Emergency Medicine Research

Fellow: Evan BosmanDirectors: Michael Beeson MD

Erin Simon DO

Bosman 1

Case Reports

• Cervical Artery Dissection

• Mesenteric Ischemia and Lower Extremity Claudication

• Superior Vena Cava Syndrome in pediatric patient

Bosman 2

Cervical Artery Dissection

• 32-year-old female G4P4, 3 weeks postpartum

• First reported case of spontaneous and simultaneous bilateral carotid and bilateral vertebral artery

• CTA revealed dissections, while MRI/MRA failed to do so

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Dissection Images

R. Vertebral “Owl Eye”L. Carotid “Candle Flame”

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Mesenteric Ischemia

• 48-year-old female presented with abdominal pain and claudication of left lower extremity

• Extreme stenosis throughout abdomen vasculature

• 99% stenosis of the Iliac artery

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Superior Vena Cava Syndrome

• 7-year-old male presenting with facial swelling and discoloration

• Indwelling portacath since birth for immunoglobulin immunodeficiency

• CT revealed an occlusion of the distal SVC where the right catheter ended, due to a thrombus

• Patient started on anticoagulants

Emergency Medicine Milestones

• Revised Milestone rubrics and the scoring sheets

• EM Milestones: framework to assess resident physicians competency

• 12 milestones (medical knowledge, disposition, diagnosis, etc)

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Sim Center/Shadowing

• Intubation

• Sutures

• Casting

• Slit Lamp

• Lumbar Puncture

Bosman 8

Thank You

• Dr. Beeson

• Dr. Simon

• Gregory Griffin

• Attending and Resident Physicians

• Angie South

• Frank Fire

Bosman 9