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Grand Rounds Recap 4.22.20
Another great week of Grand Rounds started with a journal club on pediatric resuscitation (podcast inbound soon), followed by a new electrolyte protocol via QI/KT with Drs Gawron and Hassani. Dr. Jensen’s TamingtheSRU lecture highlights a complex combination drug overdose and Dr. Garber gives an update on the pharamcotherapies of COVID. Finally Drs. Leech and Hill trialed the first remote simulation on post partum hemorrhage.
Grand Rounds Recap 04.15.20
We had another exemplary installment of Grand Rounds this week that started with Attending Case Followup with Drs. Lang, Baez, and Paulsen. Then we had some top-notch review of core curriculum with Dr. Winslow and the Alvarado Score for appendicitis, Drs. Meigh and Klaszky on food impactions and esophageal foreign bodies, and Drs. Comiskey and Nagle on D-dimer. Finally, Dr. Nagle gave us an overview of the foundations of evidence-based medicine with his R4 capstone.
To Appendectomy or Not to Appendectomy: The Alvarado Score
Appendicitis is the most common surgical emergency that emergency physicians encounter each year. The prevalence of appendicitis in the US is estimated at 7%, with an incidence of 9.38 per 10,000 people annually [1,2]. Appendicitis shares many signs, symptoms, and laboratory features with other acute medical and surgical conditions, including diverticulitis, nephrolithiasis, and ovarian pathologies like tubo-ovarian abscess and ovarian torsion. Diagnostic tools such as the Alvarado score are designed to help emergency clinicians sharpen their diagnostic acumen by stratifying the likelihood of appendicitis based on scoring systems