Grand Rounds Recap 4.10.24

/
Grand Rounds Recap 4.10.24

An excellent Wednesday here in Cincinnati! We started out the day with our ultrasound grand rounds where ultrasound fellow Dr. Broadstock took us through an interactive lecture on advanced cardiac ultrasound. This was followed by a lecture by faculty member Dr. Irankunda who discussed the importance of names and embracing individuality. Finally, we ended the day with a combined session with our pediatric colleagues where we covered pediatric procedures, foreign body aspiration, and a neonatal potpouri. We can’t wait for next week!

Read More

Grand Rounds Recap 1.17.24

/
Grand Rounds Recap 1.17.24

Join us as we recap another fantastic Grand Rounds session. We started off with our longitudinal leadership curriculum, specifically focusing on recruitment and building a team. This was led by two prominent leaders in our very own emergency department- Drs. Fermann and LaFollette. Next, we join Dr. Finney on a journey as she reflects on the relationships we build with our patients and their families, as well as providing insight on how to cope with the grief that we may face following the most difficult cases. Lastly, Drs. Chhabria, Davis, and Gobble, help us prepare for the upcoming ITE exam by providing us with useful quick hits relating to orthopedic injuries, PEM, and toxicology.

Read More

Grand Rounds Recap 1.10.24

/
Grand Rounds Recap 1.10.24

We started off the day strong with a R4 Case Follow Up lecture presented by Dr. Yates who led an excellent discussion on psychosis, including maintaining a broad differential for secondary psychosis and appropriate management. We then transitioned to an R1 Clinical Knowledge lecture where Dr. Segev guided us through interstitial lung disease and fibrosis ranging from epidemiology to diagnosis and treatment. This then followed by a hand-on high acuity low opportunity procedure review including esophageal balloon tamponade, transvenous pacemaker placement, and chest wall escharotomy. The hands-on sessions continued into the afternoon where our CCHMC colleagues led a simulation on neonatal shock. Overall, a great day at UCEM Grand Rounds!

Read More

Grand Rounds Recap 11.8.23

/
Grand Rounds Recap 11.8.23

We start off the day with our quarterly Airway Grand Rounds, where Dr. Carleton discussed the intricacies of performing an awake look intubation. We then transitioned into a brief operations update on the department, followed by a great discussion regarding heavy metal toxicity with Dr. Boyer during his R1 Clinical Knowledge lecture. We were then honored to host Dr. Curran, an associate professor in the Division of Hematology Oncology and specialist in acute hematologic malignancies, for our consultant corner where we discussed acute leukemia. Finally, we wrapped up the day with combined grand rounds with our pediatric colleagues where we practiced a case of DKA during simulation as well as discussed pediatric EKGS and airways. Lots to learn this Wednesday!

Read More

Hunting for Invasive Bacterial Illness in Infants with a Positive UA

/
Hunting for Invasive Bacterial Illness in Infants with a Positive UA

The workup of febrile infants (<60 days) can be extensive and invasive. This post and podcast covers a recent paper by the PECARN research group that sought an answer to the question: What is the prevalence of bacteremia and/or bacterial meningitis (“invasive bacterial illness”, ISI) in febrile infants ≤60 days of age with a positive urinalysis (UA) result?

Read More

Grand Rounds Recap 5.10.23

/
Grand Rounds Recap 5.10.23

This week we start off with an exciting CPC showdown between Drs. Chhabria and Baez, followed by a new proposed pathway for the diagnosis and treatment of Carbon Monoxide Poisoning by Drs. Moulds and Wright. Next, the pediatric department reviewed “one pill can kill” for our pediatric populations, and finally we heard from Dr. Frank about competency in medicine and medical education.

Read More

Grand Rounds Recap 5.3.23

/
Grand Rounds Recap 5.3.23

Join us to recap our Grand Rounds session from the first week in May. Starting with the April M&M report expertly delivered by Dr. Broadstock- featuring atypical ACS, as well as the aggressive management of a CCB overdose. Followed by Dr. Mullen taking us through a set of cases involving near misses, as she reflects on things she learned during her four years in residency. Next up, Dr. Hajdu educated us about the presentation, pathophysiology, and evidence-based management of mild TBI’s/concussions in the ED. Lastly, we finish off with Air Care GR featuring details about the TOWAR study, review of management of pediatric seizures, as well as tips & tricks to improve our flight-related documentation.

Read More

Grand Rounds Recap 3.8.23

/
Grand Rounds Recap 3.8.23

We are back with a special grand rounds with visiting professor Dr. Arun Nagdev discussing a variety of ultrasound guided nerve blocks in the ED, CPC with Drs. Harward and Roche, and a review of multiple etiologies and management of pediatric seizure with our CCHMC PEM colleagues.

Read More

Grand Rounds Recap 4.13.22

/
Grand Rounds Recap 4.13.22

Join us as Dr. Frederick discusses a case of massive upper GI bleeding, Dr. Kletsel challenges Dr. Ham to a battle of wits in CPC, Dr. Chhabria spills the salt on ‘dysnatremias’, Dr. Frankenfeld discusses posterior strokes, and Our CCHMC PEM colleagues brief us on pediatric broken bones!

Read More

Grand Rounds Recap 3.16.22

/
Grand Rounds Recap 3.16.22


In this week’s Grand Rounds, Dr. Carleton reviews our new and old airway equipment and describes best approaches for ETT exchange, Dr. Laurence shares insight on creative approaches to asking questions, appreciative inquiry, and questioning barriers for patients, Dr. Glenn discusses atypical headache etiologies including IIH, giant cell arteritis, acute angle closure glaucoma, and trigeminal neuralgia, Drs. Kein and Adan match wits in a CPC case of digoxin toxicity, and our PEM colleagues take us through a case of a critically ill infant with a ductal dependent lesion.

Read More

Grand Rounds Recap 2.9.22

/
Grand Rounds Recap 2.9.22

It was another riveting week of Grand Rounds here in Cincinnati! Drs. Kate Connelly, Shawn Hassani, Allie Hunt and Eddie Irankunda kicked us off with a high stakes simulation case and discussion of aortic and vascular emergencies. Dr. Irankunda then reflected on his journey through residency via the filter of the 1990's classic TV show, ER, with many life lessons along the way. After a brief operations update with Dr. Fermann, we finished up with a case-based discussion of evaluation of vomiting in pediatric patients during our monthly combined conference with our PEM colleagues from Cincinnati Children’s Hospital.

Read More

Grand Rounds Recap 10.13.21

/
Grand Rounds Recap 10.13.21

This week Drs. Leenellett and McDonough guide us through conflict resolution, Dr. Kimmel provides pears from a recent postpartum hemorrhage, Dr. Chhabria walks us through the diagnosis and management of toxic gas exposures, and we are joined by the Cincinnati Childrens PEM fellows for a lecture on pediatric trauma.

Read More

Grand Rounds Recap 9.15.21

/
Grand Rounds Recap 9.15.21

Join Us for another week of Grand Rounds as Dr. Boldt takes us through ED management of obstetric emergencies, Dr. Zalesky reviews a year of emergency medicine literature in a blitz, Dr. Hassan discusses ultrasound vs physical exam in modern emergency medicine, and our PEM colleagues take us through Ketamine laryngospasm, neonatal jaundice, and bacterial tracheitis.

Read More

Grand Rounds Recap 9.1.21

/
Grand Rounds Recap 9.1.21

Another excellent week of Grand Rounds reflection and learning. Check out the recap here as Dr. Curry shares insights from his work with OH-TF1 on the Surfside Building Collapse, Drs. Kein and Stark provide evidence-based recommendations for management of NSTEMI patients, Dr. Hunt discusses a case of basilar stroke in a patient with SLE, Dr. Milligan challenges Dr. Benoit with a pediatric acute urinary retention case, and Drs. Goff, Ramsey, and Zalesky provide quick hit wisdom in the “There will be blood” edition of the R3 small groups.

Read More