Guthrie Robert Packer Hospital Emergency Medicine Residency Program

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Sayre, PA
Guthrie Robert Packer Hospital Emergency Medicine Residency Program

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Find us on VSLO as "Robert Packer Hospital"

11/02/2026

Welcome to another Gel and Tell post!!

What are we seeing?
➡️ Nippling: the optic disc is elevated and bulges forward into the back of the globe. That “nipple” sign is a classic sonographic clue for papilledema.
➡️ Increased optic nerve sheath diameter (ONSD): an ONSD above ~5 mm in adults is concerning for elevated intracranial pressure
When these are put together...you’ve got a fast, non-invasive, bedside tool that can raise concern for elevated ICP before the patient ever leaves the room for imaging!
At RPH EM Residency, this is the kind of learning that happens every single day. As residents get hands-on ultrasound training from day one: dedicated ultrasound rotations with a dedicated ultrasound instructor (!), regular QA sessions, and faculty who love teaching at the bedside. You won’t just learn to scan. You’ll learn to make real-time decisions that change patient care. 💪

10/31/2026

Happy Halloween from our little critters 🫶🏻🐾

10/30/2026

We love enjoying what we have left of nice weather especially with how beautiful the leaves are this time of year!!

10/20/2026

Would it even be fall in the north east if we didn’t post our obligatory apple picking post????

10/19/2026

Welcome to another Gel and Tell!! Where our residents who are on their Ultrasound elective share their interesting finds!

A patient with a history of MI and coronary stent placement presented to the ED with two days of shortness of breath. During bedside cardiac POCUS to assess LV function and cardiac wall motion, we identified significant left ventricular wall motion abnormalities, including markedly reduced septal motion, findings concerning for LAD territory ischemia.

Comparison with a prior echocardiogram revealed a dramatic interval decline in LV function, raising concern for a new cardiac event.

Clinical pearl: Bedside cardiac ultrasound can provide critical, real time insight into cardiac function and help identify concerning changes that warrant urgent further evaluation, particularly in patients with significant coronary artery disease.

10/07/2026

Just some of the many reasons we love training at Guthrie♥️

09/28/2026

Working on some procedural skills this week at didactics! Nerve blocks with ultrasound director, Dr. Jian!

our SASI directors Beth and Christine do the most for our education, making sure we get to work with real tissue and cadavers throughout the year♥️

09/24/2026

Congratulations to Dr. Tinna for matching into Pain Medicine fellowship! Dartmouth is lucky to have you!

09/23/2026

Matching scrubs, matching energy, surviving late shifts together ✨♥️

09/21/2026

Let’s give a warm welcome to Patrick!

Hometown: Ridgefield, CT
Medical School: LECOM Elmira
What I like to do in my freetime/hobbies: Hockey, Climbing, watching F1, spending time with my GF and cats
What I am looking forward to most in residency: learning all the skills and procedures that EM has to master and discovering more about our area with my fellow interns

Address

One Guthrie Square
Sayre, PA
18840

Telephone

+15708875253

Website

https://guthrie.org/healthcare-professionals/residency-programs/emergency-medicine-residency

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