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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Grand Rounds Recap 3.6.19

Grand Rounds Recap 3.6.19

From surgical airways to the undifferentiated shock patient, this week’s Grand Rounds was packed full of clinical pearls. Dr. Carleton started with a discussion of a tachycardia-inducing failed airway requiring cricothyrotomy. Drs. Jensen and Makinen presented a very detailed review of the literature and their proposed algorithm on infective endocarditis. Dr. Harty reviews a fascinating case of cecal volvulus that was identified early with the aid of a RUSH exam, while Dr. Liebman walked us through an approach to the patient with inhalation injuries. Finally, Dr. Roblee led an excellent review of SBP. The discussion was full of information you might use on your next shift!

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Grand Rounds Recap 1.2.19

Grand Rounds Recap 1.2.19

We had an excellent series of lectures this week at our Grand Rounds to welcome in the New Year! The esteemed Drs. Calhoun and Stettler started us off with our Great Debate series pitting Ketofol against Ketamine or Propofol alone for procedural sedation. The winner of this debate? Definitely the audience who got to soak up the expertise from these clinical giants. Next up was Dr. Leenellett who guided us through some community ED cases of early pregnancy vaginal bleeding in our Discharge, Transfer, or Treat lecture series. Dr. Laurence then led us through a small group case based discussion on the indications for massive transfusions in trauma. Then a hush fell over the crowd as Dr. Iparraguierre laid down the CPC gauntlet with a presentation of Myasthenia Gravis for Dr. LaFollete who masterfully identified the Ice Pack Test as the diagnostic test of choice! Next up was Dr. Colmer who gave some tips for the management of severe alcohol withdrawal with his case follow-up lecture. There was no knocking this knowledge train off the tracks as Dr. Urbanowicz led us through a harrowing discussion on Weapons of Mass Destruction. To round out the day Drs. Klaszky, Gauger, and Murphy Crews led us through some small group exercises on the NIH stroke scale, CT angiography of the head and neck interpretation, neurological emergencies jeopardy, and indications for performing a burr hole with some hands on practice (simulation of course!).

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Grand Rounds Recap 11.14.18

Grand Rounds Recap 11.14.18

We had a great Grand Rounds line-up this week - Dr. Whitford started us off with a challenging case of altered mental status that took a variety of twists and turns highlighting the need for reassessment flexibility in your differential diagnosis in the critically ill patient. Next up was Dr. Koehler and Dr. Betz who led us through a case of septic arthritis which presented atypically as altered mental status. Dr. Edmunds then provided us with emergency presentations of pediatric vomiting. Lastly, we closed the day with Dr. Roblee’s excellent case-based discussion on the evaluation and management of hypertension in pregnancy.

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Grand Rounds Summary 10.10.18

Grand Rounds Summary 10.10.18

From epi drips to peds fracture tips, it was an eventful Grand Rounds. We began with a debate on the utility and method of epinephrine during cardiac arrest. Dr. Murphy then discussed hemodialysis access complications followed by Dr. Palmer’s operations update. Dr. Shah led a discussion on the recognition and management of pediatric fractures. We concluded by covering a variety of other pediatric topics during the R3 small group session. Take a look!

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Grand Rounds Recap 9.19.18

Grand Rounds Recap 9.19.18

This weeks grand rounds started off with our combined Emergency Medicine and Neurology conference where Dr. Walsh provided us a summary of the current evidence surrounding ICH expansion and reversal of Warfarin and DOACs. This was followed by Dr. Summers who provided suggestions on how we can be more efficient providers in the ED. Dr. Irankunda then presented on the often missed diagnosis of abdominal compartment syndrome. Next up was Dr. Lang who summarized the current evidence for the various available modalities commonly used in treating back pain. Dr. Golden then finished the day with a couple of cases highlighting the challenges in managing the critically ill patient who presents with penetrating neck injuries.

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Grand Rounds Recap 9.12.18

Grand Rounds Recap 9.12.18

This week of grand rounds began with an evidence based algorithm for COPD management in the ED with Drs. Lane and Hall. Dr. Faryar then led us through a discussion on various common hand injuries. Dr. Fermann guided us through the management of a feared patient presentation: patients with atrial fibrillation and heart failure. The day continued with Dr. Banning’s Taming the SRU lecture about a case she had of a seizing pregnant patient. Dr. Frederick then gave us an overview of toxic alcohols. The day ended with a pediatric trauma simulation and several pediatric oral boards cases.

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Grand Rounds Recap 9.5.18

Grand Rounds Recap 9.5.18

This weeks grand rounds started off with a discussion on the utility of the bougie in airway management by Dr. Carleton. This was followed by Dr. Kiser and Dr. Gensic who led us through a case-based discussion on complex laceration repairs encountered in the community ED setting. Dr. Neth then presented the evidence behind the use of epinephrine and mechanical CPR in out of hospital cardiac arrest. Next up was Dr. Soria who presented a case of Wernicke’s Encephalopathy with some learning pearls about this often under-diagnosed condition. Dr. Goel then masterfully answered the CPC challenge placed by Dr. Li to diagnose a rare case of ocular syphilis. Dr. Berger then finished the day with an overview of necrotizing fasciitis and the LRINEC score.

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Grand Rounds Recap 6.20.18

Grand Rounds Recap 6.20.18

This academic year’s penultimate Grand Rounds started with Guest Faculty Lecturer Dr. Richard Levitan lecturing on airway tips, tricks, and trouble shooting. Drs. Harrison, Sabedra, and Summers then led small group sessions focused on unique applications of ultrasound. Dr. Hughes discussed TB management in the ED and Dr. Thompson closed out Grand Rounds with pearls on patient management.

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Grand Rounds Recap 5.24.2017

Grand Rounds Recap 5.24.2017

Grand Rounds kicked off this week with Dr. Axelson's final M&M of the year where we learned about hypertensive emergencies, 2nd & 3rd trimester vaginal bleeding, the care of the sick asthmatic, which bronchiolitics can go home and how exactly to treat the many forms of UTIs. Drs. Kircher and Murphy-Crews continued the learning with a case follow-up about intubating patients with airway stents and pediatric head injury, respectively. Our joint EM-Peds lecture rounded out the day with visual diagnoses in peds. 

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Grand Rounds Recap 9/14

Grand Rounds Recap 9/14

This week we had a special visit from Dr. Darren Braude from the University of New Mexico Department of Emergency Medicine to speak on special topics in airway management. He introduced us to the idea of Rapid Sequence Airway (RSA) and other novel thoughts on extraglottic devices.  We then had a chance to dive in to our regularly scheduled program with topics ranging from tuberculosis to ED operations to complex febrile seizure.  Enjoy!

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Grand Rounds Recap 8/31

Grand Rounds Recap 8/31

Burns, bubbling airways and bradycardic arrests: all part of this week's grand rounds that brought plenty of knowledge our way. This week we heard from Dr. Dale, burn surgeon, about the latest in burn management. Dr. Carleton ran through some of his hardest airway cases for an infallable mental model of intubation. Our R3s gave a practical session on transvenous pacer placement and Dr Kircher gave us his clinical soapbox of pneumonia management.

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"Protect Me" - Flights Case 4

"Protect Me" - Flights Case 4

Welcome to the Fourth Case in our Air Care and Mobile Care Flight Orientation Curriculum for 2016! 

It is a beautiful sunny Memorial Day and you arrive early for your C-pod shift, energized by the knowledge that you will be getting out early with time to enjoy the day. Your patients are an enjoyable mix of pathology and acuity and everyone is quite polite and gracious. The tones drop just before it is time to hand over the radio to the dedicated flight doc and you can’t but marvel at your good fortune. You grab the blood and head up to the helipad for your flight...

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