You've Got This! Best Practices in the Care of Critically Ill Boarding Patients (Critical Care Interest Group Sponsored)

The boarding crisis in Emergency Departments continues to affect every patient, especially critically ill patients awaiting an ICU bed. These patients can be complex and challenging, requiring care and treatments unfamiliar to the Emergency Physician.

This panel of Emergency Critical Care Physicians who work both in the Emergency Department as as in the ICU will discuss best practices. We will discuss initial resuscitation and ongoing critical care, common pitfalls in prophylaxis, how to provide good handoff and ongoing care, and more. This will be an interactive panel with the opportunity to ask expert panelists on how best to manage the critically ill boarding patient.

This is part of a CCIG sponsored series of talks focusing on care of the critically ill patient boarding in the ED.

Presenters:

  • Gregory P. Wu, MD FAAEM FACEP
  • Raghu R. Seethala, MD, MSc
  • Nathan L. Haas, MD
  • Michael H. Sherman, MD
  • June Gordon, MD
  • June Gordon, MD
  • Namita Jayaprakash, MB Bch BAO, MRCEM, FACEP
  • Cameron R. Waldman, MD
  • Luke J. Duncan, MD, FAAEM
  • Ryan N. Barnicle, MD
Authors

  • Gregory P. Wu, MD FAAEM FACEP

    Albany Medical Center

    Gregory Wu, MD FAAEM FACEP is an associate professor of Emergency Medicine and Internal MedicineAlbany Medical Center, where he splits his time as an emergency physician and medical intensivist. He is active teaching faculty within the Emergency Medicine and Internal Medicine residencies, as well as the Pulmonary and Critical Care Medicine fellowship. He regularly lectures nationally on critical care topics such as post-intubation care, laryngoscope and RSI techniques, septic shock, DKA, and others. In his administrative roles at Albany Medical Center he serves as the associate program director for the Resuscitation and Emergency Critical Care Care fellowship, as well as the Clerkship Director for Critical Care at Albany Medical College.

  • Raghu R. Seethala, MD, MSc

    Brigham and Women's Hospital / Mass General Brigham

    Dr. Seethala completed his residency in emergency medicine at the Mount Sinai School of Medicine in 2009. He then completed fellowship in Resuscitation Science from Hospital of the University of Pennsylvania in 2010. He pursued further training in critical care and completed Anesthesia Critical Care fellowship at Brigham and Women’s Hospital in 2011. He then joined as faculty at Brigham and Women's Hospital in both Emergency Medicine and Critical Care. Since joining faculty, he has held several leadership positions. From 2018 – 2020, he served as the fellowship director for Emergency Medicine Critical Care. He currently serves as the Chief of the Division of Emergency Critical Care, Medical Director of the ECMO Service, Director of Thoracic Surgical Intensive Care Unit, and co-Director of the Cardiac Surgical Intensive Care Unit.
  • NHaas.jpg_202302082154

    Nathan L. Haas, MD

    University of Michigan

    "Accuracy of Continuous Glucose Monitor in DKA (ACID)"

    Dr. Haas is a practicing emergency physician at the University of Michigan. He completed medical school at Loyola University Stritch School of Medicine, and residency at the University of Michigan, where he served as chief resident. Dr. Haas works clinically in the U-M Adult Emergency Department and the Emergency Critical Care Center (EC3), and is assistant medical director of the EC3. His clinical and scholarly interests include emergency department based critical care delivery, diabetic ketoacidosis management, and out-of-hospital cardiac arrest, including extracorporeal cardiopulmonary resuscitation.

  • Michael H. Sherman, MD

    University of Massachusetts

    Assistant Professor of Emergency Medicine, University of Massachusetts Chan Medical School Department of Emergency Medicine, UMass Memorial Medical Center Department of Critical Care Medicine, UMass Memorial Marlborough Hospital.

  • June Gordon, MD

    Stanford University

    Dr. Alexandra “June” Gordon is an emergency medicine and critical care physician. She works in both the Emergency Department and the Medical ICU at Stanford University Hospital where she also completed her Emergency Medicine Residency and Critical Care Medicine Fellowship. She is the Associate Program Director for the Critical Care Medicine Fellowship and also serves as the Immediate Past Chair of the AAEM Critical Care Medicine Section.

  • Alexander Bracey, MD, FACEP

    Albany Medical College

    I am an emergency physician practicing at Albany Medical Center in Albany, NY. I completed emergency medicine residency and fellowship in Resuscitation and Emergency Critical Care at Stony Brook University Hospital. I am currently the fellowship director of the Resuscitation and Emergency Critical Care program and the assistant program director for the Emergency Medicine residency at Albany Med. My focus is on the management of the critically ill patients in the emergency department setting, including advanced ECG interpretation, emergency airway management, and advanced vascular access techniques. 

  • Namita Jayaprakash, MB Bch BAO, MRCEM, FACEP

    Henry Ford Health/Henry Ford Hospital

    Dr. Jayaprakash is an EM-CCM dual board certified physician's in the United States. She is currently based in Detroit, MI where her academic and clinical focus is on the delivery of early interventions in critical illness. Her vision is delivered through clinical practice in emergency medicine and medical intensive care; her commitment to process improvement; and her research. Along these lines she is passionate about enhancing sepsis care and leads the Henry Ford Health system sepsis program and serves as the Associate Medical Director for Quality and Patient Safety in the Emergency Department at Henry Ford Hospital.

    Graduating from University College Dublin in the Republic of Ireland, Dr. Jayaprakash completed a basic specialist training scheme in the Republic of Ireland and gained a competitive and esteemed Membership (by examination) to the Royal College of Emergency Medicine for the UK and Ireland. Following this, she completed an emergency medicine residency at Henry Ford Hospital and then a critical care fellowship at the Mayo Clinic in Rochester, MN. She is a Clinical Assistant Professor in Emergency Medicine and Medicine at Michigan State University and a Clinical Assistant Professor in Emerency Medicine at Wayne State University.

  • Cameron R. Waldman, MD

    Albany Medical Center

    Cameron is faculty at Albany Medical Center's Department of Emergency medicine and a member of the department's Division of Emergency Critical Care. He completed emergency medicine residency and fellowship in Resuscitation and Emergency Critical Care at Albany Med as well. His professional interests include critical care echocardiography, bioethics and systems ethics, and critical care education for emergency medicine residents.

  • Luke J. Duncan, MD, FAAEM

    Albany Medical Center

    Dr. Duncan is the chief of the division of Critical Care at Albany Medical Center. He currently is the director of the CVICU, and ECLS program as well as associate program director of the Albany Med Resuscitation and Emergency Critcal Care (RECC) fellowship. His research interests include ICU liberation in the emergency department, and ED-based ICU care.

  • Ryan N. Barnicle, MD

    Lifespan/Brown University

    I am the current Director of Emergency Critical Care and Director of Resuscitation Education for Brown Emergency Medicine. I completed residency in emergency medicine and stayed at Stony Brook University to complete a fellowship in Advanced Resuscitation (Resuscitation and Emergency Critical Care).

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