Grand Rounds Recap 11.28.18

Grand Rounds Recap 11.28.18

Check out this week’s recap of Grand Rounds! Dr. Tim Murphy took us through some fascinating cases with Morbidity and Mortality Conference. Next, we got to dive deep into toxicology. Dr. Kelli Jarrell led us through a case she had of a TCA overdose, Dr. Shawn Hassani taught us about Beta Blocker and Calcium Channel Blocker overdose, and Dr. Woods Curry took us through a oral boards session during Quarterly Sim reviewing Aspirin toxicity. Quarterly Simulation also had an oral boards case discussing inferior STEMI complicated by complete heart block, as well as an awesome simulation teaching the fundamentals of teamwork and closed loop communication by having a lucky R3 run a code with a blindfold on. We’re excited to share the learning highlights with you!

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Dazed and Confused: The Approach to Altered Mental Status in the ED

Dazed and Confused: The Approach to Altered Mental Status in the ED

We will all have the experience of taking care of a patient in the emergency department who is acting…different than they normally do.  Sometimes, the change can be subtle, maybe a family member will be the first to notice and bring the patient to be evaluated.  Sometimes the patient makes the change abundantly clear.  In either case it is essential to identify the underlying cause and treat any emergent conditions precipitating this dysfunction of the brain.  This month we hear from Dr. Erin McDonough on her approach to the patient with altered mental status (AMS). 

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Annals of B-Pod: #lessonslearned

Annals of B-Pod: #lessonslearned

Beware! Aortic Dissection

#lessonslearned is a case series submitted by former senior residents describing B-pod cases that taught them the art of medicine

Case 1

A male in his 30s with a past medical history significant for hypertension presented via EMS with pain all over, anxiety and shortness of breath. The EMTs reported that he had smoked marijuana about 30 minutes before his presentation from his normal supply. At the scene he was noted to be very agitated, diaphoretic and vocal about his pain. He was yelling that he was hurting all over, he was having trouble breathing, and that he wanted to be sedated. He states that he has never had problems like this.

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