Podcast #236 - Understanding Wells' Criteria for Pulmonary Embolism and the PERC Rule

  Gerard Carroll, MD, is the Program Director for the EMS Fellowship at Cooper University Hospital. He is passionate about utilizing physician field response to translate the bedside, apprenticeship model of medical education into the field. His interests include addiction medicine and the role of urban EMS caring for underserved populations. As an undergraduate at Brandeis University, Dr. Carroll became passionate about Emergency Medical Services, and following graduation became certified as a Paramedic . He worked for nearly a decade in the New York City 911 system and was recognized for his service on the morning of the 9-11 attacks. He then earned his medical degree from Dartmouth Medical School where he was inducted into the Gold Humanism Honor Society. He completed Emergency Medicine Residency at Temple University Hospital and completed a fellowship in Emergency Medical Services at Cooper University Hospital. He is triple board certified in Emergency Medicine, Emergency Medical Services, and Addiction Medicine. Dr. Carroll loves the practice of academic Emergency Medicine and Emergency Medical Services and is not satisfied with the status quo. He believes strongly that EMS is a practice of medicine and as such needs to constantly be refocused on patient outcomes while optimizing its place in the healthcare system. He helped spearhead the movement of addiction medicine into the field by educating paramedics about Opioid Use Disorder and training them to rescue patients in withdrawal with Medication Assisted Therapy using buprenorphine. Dr. Carroll loves the varied practice environments of EM and EMS making academic, rural, prehospital, austere disaster deployment, and even cruise ship medicine a part of his regular medical practice.

Sandy Schneider, MD, FACEP, is associate executive director and past president of the American College of Emergency Physicians, ACEP. Dr Schneider is also the adjunct professor of emergency medicine at the University of Pittsburgh. She remains clinically active as a part-time attending with integrative emergency services at John Peter Smith Hospital in Fort Worth, Texas. Previously, she was a chair of the Residency Review Committee for Emergency Medicine and chair of the Emergency Medicine Foundation. Dr. Schneider is a graduate of the University of Pittsburgh School of Medicine and board-certified in internal medicine and emergency medicine. Dr. Schneider was elected to the ACEP Board of Directors in 2004 and again in 2007. She served as the board’s secretary-treasurer before being elected vice president last year. She formerly served on the board of directors of the American Association for Emergency Psychiatry, and she is the former president of the Society for Academic Emergency Medicine and the Association of Academic Chairs of Emergency Medicine. Dr. Schneider served as the founding chair of the department of emergency medicine at the University of Rochester from 1993-2007. She established a residency training program there in emergency medicine and fellowship programs in pediatric emergency medicine, sports medicine, international emergency medicine and EMS. Dr. Schneider earned her medical degree from the University of Pittsburgh and completed her internship and residency in internal medicine at Hospitals of the University of Pittsburgh. She is a board certified in emergency medicine and is the author of over 50 peer-reviewed articles and 35 book chapters. ACEP is a national medical specialty society representing emergency medicine with more than 28,000 members. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. Visit www.acep.org for more information.

Effective feedback is the cornerstone of competency-based education. The emergency department (ED) is a unique learning and feedback environment. Developing our understanding of emergency medicine (EM) residents’ experiences around feedback will improve resident training and inform EM faculty development programs. This qualitative study explores the feedback culture and practices in EM and resident's experiences and attitudes toward feedback in this specific training environment.

In this episode of CUBIST, Amanda, and Don discuss the article, “Accuracy of a rapid GFAP/UCH-L1 test for the prediction of intracranial injuries on head CT after mild traumatic brain injury” by Jeff Bazarian and colleagues, and published in Academic Emergency Medicine, August 2021. Article Citation: Bazarian, J. J., Welch, R. D., Caudle, K., Jeffrey, C. A., Chen, J. Y., Chandran, R., McCaw, T., Datwyler, S. A., Zhang, H., & McQuiston, B. (2021). Accuracy of a rapid glial fibrillary acidic protein/ubiquitin carboxyl-terminal hydrolase L1 test for the prediction of intracranial injuries on head computed tomography after mild traumatic brain injury. Academic emergency medicine: official journal of the Society for Academic Emergency Medicine, 28(11), 1308–1317. https://doi.org/10.1111/acem.14366 Article LINK: https://pubmed.ncbi.nlm.nih.gov/34358399/ CUBIST is a podcast for health care providers produced by the Traumatic Brain Injury Center of Excellence. We discuss the latest research on traumatic brain injury (TBI) most relevant to patient care. For more about TBI, including clinical tools, go to www.Health.mil/TBICoE or email us at dha.ncr.j-9.mbx.tbicoe-info@mail.mil. The views, opinions, and/or findings in this podcast are those of the host and subject matter experts. They should not be construed as an official Department of Defense position, policy, or decision unless designated by other official documentation. Our theme song is “Upbeat-Corporate’ by WhiteCat, available and was used according to the Creative Commons Attribution-Noncommercial 4.0 license.