Diagnostics: The HINTS Exam

Diagnostics: The HINTS Exam

Dizziness is common and is commonly a frustrating diagnostic dilemma in the ED. As patient’s stories vary between providers, it would be nice if we had a tool that was objective, reproducible and definitive. Enter - the HINTS exam. Join Dr. Ijaz as he discusses this nuanced exam that can change dizziness into a definitive diagnosis.

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Grand Rounds Recap 8.28.19

Grand Rounds Recap 8.28.19

This week started with a great Morbidity and Mortality Conference with Dr. Ham. Drs. Li, Makinen, Mand, and Skrobut then led small group workshops on HEENT emergencies. Following this, Dr. Harty led a fascinating discussion about a patient with Carotid Blowout Syndrome and Dr. Lagasse presented some of her work on trauma care and prevention from a Global Health perspective. The week wrapped up with Dr. LaFollette discussing arthrocentesis and joint loading in the emergency department.

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Grand Rounds Recap 8.21.19

Grand Rounds Recap 8.21.19

This week in grand rounds we started off reviewing the importance of matching the minute ventilation post intubation with airway master Dr. Carleton. We also reviewed salicylate overdose treatment with Dr. Owens as well as common and life threatening SCUBA emergencies with Dr. Comiskey. Finally, we finished the week off with a severe calcium channel blocker overdose and reviewed the treatment strategies to combat this extremely deadly overdose.

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Air Care Series: Ideal Resuscitation Pressure in Polytrauma with TBI

Air Care Series: Ideal Resuscitation Pressure in Polytrauma with TBI

Damage Control Resuscitation, Permissive Hypotension, Fluid Restrictive Resuscitation… Regardless of name, with all the enthusiasm surrounding permissive hypotension in the actively bleeding trauma patient, what do we do when they have a TBI? Take a dive into the literature surrounding ideal perfusion pressures of patients suffering from TBIs and traumatic injury to find out if we know what pressure is really the best.

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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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Antibiotic Review: Sexually Transmitted Infections

Antibiotic Review: Sexually Transmitted Infections

Sexually Transmitted Illness and related complaints are seen frequently in the emergency department. Does every dysuria, discharge and exposure need treatment for STIs? Do they all need evaluation? Dr. Pulvino looks at the CDC recommendations for commonly seen STI’s and discusses common treatments and the importance of a strong history and physical.

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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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Air Care Series: Long QT Syndrome

Air Care Series: Long QT Syndrome

Not every bradycardic patient is the same, however sometimes their past history gives away their pathology and you need to manage a complex disease in the ED or in transit to the ICU. Remind yourself of the details of the cardiac action potential as Dr. Roblee walks us through a unique case of Long QT Syndrome.

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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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