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 Devices , Critical Care , Cardiology

Critical Care Device Series: Transvenous Pacemaker

7/24/2023 Alexandra Hallagan, MD , Christian Kasianko, MD , Amrita Vempati, MD
Temporary transvenous pacing (TTVP) utilizes central venous access to pass an electrode into the right ventricle. TTVPs are one of the most infrequently performed procedures by emergency physicians;
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Critical Care Alert , Critical Care , Infectious Disease , Pulmonary

Critical Care Alert: CAPE-COD Trial

3/29/2023 Christian Kasianko, MD , Evan McMurray, MD
The CAPE-COD Trial indicates it might be worth your time to consider hydrocortisone in managing community-acquired pneumonia in admitted patients boarding in the emergency department.
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Medico Legal , Patient Interactions

What Does It Mean for My Patient to Have Decision-Making Capacity?

2/10/2023 Blythe Fiscella, MD , Jeremy Berberian, MD
Our responsibility to attempt therapeutic relationships and try to understand where our patients are coming from is not “window dressing.” Capacity assessments often, but not always, appear at moments
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Critical Care Ultrasound , Ultrasound , Critical Care , Cardiology

Advanced Critical Care Ultrasound: The 60/60 Sign, Let's Be Specific

10/24/2022 Dustin Slagle, MD , Parth S. Gandhi, DO , Ashley Panicker, MD, FACEP
The 60/60 sign is an ultrasound finding that can help increase specificity in diagnosing right ventricular dysfunction in the setting of an acute pulmonary embolism.
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ECG Challenge , Cardiology

ECG Challenge: October-November 2022

10/10/2022 Mary Voelker, DO , Jeremy Berberian, MD
A 68-year-old female with a past medical history of hypertension presents to the emergency department via private vehicle for recurrent intermittent episodes of unresponsiveness that started just prio
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ECG Challenge , Cardiology

ECG Challenge: August-September 2022

8/10/2022 Masood R. Mohammed, DO, MS , Jeremy Berberian, MD
A 27-year-old male with a PMH of seizure disorder and developmental delay presents via EMS after a witnessed seizure. The patient was able to intermittently go into sinus rhythm with vagal maneuvers.
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ECG Challenge , Cardiology

ECG Challenge: June-July 2022

6/10/2022 Eric Lieu, MD , Jeremy Berberian, MD
A 36-year-old female with a PMH of alcohol use disorder and type 1 DM presents with substernal chest tightness, nausea, vomiting, and diaphoresis. What is your interpretation of her ECG?
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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