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 8.1.18

Grand Rounds Recap 8.1.18

Chock full of didactic pearls, this week EM/Sports Medicine physician Dr. Betz started us off with a number of can’t-miss orthopedic injuries. Drs. Baez and Owens led us through case follow ups of air embolism and a sick neonate in shock. To finish up, Wilderness Medicine’s own Drs Mel Otten and Conal Roche taught us about marine and snake envenomations and dive injuries.

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Annals of B-Pod: Quick Hit Case

Annals of B-Pod: Quick Hit Case

The second installment from the December Issue of Annals of B Pod, Dr. Ham presents a female patient with no past medical history who presents to the Emergency Department shortly after stepping through a picture frame that was propped up on her floor at home. The glass shattered, lacerating the posterior aspect of her left lower leg. She is complaining of difficulty walking, but denies loss of sensation distal to the injury...

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NSAIDs in a Patient with Fractures?!

NSAIDs in a Patient with Fractures?!

The Issue

NSAIDs are excellent analgesics that can decrease the use of opiatess for pain, but might lead to poor healing from orthopedic injuries.

Prior Evidence

In vitro studies and rat models since the early 80s showed delayed fracture healing with NSAIDs, and the effects appeared to be dose-related. These findings have been re-demonstrated in future in vitro and rat studies as well.   In humans however, the data has been, to say the least, mixed...

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Clinical Approach to Knee Radiographs

Early in the morning, you begin your day in your local emergency department. After getting yourself situated, a slow trickle of patients begin to appear on the board. It appears to be a normal morning, all except for the fact that five patients appear, one after the other, who have the same chief complaint: “Knee pain”. It is a good thing you brushed up on reading knee x-rays recently!

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