Tamingthesru

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

Grand Rounds Recap - 4/15/15

Ocular Emergencies with Dr. Titone

Blood supply to the eye is from the Internal Carotid and drainage is through cavernous sinus.  Bony eye septum is an improtant structure that separates the superficial structures from the deeper structures that have direct communications with the brain.

Key historical factors: recent eye procedures, eye drop use, contact lens use, occupational history, UV ligh exposure

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

Grand Rounds Recap - 4/8/15

AirCare Grand Rounds

1. Indications for T pod

  • Blunt trauma + unstable pelvis
  • Blunt trauma + shock + pelvic tenderness to compression
  • Blunt trauma + shock + AMS/inability to evaluate pelvic pain

In patients with blunt trauma who are in shock and have AMS, incidence of pelvic fractures is 10%. In patients who die of blunt trauma during transport, open book pelvis fracture is the #1 cause of death (according to our own QI data)

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

The Cognitive Autopsy

We are in a thinking profession.  

An outsider looking in on our profession may see procedures and action as the defining characteristics of the practice of Emergency Medicine.  But, reflecting on the attributes of the best EM docs I’ve worked with, their procedural excellence isn’t what stands out.  Thinking back on the great physicians I have met and worked with, the ones I strive to be like every day, it is their ability to think, lead, and educate that sticks with me the most.  

And, it turns out I’m not the only one who might see it like this…

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