Tamingthesru

Grand Rounds Ryan LaFollette, MD Grand Rounds Ryan LaFollette, MD

Grand Rounds Recap 9/16

Air Care Grand Rounds

What do I need to assess before I load this patient in the heli?

  •  Does your patient need plastic? (ETT, needle/finger thoracostomy)
    • Get breath sounds / anticipate your possible interventions you may need
  • Is your patient in shock?
    • Don't have a lactate? Hyperglycemia in the absence of diabetes, thirst and diaphoresis should lend you towards 'yes'
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Annals of B-Pod Guest User Annals of B-Pod Guest User

Annals of B-Pod: Fall 2015 Issue

Hot off the Press!

#allinadayswork

Sometimes an issue’s theme is evident from the beginning- a well planned coordination of cases and perspectives that delivers a set message. Other times, an issue’s theme develops itself over the course of publishing the issue- a common thread manifests itself to us as editors as the issue comes together. Every so often, as was the case with this issue, AOBP ends up like a B-pod shift itself- a glimpse of the vast and varied pathophysiology that can present to us as Emergency Physcians at any point. 

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Grand Rounds Ryan LaFollette, MD Grand Rounds Ryan LaFollette, MD

Grand Rounds Recap 9/9

Case Follow up with Dr. Winders

The Sick Patient with Pulmonary Artery Hypertension (PAH)

  • PAH defined as right heart catheterization with mPAP > 25mmHg, which can be estimated by echo
  • Readily associated with right ventricular failure, measured by TAPSE < 1.8 with M mode over tricuspid annulus
  • EKG can also help identify these patients with right axis deviation or right atrial enlargement
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