Tamingthesru

Grand Rounds Jeffery Hill, MD M.Ed Grand Rounds Jeffery Hill, MD M.Ed

Grand Rounds Recap 7/9/2014

Central Line Complications w/ Dr. Bill Knight

  • Rate of adverse events during central line placement is 2-26%.
  • Common complications
    • Early: mechanical, ie misplacement, pneumothorax
    • Late: infection, thrombosis, occlusion
    • 50% of femoral lines are misplaced during cardiac arrest
    • 20% DVT risk with femoral vein puncture
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Air Care Orientation Curriculum, Prehospital Medicine Jeffery Hill, MD M.Ed Air Care Orientation Curriculum, Prehospital Medicine Jeffery Hill, MD M.Ed

The Glories of End Tidal CO2

If you were to choose one vital sign for your critically ill patient, what would you choose?  Blood pressure?  Pulse?  Respiratory rate?  O2 sat? Temperature? Certainly it’s nice to know if a patient’s BP is super low or sky high, but if you are evaluating someone for the presence of shock, and you are waiting on the BP cuff to cycle one more time, you are already behind in recognizing and correcting the patient’s physiologic derangements.

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Grand Rounds Jeffery Hill, MD M.Ed Grand Rounds Jeffery Hill, MD M.Ed

Grand Rounds Recap - 7/2/14

EM: Past, Present and Future with Dr. Pancioli

  • Emergency Medicine started in 1960s with first "ER group" starting out in 1961. At that time the ED was the weakest and most neglected department in the hospital and was staffed by a variety of physicians (IM, family med, surgery, derm, etc), none of them EM trained.
  • Bruce Janiak was the first EM resident with the first EM residency at UC in 1970. This was a 2 year program with only 2 dedicated ED months.
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