Weekly Update – October 31, 2022

Stroke Protocol Module

Please complete the Stroke Protocols for Providers (2022) module via Workday by November 1st.

Campus Announcements

 Cord Compression Protocol

Please review the cord compression protocol at Columbia:

4N and Telemetry

  • Patients remain under ED care until physically transferred
  • Need for Tele Monitoring for transport is an ED Decision
  • Transport of patients:
    • If a patient is determined to require tele monitoring for transport, a provider is inherently needed for transport
    • It is the primary responsibility of the accepting service to transport
    • Admitting team accompanies patient within 1h of bed assignment
    • 4N team members may cover for the CCU team

Cornell Innovation Conference

In case you are unfamiliar, Future of Care at Weill Cornell hosts a free conference each year where we invite speakers and leaders in the medical and biotech industry to come lead workshops, network, and give talks to medical students, residents, and other young innovators in the greater NY area in an effort to further cultivate an environment of innovation and biotech in NYC. The event has been a huge success in the past before COVID, and this year, we are bringing it back in-person at Cornell Tech (Saturday, October 29th, at the Verizon Executive Education Center at Cornell Tech on Roosevelt Island).

 

Research Survey

I’m Jacqueline, MS4 doing research with Dr. Kaushal Shah. We are working on a project assessing the need/desire for further training in reading head CTs among EM residents, and we are asking you to fill out this super quick yes/no survey. It will just take a minute of your time, we would really appreciate it if you could help us out!

If you’ve filled out this survey before, thank you for participating and please disregard!

*While we cannot offer any compensation for this study, we hope that information learned from the study will benefit you and other trainees.

Heart Transplant Workflow

  • New WC Heart Transplant Program set to go live this fall

  • Advanced Heart Failure/Transplant team wants to know about all heart transplant patients that present to the ED regardless of their complaint or when/where their transplant occurred

  • Place “Inpatient Consult to Cardiology (Advanced HF/Pulm HTN)” order when these patients present to the ED

    • If patient in shock use consult order “Inpatient Consult to Cardiology (ECMO)” instead

  • A member of advanced HF team or CCU fellow (overnight) will evaluate patient in the ED

  • Admit these patients to 4N (under Advanced Heart Failure PA team) or CCU depending on their necessary level of care

Conference 11/2

Welcome to our first week of the pulmonary module!  Please join us for our next residency conference via Zoom.  We will begin with a core content lecture on tracheostomies by our PGY-2 resident Dr. Neil Bhavsar.  Then, Vice Chair of Education at Cornell, Dr. Kaushal Shah, will discuss the controversies in the management of pneumothoraces.  Drs. Di Coneybeare and Dr. Jason Hill will have a point-counterpoint debate on BNP as a screening tool for heart failure.  PGY-4 Dr. Allen Giles and select residents will review QI patient cases.  Following that, PGY-4 Dr. Paula Marin will present her Grand Rounds talk on ocular ultrasound.  Lastly, PGY-3 Dr. Erin Falk will present a Columbia M&M case. 

 

8:00 AM

Core Content: Tracheostomy (Neil Bhavsar, PGY-2)

8:30 AM

Pneumothorax Management: Airing Out the Controversies (Dr. Kaushal Shah)

9:00 AM

Point-Counterpoint: BNP is an effective screening tool for heart failure…or is it? (Drs. Di Coneybeare and Jason Hill)

9:30 AM

QI Patient Reviews (Allen Giles, PGY-4)

10:00 AM

Break

10:30 AM

Grand Rounds: Ocular Ultrasound (Paula Marin, PGY-4)

11:00 AM

Columbia Morbidity & Mortality (Erin Falk, PGY-3)

 

 

Shout out to Sagar, Joe, and Shriman for volunteering to teach the First Responder Course to our Columbia first year medical students!

Chief On Call

Rana Abualsaud, M.D.  

EM Chiefs’ Cell:  917-410-1056

Please call and do not text/ email so we can address issues promptly.
If you do not hear back within 10 minutes, then call any of the other chiefs.

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