Tamingthesru

Ryan LaFollette, MD 9/23/15 Ryan LaFollette, MD 9/23/15

Grand Rounds Recap - Minor Care Symposium - 9/23

This week was a tour of all the little things that make the ED a fun place to work. We're not talking about ECMO or REBOA, we're talking minor care.

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Ryan LaFollette, MD 9/21/15 Ryan LaFollette, MD 9/21/15

Grand Rounds Recap 9/16

Air Care Grand Rounds

What do I need to assess before I load this patient in the heli?

Does your patient need plastic? (ETT, needle/finger thoracostomy)
- Get breath sounds / anticipate your possible interventions you may need
Is your patient in shock?
- Don't have a lactate? Hyperglycemia in the absence of diabetes, thirst and diaphoresis should lend you towards 'yes'

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Ryan LaFollette, MD 9/16/15 Ryan LaFollette, MD 9/16/15

Grand Rounds Recap 9/9

Case Follow up with Dr. Winders

The Sick Patient with Pulmonary Artery Hypertension (PAH)

PAH defined as right heart catheterization with mPAP > 25mmHg, which can be estimated by echo
Readily associated with right ventricular failure, measured by TAPSE < 1.8 with M mode over tricuspid annulus
EKG can also help identify these patients with right axis deviation or right atrial enlargement

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