Grand Rounds Recap 1.24.18

Grand Rounds Recap 1.24.18

This week's Grand Rounds started off with our monthly Morbidity and Mortality conference with Dr. Titone.  This was followed by a lecture on pediatric bloody diarrhea with Dr. Shan Modi.  Dr. Claire O'Brien then gave her Clinical Soap Box lecture on cost and waste within the healthcare system.  Dr. Kreitzer then gave an evidence based lecture on current research in sepsis and refractory septic shock, followed by our consultant of the month lecture with Dr. Anthony Blanchard from podiatry discussing foot wounds and osteomyelitis.

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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 Recap 3.29.2017

Grand Rounds Recap 3.29.2017

Dr. Grosso kicked off Grand Rounds this week with March M&M by diving deep into some core content, including BB and CCA overdoses, influenza, massive transfusion, post-intubation hypotension, and neurological catastrophes causing cardiac arrest. Dr. O'Brien broke down coagulopathy of liver disease and DIC for us while Dr. Golden taught us about febrile seizures. Drs. McKee and Colmer talked through the evidence behind their CPQE pathway on vent management in obstructive lung disease. Drs. Liebman and Powell went head to head in a CPC case about sternal osteomyelitis to round out another excellent week of learning. 

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Grand Rounds Recap 10.26

Grand Rounds Recap 10.26

We had another great week at Grand Rounds to wrap up the month of October.  Dr. Betham ran the gamut of medical knowledge in her M&M, teaching us from organophosphate poisoning to rhabdomyolysis.  Drs. Merriam and Curry battled in a CPC about submassive and massive PE.  Dr. Shewakramani taught us about all things dental and Dr. Scupp brought it home with his soapbox about the importance of balance in IV fluid resuscitation.

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ESR, CRP, & Procalcitonin: Acute Inflammatory Markers in the ED

ESR, CRP, & Procalcitonin: Acute Inflammatory Markers in the ED

Working in the ED one day you seem to hit a run of patients in whom consultants have asked you to order an ESR, CRP.  First, podiatry asked for them for a patient with 1st metatarsal osteomyelitis.  Spine surgery wanted the same for a patient with diskitis. And, ortho wanted them for a possible septic.  You think to yourself, “what am I or my consultant going to do with these test results?” “What are these inflammatory markers anyhow?” And, “what patient’s should I be ordering them in.”

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