ACEP 2013

This October, six senior EM residents and a number of faculty made the trip up to Seattle, WA– home of the 2013 ACEP Scientific Assembly.   We kept busy attending lectures by renowned speakers, playing with new glidescopes/cmacs/insert-awesome-EM-tools-here, hearing the latest in EM research, meeting up with UNMC alumni, and exploring some amazing restaurants, all the while managing to dodge the fish-mongers down at Pike Place.   We were fortunate to have met a number of awesome M3s and M4s at the residency fair, and even managed to snag a few interviews with potential employers at the ACEP job fair.

Dan Heckmann, one of our 3rd year residents, had this to say about the trip:

“Healthy doses of education and fun were had at ACEP conference in Seattle this year. Interesting lectures included a look at the future of anticoagulation reversal. Seems FFP will be taking a back seat to PCC in the near future for reversal of warfarin.  Hard to tell if and when this gets to UNMC. Although we were twice thwarted in our attempt to ascend the Space Needle, nights in Seattle still had plenty to offer including the EMRA party which was a blast. Early morning BLTs were also a highlight. Work hard and play hard, the life of an EM resident.”

donut

monorail

fish market pike place

What a beaut!

What a beaut!

(special thanks to Drs Barthold and Heckmann for their photo contributions!)

Rope em, Brand em, Cut em

EM docs are often notorious for having a variety of pursuits and hobbies outside of medicine:  Our chairman has his own vineyard.  One particular faculty seemingly goes on expedition across the globe every other week (He and a resident are in Uganda right now!).

And then there is 2nd year resident, Paul Travis.

Coming out of Colorado, Dr Travis made known his lofty goal to be able to ranch and raise cattle while in residency.  Now, it doesn’t take but a good 30 minutes driving outside of Omaha to get up close and personal with some variety of hooved animals, crops, (insert-nebraska-stereotype-here), etc, but to run the show as a resident grinding through Trauma, Neurosurgery, and ICU rotations takes a great deal of motivation… and, occasionally, a little help from your friends.

For those of you out-of-the-know on such matters (many of us were too), there comes a time in every young calf’s life where it must be separated from the adults, given its vaccines, branded, and, for the boys, have some adjustments made to its procreating ability.  This process often requires the aid, coordination, and brawn of multiple helpers.  With the lure of excellent food, customized koozies, and an experience to remember– a number of Paul’s family and friends from home, any EM resident not on shift, and even a cardiology fellow got their boots muddied up in the “Alfred Krogh Cattle Branding of 2013″ earlier this summer.

sign paul horse and cows paul cow flag felicia dog cut cows chute brand roped grey

**Disclaimer: Omaha is indeed a city, with more than enough urban conveniences, events, people, and trauma to consider itself as such.  It would be foolish, however, to deny our place as the major tertiary care center for a large part of ‘cornhusker-country’, with its humble, hard-working, rural roots.  Yet another reason why UNMC EM is a ‘cut’ above the rest.

July Sim + Procedure Lab

7/31/13.  Mark the date, July EM residents/rotators.  Because this is…

Advanced Airway Day.

Where every patient needs an airway placed, and you’re the medical professional to do it.  Battle through artificial blood, emesis, and otherwise difficult anatomy as you practice placing both direct and surgical airways on semi-embalmed cadavers in controlled conditions, so that when the stuff hits the fan in the ED, you know exactly what to do.

For those of you who are new to the fold and want a little prepping advice, I typically find that a stiff, succinct combo of Diet Dew, Pink Floyd, and EMCrit/ Scott Weingart are enough to get me amped and ready to rock.  I’ll share a few links below to get you started.  I particularly like the spiced-up version of Shock Trauma Center’s Difficult/Failed Airway algorithm.

Enjoy.

Shock Trauma Center Failed Airway Algorithm
The (sometimes controversial) Cric-Con approach to difficult airways
“Breathe” by Pink Floyd