
Upcoming events.

Global Health Trip: Honduras
Global Health Mission Trip to Peña Blanca, Honduras. Contact Dr. Loe

Wilderness Medicine: Medical Support Team at the UTMB Kodiak Ultramarathon in Big Bear
Interest in helping to volunteer as medical support at the UTMB Kodiak Ultramarathon in Big Bear October 10-12th? This will be one of UTMB’s Major races this year and so far looks to be their LARGEST RACE EVER with currently 2500+ registered I’m sharing a google form here for registering contact information and we will be reaching back out in the next month or so to confirm stations and times. Please don’t hesitate to share broadly - even basic CPR can be helpful though we’re especially looking for EMT training and above to staff an aid station. DM or text me Dr. Nelson if you have any other questions!

Landmark Middle School Education
Come volunteer at Landmark Middle School! Teaching kids an elementary medical school curriculum put on as a joint between LLU/RUHS pediatrics and RUHS EM. Contact Dr. Loe for more details.

Emergency Medicine Oral Board Review Course
Oral Board Review Course Held Virtually by Zoom - Ohio ACEP offers a virtual course designed to prepare individuals to take the Oral Board Exam. Our course is designed to optimize your exam performance, teach techniques for success, and enhance your case management skills!
Course Dates: March 27, 2025; August 21, 2025; and October 23, 2025. (The course will be offered twice – once in the morning and once in the afternoon.)
Course Details: • Includes an Introductory 1-hour focused overview of the Oral Exam process with valuable exam tips and note-taking strategies • Case simulations include 6 single-case encounters and 2 structured interviews Experienced Ohio ACEP faculty facilitate cases via Zoom • 1:1 student/instructor ratio ensures participants receive personalized individual feedback • Boosts confidence, enhances knowledge, and identifies areas to target for further practice and study Register Online!

Oktoberfest 2025
Come join our annual Oktoberfest celebration! A fun way to relax, eat Bavarian food, and hang with our residency family! This year it will be Saturday, November 8th, which is a free ticket for healthcare workers day. This is a two night trip. Friday is a lake/bike/hike day, Saturday, Oktoberfest, and Sunday we pack out. Would love ot see you all there even if its just for the day. Text Kyle Swain if you are interested in staying at the AirBnB or for any questions.

Wilderness Event: Joshua Tree
Live the wilderness emergency medicine experience!
As hosted by Dr. Grant Nelson, camp with Desert Regional Medical Center EM residents out in Joshua Tree.
If you would like to attend, please email Dr. Nelson at Grant.Nelson@ruhealth.org
#WildernessEM #Camping #Learning

Landmark Middle School Education
Come volunteer at Landmark Middle School! Teaching kids an elementary medical school curriculum put on as a joint between LLU/RUHS pediatrics and RUHS EM. Contact Dr. Loe for more details.

Healthcare Innovation & Technology Symposium
HITS brings together healthcare professionals, innovators, researchers, and technology leaders to explore new solutions that improve patient care. HITS provides high-quality education to enhance healthcare delivery, helps professionals develop and refine clinical skills, and promotes collaboration to tackle evolving healthcare challenges
Interested speakers/researchers welcome!
Visit the official website here for more details.

In-Service Training Exam
ITE (In-Service Training Examination) is a 2-day examination series (250 total questions) designed to assess emergency medicine residents foundational knowledge base in comparison to their year-matched training levels. This is a 1-day exam, however due to class size, there is an anticipated split among 2 days. Residents, you are excused from all rotation obligations during those effective dates. Timing to return to service will be announced thereafter.
Week 10 - 09/12/25: Academic Quarter 1, Unit — Gastrointestinal II
Week 10 - 09/12/25: Academic Quarter 1, Unit — Gastrointestinal II
Lectures:
(1) POCUS Workshop: Abdominal (7a - 8a) - Dr. Patel
(2) Appendicitis & Diverticulitis (8a - 8:30a) - Dr. Miller
(2.5) Complications of General Surgery Procedures (9:30a - 8a) - Dr. Rai
(3) DEM (9a - 10a)
(4) DEM (10a - 11a)
(5) Asynchronous Learning (11a - 12p)
Corresponding Tintinalli Chapters: 35-49
Corresponding Weekly Science Literature Review Article:
Incidence of intra-abdominal injuries in hemodynamically stable blunt trauma patients with a normal computed tomography scan admitted to the emergency department Zarama V, Torres N, Duque E, et al. BMC Emerg Med. 2024;24(1):103.
Reminders: Lecture attendance is mandatory each week and is only excused by Dr. Minahan directly. Attendance is tracked independent of resident sign-in and is frequently audited. Assigned chapter reading and journal articles are linked on the website formally.

Landmark Middle School Education
Come volunteer at Landmark Middle School! Teaching kids an elementary medical school curriculum put on as a joint between LLU/RUHS pediatrics and RUHS EM. Contact Dr. Loe for more details.

ACEP25 Scientific Assembly
ACEP25 is excited to explore a new city - Salt Lake City, UT. Come and surround yourself with those who know you best, absorb practice-changing education and relentlessly pursue excellence. Residents interested in attending, contact Dr. Minahan.
Week 9 - 09/04/25: Academic Quarter 1, Unit — Gastrointestinal I
Week 9 - 09/04/25: Academic Quarter 1, Unit — Gastrointestinal I
Lectures:
(1) Approach to Abdominal Pain (7a - 8a) - Dr. Loe
(2) Spinal Fractures (8a - 9a) - Dr. Randall
(3) Neonatal Resuscitation (9a - 10a) - Dr. Randall
(4) Upper & Lower GI Bleeding / Esophageal Foreign Bodies (10a - 11a) - Dr. Gau
(5) Asynchronous Learning (11a - 12p)
(6) Remediation ITE (11a - 1p) - Dr. Minahan (ED Trailer)
Corresponding Tintinalli Chapters: 35-49
Corresponding Weekly Science Literature Review Article:
Assessment of prognostic scores for emergency department patients with upper gastrointestinal bleeding Thiebaud P-C, Wassermann E, de Caluwe M, et al. Ann Emerg Med. Published online August 19, 2024. doi:10.1016/j.annemergmed.2024.06.024
Reminders: Lecture attendance is mandatory each week and is only excused by Dr. Minahan directly. Attendance is tracked independent of resident sign-in and is frequently audited. Assigned chapter reading and journal articles are linked on the website formally.

Journal Club
Come for an evening of laughter, food, community, and learning! Our quarterly journal club with Chic Fil-A. RSVP on the slack channel. Med students are always welcome to attend!
Week 8 - 08/21/25: Academic Quarter 1, Unit — Thoracic & Respiratory III
Week 8 - 08/21/25: Academic Quarter 1, Unit — Thoracic & Respiratory III
Lectures:
(1) Aortic Dissection (7a - 7:30a) - Dr. Hu
(1.5) Hypertensive Emergencies (7:30a - 8a) - Dr. Hu
(2) Empyema (8a - 9a) - Dr. Hu
(3) Pleural Effusion (9a - 10a) - Dr. Hu
(4) Lung Infections: Tuberculosis (10a - 10:30a) - Dr. Faridian
(5) Asynchronous Learning & ILP Conference (11a - 12p)
Corresponding Tintinalli Chapters: 29, 30, 31
Corresponding Weekly Science Literature Review Article:
The management of elevated blood pressure in the acute care setting: a scientific statement from the American Heart Association Bress AP, Anderson TS, Flack JM, et al. Hypertension. May 2024. doi: 10.1161/HYP.0000000000000238
Reminders: Lecture attendance is mandatory each week and is only excused by Dr. Minahan directly. Attendance is tracked independent of resident sign-in and is frequently audited. Assigned chapter reading and journal articles are linked on the website formally.
Week 7 - 08/14/25: Academic Quarter 1, Unit — Thoracic & Respiratory II
Week 7 - 08/14/25: Academic Quarter 1, Unit — Thoracic & Respiratory II
Lectures:
(1) Approach to Acute Dyspnea and ARDS (7a - 8a) - Dr. Mackintosh
(2) POCUS Workshop: Respiratory (8a - 9a) - Dr. Gau
(3) DEM (9a - 10a)
(4) DEM (10a - 11a)
(5) Asynchronous Learning & ILP Conference (11a - 12p)
Corresponding Tintinalli Chapters: 23, 33
Corresponding Weekly Science Literature Review Article:
Low tidal volume ventilation for emergency department patients: a systematic review and meta-analysis on practice patterns and clinical impact De Monnin K, Terian E, Yaegar LH, et al. Crit Care Med. Published online February 7, 2022. doi:10.1097/CCM.0000000000005459
Reminders: Lecture attendance is mandatory each week and is only excused by Dr. Minahan directly. Attendance is tracked independent of resident sign and is frequently audited. Assigned chapter reading and journal articles are linked on the website formally.
Week 6 - 08/07/25: Academic Quarter 1, Unit — Thoracic and Respiratory I
Week 5 - 07/31/25: Academic Quarter 1, Unit — Vascular
Lectures:
(1) Valvular Emergencies (7a - 7:30a) - Resident Lecture Series: Dr. Ting
(1.5) Approach to Hemoptysis (7:30a - 8a) - Resident Lecture Series: Dr. Buenaventura
(2) Asthma (8a - 8:30a) - Dr. Chen
(2.5) COPD / Bronchitis (8:30a - 9a) - Dr. Chen
(3) Pneumothorax (9a - 10a) - Dr. Nesper
(4) ACEP Guest Lecturer (10a - 11a) - Dr. Bing Pao
(5) Asynchronous Learning (11a - 12p)
Corresponding Tintinalli Chapters: 29 - 34
Corresponding Weekly science literature review article:
Effect of high-intensity vs low-intensity noninvasive positive pressure ventilation on the need for endotracheal intubation in patients with an acute exacerbation of chronic obstructive pulmonary disease: the HAPPEN randomized clinical trial Luo Z, Li Y, Li W, et al. JAMA. Published online September 16, 2024. doi:10.1001/jama.2024.15815
Week 5 - 07/31/25: Academic Quarter 1, Unit — Vascular
Week 5 - 07/31/25: Academic Quarter 1, Unit — Vascular
Lectures:
(1-2) Simulation Lab: Cardiac Arrest (7a - 9a) - Dr. Loe
(3) Community Acquired PNA (9a - 10a) - Dr. Despujos
(4) Pulmonary Embolism (10a - 10:30a) - Dr. Burt
(4.5) DVT and Venous Disorders (10:30a - 11a) - Dr. Burt
(5) Asynchronous Learning
Corresponding Tintinalli Chapters: 17, 25-27
Corresponding Weekly science literature review article:
Criteria for home treatment of patients with acute pulmonary embolism (the Emergency Advisory and Research international board on Thrombosis and Hemostasis EARTH - rule): an international Delphi consensus study Servent M, Casey SD, Stubblefield WB, et al. J Thromb Haemost. Published online February 9, 2025. doi:10.1016/j.jtha.2025.01.016
Week 4 - 07/24/25: Academic Quarter 1, Unit — Cardiology IV
Week 4 - 07/24/25: Academic Quarter 1, Unit — Cardiology IV
Lectures:
(1) Q1 Check-in/Endocarditis (7a - 8a) - Dr. Labha
(2) Acute Myopericardial Syndrome (8a - 8:30a) - Dr. Labha
(2.5) Cardiomyopathies (8:30a - 9a) - Resident Lecture Series: Dr. Couchois
(3) Pediatric Cardiac Congenital Heart Disease (9a - 10a) - Dr. Randall
(4) Acute Heart Failure (10a - 10:30a) - Resident Lecture Series: Dr. Ondoy
(4.5-5) Procedural Workshop - CVC and Arterial Line (10:30a - 12p) - Dr. Salaiz
Corresponding Tintinalli Chapters: 17-28
Corresponding Weekly science literature review article:
Myocarditis and pericarditis after vaccination for COVID-19 Diaz GA, Parsons GT, Gering SK, et al. JAMA. 2021;326(12):1210-1212.
Week 3 - 07/17/25: Academic Quarter 1, Unit — Cardiology III
Week 3 - 07/17/25: Academic Quarter 1, Unit — Cardiology III
Lectures:
(1) Approach to Syncope (7a - 8a) - Dr. Despujos
(2) Patient Satisfaction (8a - 9a) - Dr. Mesisca
(3) Deep Dive into Atrial Fibrillation (9a - 10a) - Dr. Mackintosh
(4) Cardiac Arrest & Cardiac Assist Devices (10a - 11a) - Dr. Mackintosh
(5) Asynchronous Learning (11a - 12p)
Corresponding Tintinalli Chapters: 17-28
Corresponding Weekly science literature review article:
Extracorporeal cardiopulmonary resuscitation: outcomes improve with center experience Magnet I, Behringer W, Eibensteiner F, et al. Ann Emerg Med. Published online January 17, 2025. doi:10.1016/j.annemergmed.2024.12.004

RUHS Department Beach Day
Come on down to enjoy a fun day in the sun! 🌞 Games, food, camaraderie, laughs, and memories! Open Department wide! Bring activity and beach-wear down to Huntington Beach (Contact Dr. Jackson Lu for exact location and live updates).
Week 2 - 07/10/25: Academic Quarter 1, Unit — Cardiology II
Week 2 - 07/10/25: Academic Quarter 1, Unit — Cardiology II
Lectures:
(1) Approach to Bradydysrhythmias/Tachydysrhythmias (7a - 8a) - Dr. Gau
(2) POCUS Workshop: Cardiac (8a - 9a) - Dr. Gau
(3 - 4) DEM
(5) Asynchronous Learning (11a - 12p)
Corresponding Tintinalli Chapters: 17-28
Corresponding Weekly science literature review article:
Impact of intravenous calcium with diltiazem for atrial fibrillation/flutter in the emergency department Rossi N, Allen B, Hailu K, et al. Am J Emerg Med. 2022;64:57-61.
Week 1 - 07/3/25: Academic Quarter 1, Unit — Cardiology I
Week 1 - 07/3/25: Academic Quarter 1, Unit — Cardiology I
Lectures:
(1) Approach to Chest Pain (7a - 8a) - Resident Lecture Series - Dr. Chai
(2) Low Risk Chest Pain (8a - 8:30a) - Resident Lecture Series - Dr. Chai
(2.5) Acute Coronary Syndrome: STEMI and NSTEMI (8:30a - 10a) - Dr. Despujos
(4) POCUS Basics (10a - 11a) - Dr. Patel
(5) Asynchronous Learning (11a - 12p)
Corresponding Tintinalli Chapters: 17-28
Corresponding Weekly science literature review article:
Rapid acute coronary syndrome evaluation over one hour with high-sensitivity cardiac troponin I: a United States-based stepped-wedge, randomized trial Miller J, Cook B, Gandolfo C, et al. Ann Emerg Med. Published online June 15, 2024. doi:10.1016/j.annemergmed.2024.04.024

Week 42 - 06/19/25: Academic Quarter 4, Unit — Hematology and Oncology III
Week 42 - 06/19/25: Academic Quarter 4, Unit — Hematology and Oncology III
- Residency Information and Updates
- Transfer Calls, RIC
- ED Nursing Education
- Expectations
- Scheduling
- Misc.
Corresponding Tintinalli Chapters: 135, 138
Corresponding Weekly science literature review article:
Bitonti MT, Rumbarger RL, Absher RK, Curran LM. Prospective Evaluation of a Fixed-Dose 4-Factor Prothrombin Complex Concentrate Protocol for Urgent Vitamin K Antagonist Reversal. J Emerg Med. 2020;58(2):324-329. doi:10.1016/j.jemermed.2019.10.013

GME Orientation for Interns
Orientation week for the new intern class! This will be a 2 week session, with the first week following GME’s appointed orientation schedule; then, followed by the Emergency Department dedicated orientation.
More details to come.

American White Water Expeditions Residency Retreat
Annual EM River Rafting Retreat is family time! Incoming interns and PGY1-2s are invited for a weekend to play while the PGY3s cover the department. Airfare, lodging, and food covered! Come enjoy the frigid American River! See your emails for updates. 🥶💧🛶
EM Resident Graduation
Time to celebrate the end of a chapter and beginning of another! Come celebrate our graduating PGY-3’s

Week 40 - 06/05/25: Academic Quarter 4, Unit — Hematology and Oncology I
Week 40 - 06/05/25: Academic Quarter 4, Unit — Hematology and Oncology I
Lectures:
(1-4) Great Case Day (7a - 12p) - Dr. Minahan and Residents
Corresponding Tintinalli Chapters: 6
Corresponding Weekly science literature review article:
Henry Li H, Riedl M, Kashkin J. Update on the Use of C1-Esterase Inhibitor Replacement Therapy in the Acute and Prophylactic Treatment of Hereditary Angioedema. Clin Rev Allergy Immunol. 2019;56(2):207-218. doi:10.1007/s12016-018-8684-1

Week 39 - 05/29/25: Academic Quarter 4, Unit — Endocrine and Metabolic Disorders III
Week 39 - 05/29/25: Academic Quarter 4, Unit — Endocrine and Metabolic Disorders III
Lectures:
(1) Combined Trauma Conference: NAT (7a - 8a) - Drs. Randall and Yala
(2) Thyroid Emergencies and Hyperthyroidism (8a - 9a) - Dr. Salaiz
(3) Procedure Workshop (9a - 10a) - Dr. Salaiz
(4) Procedure Workshop (10a - 11a) - Dr. Salaiz
Corresponding Tintinalli Chapters: 131, 132
Corresponding Weekly science literature review article:
Donegan D. Opioid induced adrenal insufficiency: what is new?. Curr Opin Endocrinol Diabetes Obes. 2019;26(3):133-138. doi:10.1097/MED.0000000000000474

Journal Club
Come join us for journal club! This will be in conjunction with DRMC.
Articles:
- CT Scans and Cancer Risks: A Systematic Review and Dose-response Meta-analysis
- Risk of hematological malignancies from CT radiation exposure in children, adolescents and young adults
- Projected Lifetime Cancer Risks From Current Computed Tomography Imaging

Week 38 - 05/15/25: Academic Quarter 4, Unit — Endocrine and Metabolic Disorder II
Week 38 - 05/15/25: Academic Quarter 4, Unit — Endocrine and Metabolic Disorder II
Lectures:
(1) Disorders of Calcium, Magnesium, Phosphorous (7a - 7:30a) - Dr. Lee
(1.5) Acid Base Disorders (7:30a - 8a) - Dr. Blackley
(2.1) Carotid Doppler (8a - 9a) - Dr. Haycock
(2) Anticholinergic / Sympathomimetic Toxicity & Poisoning (9a - 10a) - Dr. Salaiz
(3) Simulation Lab (9a - 10a) - Adrenal Emergency - Dr. Burt
(4) Simulation Lab (10a - 11a) - Adrenal Emergency - Dr. Burt
** For access to Full Code Medical Simulator after today’s simulation, contact Dr. Burt
Corresponding Tintinalli Chapters: 4
Corresponding Weekly science literature review article:
Adrenal Crisis - Workshop Article
https://pubmed.ncbi.nlm.nih.gov/25600196/

Suture & POCUS Workshop
Attention Medical and PA Students!!!
Master advanced suturing and wound care techniques while expanding your skills with a variety of POCUS applications.
Meet the RUHS Residents and Fellows
FREE FOOD!!!

Week 37 - 05/08/25: Academic Quarter 4, Unit — Endocrine and Metabolic Disorder I
Week 37 - 05/08/25: Academic Quarter 4, Unit — Endocrine and Metabolic Disorder I
Lectures:
(1) POCUS Workshop - Echo (7a - 8a) - US Fellows
(2) Hypo/Hyperkalemia (8a - 9a) - Dr. Loe
(3) Blast Cell Crisis and Tumor Lysis Syndrome (9a - 10a) - Dr. Chen
(4) Cardiac Assist Devices (10a - 11a) - Dr. Chen
Corresponding Tintinalli Chapters: 129, 130
Corresponding Weekly science literature review article:
https://pubmed.ncbi.nlm.nih.gov/29157798/

Vituity’s Annual Conference - CME Spring Symposium
The Division Leadership Meeting is an integrated meeting for all practice line Medical Directors and invited site management team members to focus on Partnership-level strategy and initiatives, performance, quality, and leadership development within the division.
The Resident Session is an opportunity to gain valuable insights on resident-focused business of medicine education.
The CME Spring Symposium is a great opportunity to connect and network with colleagues across the Partnership and is designed to provide Continuing Medical Education (CME). Join us in person for the full experience. The General sessions will be available virtually as well.
For those interested in more clinical education, there will be CME skills workshops on Thursday, May 8. These one-day in-person workshops are available to anyone, whether or not you attend the Division Leadership Meeting or Spring Symposium.
Coordinated meals are included with registration.

Week 36 - 05/01/25: Academic Quarter 4, Unit — Psychiatry
Week 36 - 05/01/25: Academic Quarter 4, Unit — Psychiatry
Lectures:
(1) DKA and HHS (7a - 8a) - Dr. Gau
(2) Approach to the Violent Patient (8a - 9a) - Dr. Gau
(3) Acute Psychosis (9a - 10a) - Dr. Hu
(4) The Suicidal Patient (10a - 11a) - Dr. Hu
Corresponding Tintinalli Chapters: 184, 185, 186
Corresponding Weekly science literature review article:
Ghanbarizadeh SR, Dinpanah H, Ghasemi R, et al. Quetiapine versus Haloperidol in Controlling Conversion Disorder Symptoms; a Randomized Clinical Trial. Emerg (Tehran). 2018;6(1):e47.

Week 35 - 04/24/25: Academic Quarter 4, Unit — Gynecology
Week 35 - 04/24/25: Academic Quarter 4, Unit — Gynecology
Lectures:
(1) Approach to Pelvic Pain (7a - 730a) - Dr. Sarantopoulos
(1.5) Non-Pregnant Vaginal Bleeding (730a - 8a) - Dr. Pann
(2) Gynecologic Infections (8a - 9a) - Dr. Loe
(3) Pediatric MIS-C and Kawasaki Disease (9a - 10a) - Dr. Randall
(4) Sexual Assault Evaluation (10a - 11a) - Dr. Russell
Corresponding Tintinalli Chapters: 58, 63-65, 188
Corresponding Weekly science literature review article:
Hilbert SM, Reno HEL. Management of Patients with Sexually Transmitted Infections in the Emergency Department. Emerg Med Clin North Am. 2018;36(4):767-776. doi:10.1016/j.emc.2018.06.007

SonoWAR
Join us at Joshua Tree National Park for SonoWAR, a unique event merging ultrasound and wilderness medicine. This half-day relay race provides a hands-on learning experience for emergency medicine residents, bringing together practical skills and a spirit of competition.

Week 33 - 04/10/25: Academic Quarter 3, Unit — Renal and Genitourinary II
Week 33 - 04/10/25: Academic Quarter 3, Unit — Renal and Genitourinary II
Lectures:
(1) POCUS Workshop (7a - 8a) - Dr. Patel
(2) Physiologic Changes in Pregnancy (8a - 9a) - Dr. Hu
(3) DEM (9a - 10a)
(4) DEM (10a - 11a)
Corresponding Tintinalli Chapters: 50, 52
Corresponding Weekly science literature review article:
Davenport MS, Perazella MA, Yee J, et al. Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation. Radiology. 2020;294(3):660-668. doi:10.1148/radiol.2019192094

AAEM25 31st Annual Scientific Assembly
The 31st Annual Scientific Assembly (AAEM25) will take place on April 6-10, 2025 at the Intercontinental Miami. Add-on courses begin Sunday, April 6 and the morning of Monday, April 7. The conference begins with Opening Remarks on Monday, April 7 at noon and concludes on Thursday, April 10 at noon.