Tamingthesru

Grand Rounds Peter Toth Grand Rounds Peter Toth

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
Read More
Grand Rounds Peter Toth Grand Rounds Peter Toth

Grand Rounds Summary 3/2/16

OB-GYN Emergencies with Dr. McKinney

Case 1: 18 wk patient with vaginal spotting who is Rh- but antibody+

Bedside U/S shows fetal abnormality due to Rh alloimmunization with fetal hydrops. Positive antibody screening on gravid female should warrant obstetric consultation. Rhogam administration within 72 hours of bleeding is important.

Case 2: 40 wk female with gestational DM present with crowning fetus who fails to immediately deliver secondary to shoulder dystocia.

Treatment: stop pushing and avoid traction. Initially attempt hyperflexion of legs and suprapubic pressure to release (McRoberts maneuver). Then consider episiotomy because subsequent maneuvers involve twisting the baby to get shoulder into a different plane. 

Read More
Grand Rounds Woods Curry, MD Grand Rounds Woods Curry, MD

Grand Rounds Recap 2/17/16

morbidity and mortality conference with Dr. Denney

Tracheostomy Exchange/Replacement:

Dealing with tracheostomies and their associated tubes can be daunting. Keeping a few things in mind can make life much easier. Have a basic familiarity with the components of the trach and have a few questions in mind to ask...

Read More