Bougie so Bougie
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In this Journal Club paper breakdown, Dr Bailee Stark recaps the findings of a recently published study by Driver et al looking at the effect of bougie aided intubation vs standard stylet intubation.
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Grand Rounds Recap 8.17.22
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This week was jam pack in Grand Rounds. We covered best practice tips for POCUS and Cardiac Arrest with Dr. Stolz. Dr. Pensak talked with us about the Emergency Department Implications of the Dobbs v Jackson. We buffed up our teaching skills with Dr. Santen and “Not another Boring Lecture”. Dr. Roche and Wilderness Medicine Faculty taught us how to improvise important medical equipment. To end the day, Dr. Kiser showed us how to better care for and treat the pain of patients with chronic medical conditions.
Read MoreTube Thoracostomy for Hemothorax - Is a Tiny Tube Just Fine?
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In this Journal Club podcast, PGY-3 Tony Fabiano breaks down a paper from the Journal of Trauma comparing the effectiveness and patient perception of pigtail catheters versus standard chest tubes for hemothorax in the setting of trauma. Is a tiny tube effective at all in draining blood from the chest?
Read MoreGrand Rounds Summary 8.10.2022
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We are back with another exciting week of grand rounds, this time with an overview of acute aortic insufficiency and tricuspid regurgitation, a walkthrough of ED use of coronary CTA, a High Acuity/Low Opportunity and Low Acuity/Low Opportunity procedure lab, and finally a discussion of the always-feared sick undifferentiated infant.
Read MoreGrand Rounds Recap 8.3.22
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For Grand Rounds this week We took a deep dive into 2 cases of Pericardial Effusions with our R2 CPC with Dr. Grisoli and our R3 Taming the SRU lecture with Dr. Ferreri. One case ended up being a purulent pericardial effusion while the other was an LV freewall rupture. Dr. Sabedra Expanded our knowledge on how to better care for pregnant and breast feeding patients and how to be a support co-worker to our pregnant and breast feeding colleges. Lastly, Dr. Frankenfeld walked us through some of the data around when patients leave against medical advice, how to try to avoid this, and how to appropriately counsel our patients.
Read MoreGrand Rounds Recap 7.27.22
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Another great week of Grand Rounds kicked off by Dr. Lex Kimmel’s Morbidity and Mortality Conference touching on Ectopic Pregnancy, Finger Dislocation and DOAC overdose management. Dr. Goff presents a case follow up of a gastritis complication. Firearms are lethal, join Dr. Yates as she discusses how to prep yourself with the data to help our patients. Finally we get specialist lecturers discussing acute management of acute occlusive event management in sickle cell disease.
Read MoreGrand Rounds Recap 7.20.22
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This week’s grand rounds features a discussion of best practices for receiving feedback, how to think about and apply clinical decision rules, BRASH syndrome, Cryptococcus Meningitis, and two oral boards cases about aortoenteric fistulas and mesenteric ischemia.
Read MoreGrand Rounds Recap 7.13.22
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Join us this week for an update on stroke treatment, ultrasound evaluation of acute dyspnea, Dr. Baez's reflections on residency training, how to give an inclusive lecture, tips on efficiency and workflow operations, and a list of dangerous pediatric toxins.
Read MoreGrand Rounds Recap 7.6.2022
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This week we heard from Dr. Baxter about clinical reasoning and the pendulum of clinical thought one often goes through during residency. Dr. Thompson had a brief Operations update for trauma pages and sepsis. We were pushed to consider our own practice patterns with Dr. LaFollette’s cases of Hyponatremia, Sodium Nitrate and Syncope. The quick hits lecture series made its debut talking about QTc intervals, penetrating neck trauma, and a pneumonia research quick hit. We wrapped up the day with neuroimaging tips from Dr. Knight and understanding the care delivered to incarcerated persons at the Hamilton county justice center with Dr. Srivastava.
Read MoreGrand Rounds Recap 6.29.2022
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First Grand Rounds of the 2022-2023 Academic Year! Join Dr. Pancioli as he recounts how our program came to fruition as well as challenges that EM continues to find ways to overcome. Dr. McDonough leads a professionalism talk that helps define what keeps us on top of our game and collectively strong in the hospital. Dr. Paulsen gives Admit, Discharge and Transfer case studies to ground our difficult community decisions.
Read MoreGrand Rounds Recap 6.22.22
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The final week of grand rounds for the class of 2022! This week brings a diverse array of M&M cases, updates in social EM, a discussion on intubating the physiologically challenging patient, pearls for asplenic patients, and an overview of REBOA.
Read MoreGrand Rounds Recap - 6.15.22
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We’re back this week with more exciting grand rounds content! We covered a new COVID-19 treatment algorithm, angioedema airway management, Ramsey Hunt Syndrome, and much more!
Read MoreGrand Rounds Recap 6.8.22
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Another great week of Grand Rounds including pneumothorax therapeutics with Dr. Sardis Harward, snake bites with Dr. Mel Otten, Ventricular and Junctional Escape Rhythms with Dr. Dave Jackson - QIPS and Patient Safety with Dr. Dave Thompson, Wellness and On-Shift Nutrition with Dr. Roblee and the Wellness Team and finally The Crashing Neonate with the Cincy PEM Team!
Read MoreGrand Rounds Recap 5.18.22
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It was another exciting week here in Cincinnati as we kicked off grand rounds with a session on performance improvement during our quarterly leadership curriculum with Dr. McDonough and discussed alternatives to hospital admission and available outpatient resources in the era of high boarding with our Chair, Dr. Pancioli. We finished our day with an excellent discussion on prenatal mental health care with Dr. Wolochatiuk in her R4 Case Follow Up and on uncommon causes of disorientation in Dr. Zalesky’s Taming the SRU lecture.
Read MoreDo You Hear What I Hear: Tinnitus and Auditory Disturbances
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The majority of cases of hearing loss and tinnitus are not immediately dangerous and may be safely deferred to the outpatient setting. There are, however, several etiologies of such complaints that are dangerous and require prompt evaluation in the emergency department. The approach to hearing loss and/or tinnitus in the emergency department must focus on identifying characteristics that may clue the examiner in on a potentially harmful etiology.
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