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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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?
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Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Tricuspid Annular Plane Systolic Excursion: Finding Pulmonary Embolism Before the Crash

10/5/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP , Taylor Miller, MD , Keerthi Gondy, MD
Tricuspid annular plane systolic excursion (TAPSE) can provide a point of care ultrasound assessment of right ventricular function. Although there are many emerging applications for this measurement,
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ECG Challenge , Cardiology

ECG Challenge: August-September 2021

8/10/2021 Nathan Potter, MD , Jeremy Berberian, MD
A 65-year-old female with history of thoracic aortic aneurysm s/p aortic graft repair several years ago presented to the ED with positive blood cultures on outpatient labs. These had been ordered by h
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Critical Care , Deep Dive in CritCare , Cardiology

Targeted Temperature Management: Deep Dive Into the Evidence

8/10/2021 Ryan Lee, MD , Dustin Slagle, MD , Mustafa Rasheed, MD , Marshall Howell IV, MD , Javed Osmani , Elizabeth Avakoff, DO, MPH , Brian Sumner, MD
This EMRA Critical Care Committee Deep Dive will review the current available literature on targeted temperature management for cardiac arrest.
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ECG Challenge , Cardiology

ECG Challenge: June-July 2021

6/11/2021 Sahar Khan, MD , Jeremy Berberian, MD
A 55-year-old female presents from home due to a brief episode of unresponsiveness and AMS. What is your interpretation of her ECG? (Bonus points if you identify the less obvious abnormality.)
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Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Velocity Time Integral Before and After Passive Leg Raise--In Sepsis, When Is Enough (Fluids) Enough?

5/27/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP
Velocity time integral (VTI), also called stroke distance, is an ultrasound measurement that can help the emergency medicine provider guide both differentials and treatment. Here we will focus on its
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Critical Care , Ultrasound , Cardiology , Critical Care Ultrasound

Advanced Critical Care Ultrasound: E-Point Septal Separation to Estimate Left Ventricular Ejection Fraction

5/26/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD
Emergency physicians have been shown to be accurate at visual estimation of the left ventricular ejection fraction without quantitative measurements. However, there is still value in a quick and easy
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ECG Challenge , Cardiology

ECG Challenge: April-May 2021

4/8/2021 Hayden Schenker , Jeremy Berberian, MD
A 71-year-old female with history of aortic stenosis s/p transcatheter aortic valve replacement (TAVR) 3 days ago presents to the emergency department because of a syncopal episode earlier in the morn
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ECG Challenge , Cardiology , COVID-19

ECG Challenge: February-March 2021

2/3/2021 Elizabeth Shanahan, MD , Jeremy Berberian, MD
A 48-year-old male with a past medical history of asthma and recent positive COVID-19 test presents to the ED with acute onset of palpitations and chest pressure followed by a brief syncopal episode.
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ECG Challenge , Cardiology

ECG Challenge: December-January 2020-21

12/2/2020 Graham Clifford, DO , Jeremy Berberian, MD
A 24-year-old male with history of intravenous drug use and tricuspid valve replacement 10 days ago presents with pain at his sternotomy site. The surgery was performed at another hospital, and the pa