Tamingthesru
Grand Rounds Recap 3.30.22
Join us as we cover the true breadth of our specialty during this week’s Grand Rounds! Starting from an excellent, ultrasound-loving Morbidity and Mortality Conference with Dr. Walsh, we discuss end of life care in the ED as well as atypical agents for symptomatic relief with visiting professor Dr. Karen Jubanyik, identify and manage hernias of all types during Dr. Brower’s R1 Clinical Knowledge lecture and end with an inspiring talk on imposter phenomenon with Dr. Pulvino in her R4 Capstone.
Grand Rounds Recap 3.16.22
In this week’s Grand Rounds, Dr. Carleton reviews our new and old airway equipment and describes best approaches for ETT exchange, Dr. Laurence shares insight on creative approaches to asking questions, appreciative inquiry, and questioning barriers for patients, Dr. Glenn discusses atypical headache etiologies including IIH, giant cell arteritis, acute angle closure glaucoma, and trigeminal neuralgia, Drs. Kein and Adan match wits in a CPC case of digoxin toxicity, and our PEM colleagues take us through a case of a critically ill infant with a ductal dependent lesion.
Atypical Headaches
Headaches account for approximately 4 million, nearly 3% of all ED visits annually. [1] We classify headaches as either primary (benign) or secondary, with secondary headaches occurring due to underlying pathology. In the ED, the goal is to alleviate symptoms safely and effectively while excluding dangerous causes of headaches. While nearly 98% of headaches in the ED are primary or benign [2], ruling out secondary causes of headaches is imperative as failing to diagnose correctly may result in significant morbidity or mortality.