Grand Rounds Recap 11.7.2018

Grand Rounds Recap 11.7.2018

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.

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Grand Rounds Recap 5.23.18

Grand Rounds Recap 5.23.18

This week’s Grand Rounds opened with Dr. Koehler leading small group discussions on the applications and limitations of VBGs. Dr. Bonomo expertly identified the correct test of choice and diagnosis in Dr. Spigner’s CPC. Dr. Soria then gave an interesting talk on the history behind naloxone as well as common uses. Finally, the Air Care team led a great hands-on procedure workshop!

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Pericardiocentesis

Pericardiocentesis

First, pericardiocentesis should be considered a temporizing procedure.  In the setting of trauma, you are hoping that the pericardiocentesis will clear a small amount of blood from the pericardial space and remove any tamponade the might be present.  It is likely, however, because of the mechanism of injury, that blood will again rapidly accumulate leading to recurrent tamponade physiology.  Ultimately (but not on Air Care — DON’T do a clamshell), these patients will need a pericardial window, exploration, and repair of whatever injury is causing the accumulation of blood. 

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