In our first Grand Rounds of the academic year, we started with Dr. Pancioli teaching us about the history of Emergency Medicine. Dr. Palmer discussed team work and the case for building social capital and Dr. LaFollette worked through the disposition of patients with chest pain. Our clinical pharmacist Chris Droege, PharmD discussed the evolving landscape of agents we have to reverse oral anticoagulants.
Read MoreThe last Grand Rounds of the 2016-2017 academic year kicked off with M&M with Dr. Betham presenting on EKGs, vitamin deficiencies, sepsis and hemorrhoids. Dr. Deb Gerdes brought us a global health update and Dr. Titone taught us about hyperthermic emergencies.
Read MoreThis week's Grand Rounds were jammed packed with Ultrasound Guided Regional Anesthesia pearls, first from Dr. Carleton and then from Drs. Dang and O'Brien. Drs. Thompson and Lagasse walked us through can't miss x-rays during small groups. Dr. Nagle taught us about pediatric EKGs.
Read MoreIt’s a typical shift in your community shop when you see a patient on the board that makes you nervous. 2 year old male with syncope. It’s been awhile since you have treated someone born in the 21st century and you know this child’s workup will likely involve an EKG. The closest pediatric hospital is 2 hours away. How comfortable do you feel interpreting the squiggle lines generated by this little heart?
Read MoreDr. Ventura discusses the value of head CT and risk factors of CNS complications in HIV. Dr. Goel discussing the cognitive biases that drive decision making in EM. Dr. Stettler taught us that framing feedback can be as important as giving it and finally our CCHMC colleagues run through some difficult tox and airway cases. Plenty of learning to go around this week!
Read MoreThis week Airway Guru Dr. Carleton walks through the perils of peri-intubation hemodynamic instability, and how we can use changes in pre-oxygenation and induction methods to reduce the chance of intubation M&M. Afterwards, Dr. Riddle covers terminology, dogma and how to care of our LGBT patients.
Read MoreDr. McKean led off with a breakdown of perforated viscous, Dr. Neel of neurology gave cases of complex neuropathology and Dr. McKee presents a case of hypercalcemia with Dr. Hill in this week's CPC. Also Dr. Banning covers cases and basics of LFT analysis with plenty more in this week's Grand Rounds Recap
Read MoreIf the chief complaint of your patient is abdominal pain, altered mental status, overdose, generalized weakness chances are you at least considered ordering a hepatic panel. In fact, studies show that the hepatic panel is the third most common laboratory test ordered in the emergency department only behind the CBC and renal panel. If emergency medicine physicians are so quick to order this test, it is important to also know how to interpret all the little red arrows that often accompany your results. For this we will review each component and even (wait for it) … a little biochemistry!
Read MoreGrand Rounds kicked off this week with Dr. Axelson's final M&M of the year where we learned about hypertensive emergencies, 2nd & 3rd trimester vaginal bleeding, the care of the sick asthmatic, which bronchiolitics can go home and how exactly to treat the many forms of UTIs. Drs. Kircher and Murphy-Crews continued the learning with a case follow-up about intubating patients with airway stents and pediatric head injury, respectively. Our joint EM-Peds lecture rounded out the day with visual diagnoses in peds.
Read MoreThis week in Grand Rounds: We started with a grab bag of oral boards cases, Whitney Bryant lead us in a discussion of the broad scope of global health and why it should be important to emergency physicians, and Dr. Bernardoni lead us through a case of hyperkalemia and A fib with RVR.
Read MoreThis week's Grand Rounds served as our annual EMS Disaster day, where we tried on our HazMat gear, ran a mock mass casualty incident (MCI), and heard from Dr. Otten about his experience with multiple MCIs over the course of his career.
Read MoreDr. McKean kicked off this week with another great M&M where he taught us about the utility of stress testing to predict coronary artery disease, otomastoiditis, and much more. Dr. Brenkert joined us for an hour on pediatric musculoskeletal ultrasound and then Dr. Mudd reviewed transfusion strategies in upper GI bleeding. Dr. Ventura taught us about CSF analysis and Drs. Stettler and Whitford rounded out the day with a CPC about acid-base disturbances.
Read MoreThis week kicked off with a Tox filled R4 Simulation where we learned about ASA, digoxin, and hydrofluoric acid toxicities. This was followed by lectures on cardiac disease in diabetes, pediatric pain management strategies, physician burnout and hypothermic cardiac arrest.
Read MoreThis week in Grand Rounds: lessons learned in mass casualty from our recent experience with a mass shooting, a case of abdominal pain in a patient with a TIPS, understanding the UA, the importance of diagnosing HIV in the emergency department, dental emergencies, point of care ultrasound in pediatrics, and a deep dive into the literature about management of low risk PE.
Read MoreDr. Grosso kicked off Grand Rounds this week with March M&M by diving deep into some core content, including BB and CCA overdoses, influenza, massive transfusion, post-intubation hypotension, and neurological catastrophes causing cardiac arrest. Dr. O'Brien broke down coagulopathy of liver disease and DIC for us while Dr. Golden taught us about febrile seizures. Drs. McKee and Colmer talked through the evidence behind their CPQE pathway on vent management in obstructive lung disease. Drs. Liebman and Powell went head to head in a CPC case about sternal osteomyelitis to round out another excellent week of learning.
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
