray review
Discuss a differential diagnosis of abdominal pain and positive Morrisons 
Discuss management of head trauma in setting of neurogenic pulmonary edema.
Discuss management of airway in asthma.
Compare and contrast non-traumatic intracranial hemorrhage.
Discuss management of upper airway in setting of burns to face and neck.
Discuss multiple injuries with severe pelvic fracture.
Discuss self inflicted neck wound in suicidal patient.
Discuss severe hypothermia management.
Discuss atypical presentation of cardiac ischemia.
Discuss complete heart block.