Modern Resident

• Lean, Mean, ED Resident Machine: Resident Application of Lean Tools

  Image Credit: Pixabay Author: Thomas Damiano, MD Christiana Care Health SystemOriginally Published: Modern Resident February/March 2013 One of the first responses when asked what field of medicine I practice following “that must be interesting work,” undoubtedly becomes “the waits are awfully long.” The demand for emergency services has far outpaced supply over the last two […]
• Management of Atrial Fibrilation with Rapid Ventricular Response — Choosing Rate Control Wisely

  Image Credit: Pixabay Author: Nathan Haas, MDUniversity of Michigan Department of EmergencyOriginally Published: Modern Resident October/November 2014 Atrial fibrillation (AF) with rapid ventricular response (RVR) is relatively commonplace in the ED, and practice patterns vary in how rate control is achieved. Presented below are different approaches to accomplishing rate control, broken down by medication class […]
• Clinical Pearl: “Light Bulb Sign” in Posterior Shoulder Dislocation

  Author: Nathan Haas, MD University of Michigan Originally Published: Modern Resident, June/July 2014 Posterior shoulder dislocations are relatively uncommon, comprising only 2-4% of all shoulder dislocations. Thus, posterior dislocations often go undiagnosed, and can lead to severe consequences for both the patient and emergency physician (EP). A high index of suspicion and a firm grasp […]
• Bronchiolitis: Updated Guidelines

  Image Credit: Wikipedia Author: Ashley Grigsby, DOIndiana UniversityEmergency Medicine/Pediatrics Residency Originally Published: Modern Resident December 2014/January 2015 It’s that time of year again. Snow is starting to fall, holiday lights are going up and little babies are showing up wheezing in your emergency department. While babies sometimes make emergency physicians nervous, the treatment for bronchiolitis […]
• Tox Talk: Calcium Channel Blocker Overdose

  Image Credit: Flickr Author: Erica Schramm, MS4Cooper Medical School of Rowan University Originally Published: Modern Resident April/May 2016 Calcium channel blockers (CCBs) are used to treat a variety of common conditions such as hypertension, cardiac dysrhythmias and headaches. But use of CCBs is not without risk, particularly in cases of toxicity and overdose. CCBs are […]
• The Dying Gut: Identifying Patients with Intestinal Ischemia

  Image Credit: Flickr Author: Ashley Grigsby, DO PGY-1M Indiana University Originally Published: Modern Resident, February/March 2015 Intestinal ischemia is a serious illness with severe and life threatening complications. The likelihood of developing complications improves with earlier diagnosis. However, early diagnosis can be difficult, especially in the setting of no known risk factors. Acute mesenteric ischemia […]
• Drug Choice for Procedural Sedation: Propofol vs. Ketamine

  Image Credit: Flickr Author: Randy Kring, MSIV Tufts University School of Medicine Procedural sedation is frequently performed in the emergency department, whether it is for electrical cardioversion, closed joint reduction or abscess incision and drainage. Although the focus in these cases is often on the procedure, smart preparation for procedural sedation and an understanding of […]
• International Patient Transports

  Recent flight By Dr. Chali Mulenga to Surabaya, Indonesia. “The kindness of the locals was a true highlight. I am already keeping in touch with some of the people I met. Such wonderful people.” Author: Amy Ho, MDUniversity of ChicagoOriginally Published: Modern Resident April/May 2016 International transports and repatriation is a part of flight medicine […]
• Notes from the Night Shift: Single Parents as Patients

  Source: Flickr Author: Heather Boynton, MDUC San Diego Health System Originally Published: Modern Resident February/March 2016 With pediatric cases, we often say that we have two patients: the child and the parent. How does our approach change when the parent is the patient, and the kids are in the room too? On a recent string […]
• The Proper Start to Your Financial Journey

  Photo: Flickr Author: James M. Dahle, MDAuthor of The White Coat Investor: A Doctor’s Guide to Personal Finance and InvestingOriginally Published: Modern Resident August/September 2015 I’m occasionally asked to give very young physicians, i.e., students and residents, some financial advice. Typically these doctors have a low income, a dramatically negative net worth, little financial education […]

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