Grand Rounds Recap 10.9.19

Grand Rounds Recap 10.9.19

This week we continued our leadership curriculum with Dr. Pancioli’s lecture on the intersection of leadership and finance. This was followed by Dr. Klaszky with his R4 case follow up of a patient with cardiac tamponade, and then Drs. Baez and Continenza faced off for the most recent installment of our Great Debate series as they discussed chemical vs electrical cardioversion for atrial fibrillation. Finally, our colleagues from Cincinnati Children’s presented learning pearls about causes of and interventions for hypoxia in pediatrics emergency medicine.

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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 4.17.19

Grand Rounds Recap 4.17.19

Enjoy this weeks Grand Rounds Summary. We had a great small group session on conflict resolution presented by Dr. McDonough and Leenellett of the leadership curriculum team. Next, Drs. Iparraguirre and Li taught us about an evidence-based approach to epistaxis. We completed our morning going through a great simulation on Acute Myocardial Infarction requiring Thrombolysis with Drs. Colmer, Mckee, Harrison, and Continenza.

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Grand Rounds Recap 10.31.18

Grand Rounds Recap 10.31.18

We had a diverse and interesting set of topics for this week of Grand Rounds! Dr. Mehlman, a pediatric orthopedist, took us through high-yield, can’t miss orthopedics cases. Following this, we went through strategies in team-building and recruitment with Drs. Stettler, Fermann, and McDonough as part of our Leadership Curriculum. Dr. Jarrell then presented local data on our Naloxone Distribution program and opioid overdoses. We concluded the day with a lecture on hernia diagnosis and management by Dr. Leech, followed by a fantastic small group session on Wellness lead by Drs. Jarrell and Banning. Enjoy our summary of these high-yield topics!

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Grand Rounds Recap 7.11.18

Grand Rounds Recap 7.11.18

This week’s Grand Rounds started with a leadership session led by Dr. Stettler where we discussed the qualities of strong leaders and how we can use those qualities to implement change within our department and health system. Dr. Knight covered the management of concussions and spinal cord injuries in the emergency department. From there, Dr. LaFollette led us through a discussion of how to manage various ENT and ophthalmology complaints in the community setting.

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Grand Rounds Recap 1.17.18

Grand Rounds Recap 1.17.18

This week's Grand Rounds started out with another installment of our leadership curriculum led by Dr. Stettler, where we discussed how to identify and manage finance in leadership.  This was then followed by Dr. Makinen's small group session on thyroid diagnostics in the ED.  Drs. Gauger and Loftus then went head-to-head on a case of syncope, found to have a massive PE.  Dr. Miller then gave a great summary of current thoughts and future approaches to sepsis, followed by Dr. Murphy discussing post-ENT procedure bleeds in the ED.  Dr. Curry then finished off the conference with his "Mastering Minor Care" segment on epistaxis.   

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Grand Rounds 10.25.17

Grand Rounds 10.25.17

Dr. Ludmer kicked things off with this month's Morbidity & Mortality conference where we discussed C. Diff, spinal cord compression, LP in the setting of anticoagulation and cardiac arrest with an LVAD. Dr. Stettler led the next segment of our longitudinal leadership curriculum with a look at the mentor/mentee relationship. We finished up with a soapbox lecture by Dr. Titone on conflict resolution and an R3 follow up by Dr. Bernardoni who discussed the crashing patient with right ventricular failure and pulmonary arterial hypertension. 

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Grand Rounds Recap 7.26.17

Grand Rounds Recap 7.26.17

In this week's Grand Rounds, we led with our first Morbidity and Mortality conference of the year. Dr. Lagasse walked us through cognitive biases, the management of early obstetric emergencies, and the management of skin and soft tissue infections in the diabetic foot. In our leadership curriculum, Drs Hill and Stettler discussed the fundamentals of being a leader, and we got to hear from a panel of accomplished physicians within our department about their own leadership journey. Finally, in our Consultant of the Month series, Dr. Martha Ferguson discussed the management of ano-rectal conditions in the Emergency Department.

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Grand Rounds Summary 3/8/17

Grand Rounds Summary 3/8/17

Dr. Ashley Shreves from Ochsner Medical Center led off Grand Rounds this week with a great lecture on why Emergency Medicine physicians should be good at Palliative Care and then taught us a step-wise approach to code status discussions in the Emergency Department. Drs. Ronan and Kreitzer brought us the latest installment of the Leadership Curriculum, where we learned about and practiced different styles of communication. 

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Grands Rounds Summary 01.25.2017

Grands Rounds Summary 01.25.2017

Dr. Betham started off Grand Rounds with this month's Morbidity and Mortality Conference, where we learned about Gout, ITP, Stroke, and Hyperkalemia in ESRD patients. Dr. Teuber walked us through the varying recommendations regarding ED Thoracotomy and Dr. Banning taught us how to handle neonatal urgencies. Leadership Curriculum wrapped up this week's conference with a session on how to pitch an idea. 

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Grand Rounds Recap 7/6/2016

Grand Rounds Recap 7/6/2016

This week we got an operations update with some new markers of quality and new guidelines on HIV testing. We were reminded about patient literacy and the advantages of keeping it simple. Dr. Hill also taught that every shift our biases and decision making do affect patient care, it is our duty to recognize and use them to our patients' advantage.

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Grand Rounds Summary - July 22

Grand Rounds Summary - July 22

Dr. Miller - Leadership Curriculum

"Give me six hours to chop down a tree and I will spend the first four sharpening the axe" - Abraham Lincoln

In order to lead the team, you need a reflection of what you need to improve as a leader:

  • In a survey of academic chairs, communication, decision making, collaboration and trustworthiness were the top rated characteristics
  • In a survey of UC EM residents and faculty confirmed that these apply to every level of training
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Grand Rounds Recap - 1/21/15

Grand Rounds Recap - 1/21/15

Evidence-Based Emergency Medicine: Accidental Hypothermia with Drs. Mudd & Riddle

Grading the Severity of Hypothermia

  • Mild hypothermia is defined as 32-35 °C and symptoms include confusion and diuresis
  • Moderate hypothermia occurs from 28-31°C and is associated with lack of shivering, atrial arrhythmias, and worsening changes in mental status (including paradoxical undressing)
  • Severe hypothermia happens when core body temperature is less then 28 °C and is associated with coma, significant decreases in metabolism, and a very low threshold for V-fib
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