Grand Rounds Recap 8.14.19

Grand Rounds Recap 8.14.19

This week we had a great mix of lectures on both pediatric and adult topics. Topics covered included pediatric ear, nose, and throat emergencies with Dr. Smith, pediatric GI bleeding with Dr. Bensman, anticholinergic poisoning and treatment of the critically ill seizing patient with Dr. Gleimer, a fascinating case of disseminated gonnorhea during of CPC with Drs. Berger and Baez, how to interpret volatile acid testing including the osmolar gap, and finally a great summary on the current standard of the diagnosis of subarachnoid hemorrhage with Dr. Murphy Crews.

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Diagnostics: Toxic Alcohols

Diagnostics: Toxic Alcohols

Anion Gap in you obtunded ingestion patient? Weekend gone dry and friends digging through the back of the cabinet? Join Dr. Kimmel as she discusses the diagnostics and therapeutics in toxic alcohol injections and when in doubt, bookmark this for a quick review of their toxicities and metabolites.

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Grand Rounds Recap 8.7.19

Grand Rounds Recap 8.7.19

This week started with some nutritional tips (and treats that cannot be shared on the recap) of how to get through a shift (and life) eating quality over quantity. This was followed by lecture of the best cases of the year by Dr. Benoit, contracts and bedside teaching small groups and Sports Medicine guru Dr. Betz took us through Hand cases in our community series discharge, transfer or admit.

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Controversies in Kidney Stones

Controversies in Kidney Stones

Flank pain and pain due to ureterolithiasis are common ED presentations. There exist, however, a number of controversies when you dive into the literature addressing the diagnosis and treatment of nephrology/ureterolithiasis. Is IV lidocaine effective at treating pain in these patients? Is there a way to avoid CT scans? What about tamsulosin? Is it only good for big stones/small stones? Is there a benefit at all. For our most recent Journal Club, we tackled several of these controversies. Take a listen to the podcast below or over on iTunes.

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Grand Rounds Recap 7.31.19

Grand Rounds Recap 7.31.19

This week Dr. Kathryn Banning led us in our first Morbidity and Mortality conference of the year. Dr. Banning led us through robust discussion about concurrent pathology presentations, biases and more. Air Care Grand Rounds followed, in which we reviewed aircraft operations and logistics with the Air Care team and went through a simulation case that highlighted the importance of stress inoculation.

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Grand Rounds Recap 7.24.19

Grand Rounds Recap 7.24.19

Grand Rounds this week started with our Leadership Curriculum, focusing on both positive and negative attitudes of leaders. Next, Dr. Hughes gave her Taming the SRU follow up lecture on debriefing and fat embolism syndrome followed by Dr. Spigner’s R4 Case Follow Up Lecture on streptoococcal toxic shock syndrome. The week wrapped up with simulation and oral boards practice covering acute right heart failure and anterior uveitis.

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Grand Rounds Recap 7.10.19

Grand Rounds Recap 7.10.19

We had a great week in Grand Rounds. The first lecture included a debate about the use of rocuronium or succinylcholine in paralysis for intubation by Drs. Lang and Plash. Drs. Ryan and Moellman led a thrilling discussion through some of their most interesting and thought provoking cases of their careers. Pharmacists Nicole Harger and Paige Gaber then discussed updates in pharmacy, specifically the use of droperidol and anticoagulation reversal in the emergency department. We learned about cognitive biases and clinical decision making from Dr. Hill. The day wrapped up with Dr. Knight showcasing the NIH stroke scale with Dr. Foreman.

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The Thinker

The Thinker

The reality of the Emergency Department is that not everybody is sick, but every patient could be sick. The task of finding the sick patients among the non-sick is far more challenging than it may appear and the diagnostic process is far more fraught with potential sources of error than one would like.

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Grand Rounds Recap 7.3.19

Grand Rounds Recap 7.3.19

Welcome to the new Academic Year! We started the year off with Dr. Pancioli giving us some context of how EM got to where it is and where it is going. Dr Palmer then inspired us to consider our role in the teamwork that is patient care. Dr McDonough then led us in an exercise of delivering bad news to patients, and some of the nuance that is dealing with breadth of reactions to it.

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Is the Cath Lab the Place to be after V fib VTac Cardiac Arrest?

Is the Cath Lab the Place to be after V fib VTac Cardiac Arrest?

Ventricular dysrhythmias are commonly caused by coronary ischemia which is most frequently caused by acute coronary artery occlusions in the setting of coronary artery disease. It would seem somewhat logical that patients who suffer a V fib or V Tach cardiac arrest would benefit from a trip to the cardiac catheterization lab to identify and treat these possible acute coronary artery occlusions. Patient’s with EKGs showing ST-elevations following ROSC already go to the Cath lab. Since the EKG is not terrifically sensitive for MI, should V fib V Tach cardiac arrest patients without ST-elevations make a trip to the Cath lab? In this breakdown of our most recent journal club we look at several papers covering this topic. In the podcast below we also talk with Justin Benoit, MD the site PI for the ongoing ACCESS trial which is also looking into this question.

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Grand Rounds Recap 6.26.19

Grand Rounds Recap 6.26.19

This week was the last grand rounds of the academic year. We started off with the monthly Morbidity and Mortality conference led by Dr. Colmer. This was followed up by a CPC on Infectious Mononucleosis from Dr. Jensen and Dr. Stolz. Dr. Urbanowicz then discussed if there is a use of platelet function studies in the Emergency Department. The day ended with Dr. Murphy-Crews describing a fascinating case of severe hypothermia and outlining the interventions available to us in the ED for these patients. See you next week!

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Grand Rounds Recap 6.19.19

Grand Rounds Recap 6.19.19

This week we had our annual Disaster Day. We started with the legendary Dr. Otten giving us a rundown on disaster preparation and planning. Dr. Calhoun then led us through our disaster activation protocols at UCMC. We then used these principles in a complex mass casualty even simulation. The day ended with an analysis of how these protocols worked in real life during the Fifth Third Shooting.

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Grand Rounds Recap 6.12.2019

Grand Rounds Recap 6.12.2019

This week we had a wide array of topics covered in Grand Rounds. Dr. Continenza started our morning off discussing coping strategies for difficult pediatric patient encounters. Next, Dr. Gauger took us through the toxicology and treatment of calcium channel blocker overdose. Dr. Bernardoni had a fantastic capstone combing a number of high yield visual diagnosis. Lastly, Dr. Wilen took us through a pediatric simulation of undifferentiated pediatric jaundice. Enjoy!

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Grand Rounds Recap 6.05.19

Grand Rounds Recap 6.05.19

We hope you enjoy this week’s Grand Rounds Recap from 6.05.2019. We started the day with a talk on how to master the extraglottic device during Airway Grand Rounds with Dr. Carleton. Next, Dr. Liebman talked about error reduction in Airway Management with the use of checklists. Dr. Shaw then presented a fascinating case of Guillain-Barre Syndrome. Dr. Walsh shared some pearls as to how to utilize the Sgarbossa Criteria. Lastly, we were honored to have Dr. Dunlop talk to us about trauma in the developing world during Global Health Grand Rounds.

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