Maryland CC Project

Enough is enough..... When have we gone too far with fluid resuscitation? Dr. Carl B. Shanholtz, Professor of Medicine and author to over 100 peer reviewed journal articles discusses this highly debated topic. I assure you, this talk will truly open your mind into exactly how LITTLE we know about fluid resuscitation!

This is a rare occasion, for a brief period we were able to lure Brent C. James, M.D., M.Stat. off Capital Hill long enough to allow us to record his brilliance in the form of a 90 minute lecture. Dr. James has earned too many accolades to list all in one place, briefly he joined Intermountain Healthcare in 1986 as the Director of Medical Research and Continuing Medical Education and quickly crafted Intermountain into a juggernaut of medical informatics pushing them to the pinnacles of quality health care. He just recently has stepped down as the Chief Quality Officer to focus more on the teaching aspects of his career as he continues to lead the Intermountain Advanced Training Program.

Join me in welcoming Kenichi Tanaka, M.D., MSc., Professor of Anesthesiology and Division Chief Cardiothoracic Anesthesiology at the University of Maryland Medical Center. Dr. Tanaka started his Anesthesia training at Pittsburgh, then specialized in Cardiothoracic Anesthesia at Emory where he also earned a Masters in the Science of Clinical Research. Since joining UMMC in 2014 Dr. Tanaka has raised the bar in regards to academic research by publishing > 100 peer-reviewed journals and serving on the editorial boards of British Journal of Anaesthesia (Associate Editor), Anesthesia & Analgesia (Senior Editor), and Journal of Cardiothoracic Vascular Anesthesia. Dr. Tanaka discusses how to stop the bleeding like a sniper, rather than using a shotgun approach.

Today is quite a pleasure and a unique opportunity for MCCP, this talk was sent to us by Andrew Lim, MD. During his tenure as a medical student at UCSF Dr. Lim found time to also complete the UC Berkeley – UCSF Joint Medical Program for his M.S. in Public Health. Andrew put these skills to good use as an Emergency Medicine resident at The University of Washington jumping on every chance to make his mark on the International Health community. However, don’t let the ACGME status fool you, he has been around the world working with some remarkable people along the way. The things you will hear and learn in this talk will open your eyes to just what it means to treat sepsis in Sub-Saharan Africa, or how to make an ARDS diagnosis when a blood gas is a luxury. I assure you, this is one the better uses of 30 minutes you will find all year!

Today we welcome back one of our favorite graduates of the EM/IM/CCM residency/fellowship here at University of Maryland, Michael C. Scott, MD. Luckily he stayed local and has been paving his own path across town at St. Agnes Hospital of Baltimore, Maryland. Dr. Scott originally hails from San Antonio Texas, where he graduated from the University of Texas Medical School Medical School before heading up to the North East. Since his arrival to Baltimore, Mike has demonstrated a wide knowledge of modern academic literature and has continued to challenge the status quo in medicine! Dr. Scott has proved time and time again that there are no definitives in medicine and today he tackles a very polarizing topic: what to do with a submassive PE?

Today it is a privilege to welcome Kenneth Palmér, MD, Director of the Extracorporeal Membrane Oxygenation Center (ECMO) at Karolinska Hospital located in Stockholm, Sweden. In his tenure at Karolinska he started the world’s first ECMO center in 1986, has perfected the use of awake ECMO support, and has assisted in creating one of the three biggest ECMO centers in the world! In addition, Dr. Palmér has been invited to give over 200 international lectures on the topic of ECMO. In addition to perfecting ECMO use for inpatients, Dr. Palmér has also perfected the use of extracorporeal membrane oxygenation in transport.

Today we are pleased to post the parting lecture that Darryn R. Potosky, MD gave to the attendants of the December 2016 UMMC Critical Care conference. Dr. Potosky was an undergrad, medical student, resident, and fellow of the University of Maryland system. During his tenure as staff at UMMC, Dr. Potosky was the director of Hepatology and Assistant Professor of Medicine. In addition, he has published numerous articles in peer-reviewed publications on liver transplantation, spoken at national and international meetings including the American Association for the Study of Liver Diseases (AASLD). Today he is breaking down a problem plaguing ICUs around the country: the massive influx of pre-transplant liver failure patients. This is an issue I can assure you is not just effecting the doctors here in Baltimore!

This afternoon we were fortunate to pull Michael G. Allison, MD from the ICU at St Agnes Hospital, Baltimore, MD back over to UMMC where he was gracious to donate an hour of his his brilliance. Dr. Allison is a previous graduate of the Emergency Medicine/Internal Medicine/Critical Care fellowship here at the University of Maryland Medical Center where he molded his training and career to the speciality use of ultrasound and echocardiography in the intensive care unit. He has taken this unique niche and dominated the field of volume assessment in the critically ill patient. Today I welcome you to sit back and enjoy what has been one of the more enjoyable journeys in education we have been privy to here at CCproject!

Today we have the pleasure of undergoing something we have NEVER before demonstrated on MCCP, our first whiteboard lecture! And we have the best person possible to accomplish this monumental feat: Patricia A. Kritek, MD, EDM. Dr. Kritek is a Professor in the Division of Pulmonary and Critical Care Medicine and Associate Medical Director of Critical Care at the University of Washington Medical Center. In addition, she has revolutionized the way training programs use technology to teach medical students, residents and fellows, having earned her EdM from the Harvard Graduate School of Education. Today she was kind enough to cross the USA and grace us with a fantastic, interactive, and highly educational talk on the ways we should and should not treat ARDS. Don’t miss this opportunity to experience her brilliance!

Today we are immensely honored to welcome Timothy G. Buchman, PhD, MD, FACS, FCCP, MCCM, Professor of Surgery and Anesthesiology, Emory University School of Medicine. In addition, Dr. Buchman has served as president of nearly EVERY major critical care society, has published 231 peer reviewed journals, and most recently acts as the Editor in Chief for Critical Care Medicine. In 2012 Dr. Buchman founded the Emory Critical Care Center (ECCC), and as director he has united the care of all the critically ill patients in the Emory Health Care System. In 2014, he directed his focus to the development of the Emory Electronic ICU (eICU), a mecca of telemedicine which has revolutionized the way critical care is administered. Today he is gracious to have flown up in order to speak with us on a very hot topic: where is critical care going and how can we not be left behind?

Today we are fortunate to have convinced Dr. Thomas Stephen Metkus to cross the interstate and join us for CCP rounds here at the University of Maryland. Dr. Metkus is an assistant professor of cardiology at the Johns Hopkins University School of Medicine whose research focuses on using cardiac physiology for risk stratification and therapeutics in non-cardiac critical illness (mainly sepsis & ARDS). Dr. Metkus started his career with an undergraduate degree from Boston University College of Engineering, moving down 95 to collect a medical degree from the University of Pennsylvania School of Medicine. Keeping the Ivy League streak going he went onto to complete a medicine residency at Brigham and Women’s Hospital, and then a fellowship at both Harvard Medical School and Johns Hopkins Hospital. Fresh off publication of a highly lauded article focusing on bedside diagnoses in the ICU, today he is gracious enough to take the reigns of the late/great Osler and discuss why physical exam in the ICU is NOT a dead art!

Today we welcome another brilliant individual, Philip Verhoef, MD, PhD, FAAP, FACP. Dr. Verhoef demonstrates a significant level of dedication to medicine. Not only did he do a Med-Peds residency at University of California-Los Angeles, but he then went and completed a Fellowship in both Adult and Pediatric Critical Care Medicine at the University of Chicago (10 years of training!!). Since that time he has stayed on at the University of Chicago with an appointment in both Pulmonary/Critical Care Medicine and Pediatric Critical Care Medicine, recently rising to the level of Assistant Professor. He has also made a name for himself as a clinical expert on the REAL ramifications of the boom that is Healthcare Reform. Today he was kind enough to stop by for lunch and share a very concentrated view on the ACA, AHCA, and on the idea of Single Payer system. This talk is vital not only to the intensivist, but to everyone in the United States. I assure you, this is one lecture you will want to watch with the ENTIRE family!!

Today we welcome Mojdeh Saba Heavner, Pharm.D., BCPS, BCCCP. Dr. Heavner is an assistant professor here at the University of Maryland School of Pharmacy and a clinical pharmacy specialist in the UMMC MICU. She recently came back to us after a Critical Care & Transplant Specialty Pharmacy Residency at Yale, where she was voted the BEST Pharmacist in Connecticut. Now she is shaking things up here on MICU daily rounds and has revolutionized the care of our patients. So if you want to avoid the brow beating from your own pharmacist every morning, I highly suggest you listen to this lecture twice!!

Today we welcome a local legend: H. Neal Reynolds, MD. Dr. Reynolds is an Associate Professor of Medicine at the University of Maryland School of Medicine as well as the Associate Director of the Shock Trauma Center’s Multi-Trauma ICU. Today Dr. Reynolds provides us with an in-depth look at the world of the chronically ill. Every ICU has them, now it’s time to have a primer on the proper management of this issue before it becomes too late!

Welcome back to MCCP! To kick things off we welcome in Dr. Michael Mazzeffi, Associate Professor of Anesthesia at the UMMC, where he additionally acts as the Director for Resident Research Education and Adult Cardiothoracic Fellowship Program Director. He has fast become one of the foremost experts in the field of mechanical circulatory support, publishing numerous papers on the topic. Additionally, his academic prowess has yielded invitations to speak at many prestigious locations around the world. Dr. Mazzeffi was recently a key speaker at the 2016 International Anesthesia Research Society and today he has graciously offered to give us the talk that was the talk of the symposium!