Christiana Care Health System

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Christiana Care Health System ranks in the top 25 in the country for emergency visits and is Delaware’s only Level I trauma center that treats adults and children – the only center of its kind between Philadelphia and Baltimore.

Christiana Care offers an unmatched learning experience. We’re one of America’s largest, non-sectarian, not for profit health care systems. We serve the Delaware Valley and we’re a nationally recognized, urban and suburban, academic and community hospital. Here you’ll learn from taking care of patients with a huge range of pathologies and work with nationally recognized faculty, accelerating your growth both as an expert and as a caring physician.

Program Director Interview
Christiana Care Health System
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: VExUS--Can the Right Side Take It?

6/2/2022 Dustin Slagle, MD , Ashley Panicker, MD, FACEP
Knowing when to stop volume resuscitation in the unstable shock patient is a question that plagues both the emergency physician and the critical care doctor. VExUS was designed to succeed where CVP ha
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Fractional Area Change and Left Ventricular Fractional Shortening – Building Blocks for Later

5/14/2022 Dustin Slagle, MD , Jon Bodner, MD , Ashley Panicker, MD, FACEP
Ultrasound is a powerful tool in the emergency department for the estimation of left ventricular ejection fractions. E-Point Septal Separation is a good way to obtain these measurements, but what if t
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Subclavian Central Venous Access - Dealer's Choice

5/2/2022 Dustin Slagle, MD , Jesse Liou, MD , Gabriel Hoffman, MD
The need for a central line is commonplace in the emergency department and critical care units. When deciding which of the three typical sites (internal jugular, femoral, and subclavian) to choose for
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ECG Challenge , Cardiology

ECG Challenge: April-May 2022

4/10/2022 Graham Clifford, DO , Benjamin Arnold, MD , Jeremy Berberian, MD
A 67-year-old male with a PMH of HTN, HLD, DM, and COPD presents to the emergency department due sudden chest discomfort. What is your interpretation of his ECG?
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Axillary Arterial Line—Oft Forgotten

2/27/2022 Dustin Slagle, MD , Natalie Htet, MD, MS
Obtaining arterial access is a common procedure in both emergency medicine and in critical care. It's a good idea to become familiar with the axillary artery as an alternative location for placement o
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ECG Challenge , Cardiology

ECG Challenge: February-March 2022

2/12/2022 Diane Y. Wang, MD , Jeremy Berberian, MD
A 79-year-old male with a past medical history of coronary artery disease s/p CABG in 2012 presents with chest pain. His initial ECG showed atrial fibrillation with RVR at 168 bpm. Despite rate contro
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: The RUSH Exam - Slow Is Smooth and Smooth Is Fast

2/3/2022 Taylor Miller, MD , Dustin Slagle, MD , Alexis Salerno, MD, FACEP
Undifferentiated patients showing signs of shock have a high mortality rate. The Rapid Ultrasound for Shock and Hypotension (RUSH) Exam is a protocolized ultrasound exam that can be done in minutes to
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ECG Challenge , Cardiology

ECG Challenge: December-January 2021-2022

12/12/2021 Garrett M. Snipes, MD , Jeremy Berberian, MD
A 70-year-old male presents to the emergency department with syncope and lightheadedness. His past medical history is significant for heart failure with reduced ejection fraction, CAD status post perc
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COVID-19 , Cardiology , Pulmonary

Elusive Effusion: A Rare of Case of COVID-19-Related Pericardial Effusion and Cardiac Tamponade

12/12/2021 Parth S. Gandhi, DO , Arayel Osborne, MD
Recently, a series of case reports have described the effect of COVID-19 on myocardial and pericardial tissue. It appears the majority of cases of myocarditis, pericarditis, and pericardial effusions
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ECG Challenge , Cardiology

ECG Challenge: October-November 2021

10/6/2021 W. Brandon White, DO , Jeremy Berberian, MD
A 61-year-old male with past medical history of hypertension and hyperlipidemia presents to the emergency department with 8/10 substernal chest pain. What is your interpretation of his ECG?