Spinal cord injuries are nothing to shake your head at, though. As Dr. Jensen eloquently dissects in his review of neurogenic shock, emergency physicians can play a tremendous role in the ultimate outcomes of patients with vasodilatory shock secondary with the prompt recognition and appropriate management of spinal cord pathology.Read More
Enjoy the review of this week’s Grand Rounds! We began the morning with Dr. Minges giving us his pro-tips on how to identify cardiac tamponade with ultrasound. Following this, we learned about high-yield management pearls about Carotid Blowout Syndrome and SCIWORA from Dr. Scanlon and Dr. Baez respectively. We concluded the day with AirCare Grand Rounds, where we learned how to deal with refractory hypoxia, postpartum hemorrhage, and utilize the V-scan for ultrasound.Read More
Quarterly Simulation and Oral Boards
How do you approach the undifferentiated patient in arrest?
- Your demographics and any initial history can differentiate the hyperkalemic arrest from recent chemo from the rhabdo from prolonged down time from overdose, etc.
Running a code is an art and a science
- Mental modeling is something that causes us angst but it works. Close your loop with your drugs and plan. Being loud with your summary reasserts your control of the situation and can quell the peanut gallery.
- Assign your roles and know your nurses and medics, introducing yourself mid-compressions is poor form and can decrease code efficiency
- We like to keep our fingers on the femoral pulse. It decreases pulse check time, let's you dictate timely next moves.