Grand Rounds Recap 4.8.20

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Grand Rounds Recap 4.8.20

This week there were a number of underlying themes between pacemakers, MIs and leadership as well as some other high yield topics sprinkled in. Dr. Broadstock kicked us off with an educational lecture on pacemakers. We combined with our neurology colleagues to discuss how to best take care of basic neuro complaints in the ED in the time of COVID. R3s led an awesome small group on high sensitivity troponin. Dr. Banning shared the lessons she has learned through her own mistakes and failures. A truly heroic resuscitation for a patient in R heart failure by Dr. Skrobut in his Taming the SRU lecture. Lastly, learned about pediatric ophthalmology from Dr. Zamor.

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Grand Rounds Summary 3/9/2016

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Grand Rounds Summary 3/9/2016

Back Pain with Dr. Summers

Of the more than 2.5 million ED cases of back pain every year, roughly 5% of these actually have an emergent cause. Conventional red flags include:

  • Age >50 or <20 yo
  • History of cancer
  • Immunocompromised
  • HIV
  • Steroid use
  • IV Drug Use
  • Known aortic aneurysm
  • Motor neurologic deficit
  • Urinary retention, bowel incontinence, or saddle anesthesia
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Feeling "Dizzy"

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Feeling "Dizzy"

This month we have the pleasure of discussing the chief complaint of “dizziness” with Dr. William Knight.  In the attached podcast much of our discussion regarding this symptom focuses on stroke as a cause of this complaint.  Even so, it is important to remember that not all patients who present to the emergency department with dizziness are experiencing a stroke.  Quite the opposite; the majority of patients seeking care for feeling “dizzy” or “lightheaded” or “imbalanced” will have a cause other than restriction of blood flow to, or bleeding into, the posterior fossa. 

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