Tamingthesru
Grand Rounds Recap 12/9/15
Glucose Emergencies
Remember the "I's" when looking for cause of DKA/HHS: Infection, Insulin lack, Infarction (MI, CVA, Ischemic gut), Indiscretion (EtOH, cocaine), Infant (pregnancy).
After 2L NS fluid bolus in the hemodynamically stable patient, the corrected sodium should guide fluid choice for further therapy.
Venous pH, HCO3 and base excess have sufficient agreement to be interchangeable with ABG in the ED.
You've Been Blocked!
Case 1
CC: Laceration to Upper Lip
HPI: 23 year old male presents to the ED with laceration to his upper lip. Patient states he was “Minding his own business” when all of the sudden the ground came up and hit him in the face. His friend alcohol might have been there. Patient states he now has a cut on his lip and a bruise on his pride.
Physical Exam: Physical exam demonstrates a 2 centimeter full thickness laceration of the left upper lip that crosses the vermillion border.
Grand Rounds Recap 12/2/15
Air Care Ground Rounds
Dr. Hinckley - Air Medical Resource Management
Familiarity and complacency can lead to mistakes. Stay uncomfortable. A policy for preflight walk-a-rounds will be released shortly.
E-poc blood gas analyzer is now on AirCare. Think about using it for all patients, but particularly those who are intubated or may be in a state of shock.
Dr. Powell - Minnesota Tube is coming to AirCare
Everything you need will be in the Critical Care bag. You can bring all the gear with you into the hospital without having to gather supplies there. No football helmet required.