NGHS Continuing Medical Education

NGHS Continuing Medical Education We are committed to providing quality medical education to physicians.

12/15/2025

Since 2019, cases of chlamydia, gonorrhea, and syphilis have all increased — with syphilis rates doubling in our region. District 2 health departments are stepping up with expanded access and community outreach.

🔍 What’s Available:
✅ Express STI services for faster testing
✅ Partner services to notify and treat exposed partners
✅ Affordable care using a sliding-scale model
✅ Community education & outreach to increase prevention and awareness

Early testing and treatment protect individuals and the community. Watch the full presentation: https://youtu.be/t5dsQVB1k1E

12/12/2025

In IM Grand Rounds, we broke down two very different strategies for managing ARDS: the long-established ARDSnet approach and the emerging APRV–TCAV method. 

🔍 Key Differences:
ARDSnet
• Uses low tidal volume ventilation
• Lets the “baby lung” rest and do the work
• Accepts atelectasis while avoiding overdistension

APRV–TCAV
• Focuses on opening the lung, not resting it
• Uses time-controlled PEEP to keep alveoli open
• Allows a brief release phase (≈0.3 sec) to clear CO₂
• Prevents collapse using a “ratchet” effect

Two different philosophies—one protects by resting, the other protects by recruiting. Watch the full presentation: https://youtu.be/noYq09AAdsg

12/09/2025

In ID Grand Rounds, we explored how many women—both cisgender and transgender—struggle to understand where their HIV risk truly lies. Educating providers is key to changing that. 

🔍 What effective prevention looks like:
✅ Honest conversations in primary care and public health settings
✅ Regular testing & condom use
✅ PrEP, a safe and effective medication that prevents HIV
✅ Empowering providers → empowers patients

When providers initiate the conversation, women can make informed, healthy decisions about their care. Watch the full presentation: https://youtu.be/t5dsQVB1k1E

12/04/2025

Geriatric trauma patients come with unique challenges, from multiple comorbidities to altered vital signs caused by their medications. These factors can make recognizing injuries far more difficult and require the entire hospital to stay aligned and coordinated. 

🏥 The good news?
CMS and the American College of Surgeons are now partnering on aligned age-friendly outcome measures, helping hospitals implement best practices more efficiently and consistently.

Better alignment = better trauma care for our aging population. Watch the full presentation: https://youtu.be/HxO9Qpt4txY

12/01/2025

Healthy alveoli barely change between breaths—only about 5% expansion. But in ARDS, using pressure to repeatedly open and close collapsed lung units can cause over-expansion, strain, and worsening injury.

🔍 Key insight from IM Grand Rounds:
Repeated alveolar collapse + reopening = Ventilator-Induced Lung Injury (VILI)—a cycle that can push patients from mild to severe ARDS.

Recognizing this vortex is the first step toward gentler, lung-protective ventilation strategies. Watch the full presentation: https://youtu.be/noYq09AAdsg

11/20/2025

🚨 Gunshot wounds aren't just about entry and exit points. Surgeons now rely less on assumptions and more on real-time patient response. Ballistics help guide—but the body tells the full story. 🧠💥

🎯 From necrosed skin to bullet trajectories, surgical decisions are evolving. It's not just the caliber—it’s the complexity. Watch the full presentation here 👉 https://youtu.be/E9s25FK7j74

11/17/2025

✨ Did you know? Even if you have a severe egg allergy, you can still safely get ANY flu vaccine! Vaccines like Flublok were developed as egg-free options, but today the data shows all flu shots are safe for people with egg allergies. 🙌

If someone feels anxious, recombinant vaccines are available—but the bottom line is flu protection is for everyone, everywhere. 🌍

Watch the full podcast here 👉 https://youtu.be/-JX2lpdvPfI

11/14/2025

Multidisciplinary teamwork saves lives! Metabolic syndrome is more than one condition—it’s a cluster of risks that can lead to serious complications like chronic kidney disease.

✨ Primary care doctors spot the signs early.
🥗 Dietitians guide lifestyle & nutrition.
🏃‍♂️ Physical therapists support safe exercise.
🩺 Nephrologists manage kidney health.

Together, these experts prevent progression and improve outcomes! Watch the full presentation here 👉 https://youtu.be/8Gm-uli2ATE

11/11/2025

🎗️ Peritoneal metastases affect up to 60,000 people annually in the U.S.—many don’t get the care they deserve. These patients need a full team: doctors, nurses, nutritionists, physical therapists, and more.

Together, we can spotlight expert care and bring hope to those facing stage IV cancer 💪🩺. Watch the full presentation here 👉 https://youtu.be/YvUjD_inxPY

11/06/2025

👁️‍🗨️ Eye trauma can be deceiving — don’t let dramatic injuries distract you from the full picture!

A step-by-step, consistent evaluation is key:
✅ Vision
✅ Pupils
✅ IOP
✅ Motility
✅ Visual fields

Stay sharp. Stay thorough. Watch the full presentation here 👉 https://youtu.be/qTpdP-82u88

11/03/2025

🚨 Colorectal cancer screening rates are stuck at ~60%—far from the 80% goal.

Why? Ethnicity, insurance, language, and access all play a role. We need culturally aware education, affordable options, and equity in care. Let’s close the gap and save lives. 💪🏽🩺

Watch the full presentation here 👉 https://youtu.be/OYTnFqskosE

10/31/2025

🚨 What really counts as an allergic reaction? Let’s talk about the most common type: IgE-mediated allergies 🧬

From itchy hives, to lip swelling, wheezing, to GI symptoms —these reactions are no joke. Know the signs.

Stay safe and watch the full podcast here 👉 https://youtu.be/NQ_w4GC2niw

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