Tamingthesru

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

Grand Rounds Recap - 4/22/15

Oral Boards Practice Cases

Case 1 - 22 yo F in a "coma" with normal vital signs. Not responding to Narcan and Dextrose. Found in a garage. On exam, she has sluggish and dilated pupils. pH 6.98, pCO2 29, bicarb 2

High concern for toxic alcohol ingestion: consult DPIC and nephrology for dialysis

  • Fomepizole is the antidote for ethylene glycol only
  • Can use ethanol drip to treat both ethylene glycol and methanol
  • Replace folate aggressively and early 
  • Methanol is metabolized to formic acid, if you give folate you can prevent methanol from going down the formic acid pathway
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Annals of B-Pod Jeffery Hill, MD M.Ed Annals of B-Pod Jeffery Hill, MD M.Ed

Annals of B-Pod Spring Issue

The Spring Issue of Annals of B-Pod is hot off the presses!

Who gets antibiotics in COPD? Does that back pain patient have discitis? What causes pancytopenia anyhow?  Answers to these questions and so many more in this months issue of Annals of B-Pod.  Click on the image below for the full pdf.

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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

Flights - A Blow to the Head Recap and Expert Commentary

Thanks to everybody who commented and contributed to the discussion on our last "Flight!" If you missed out on the case, check it out here.  We had a great discussion which we have recapped here.  Take a look below and a listen to the commentary provided by Dr. Bill Hinckley in the embedded podcast.  Look for our next flight to lift off in the next couple of weeks!

What medications could be used in the care of this patient? If the patient loses his IV, how does your treatment strategy change?

This first question sparked quite a bit of debate within the community.  Everybody agreed that this patient requires sedation, intubation, and more sedation.  There was, however, some significant differences in how the providers would go about attaining adequate sedation.

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