Tamingthesru
Grand Rounds Recap 3.6.19
From surgical airways to the undifferentiated shock patient, this week’s Grand Rounds was packed full of clinical pearls. Dr. Carleton started with a discussion of a tachycardia-inducing failed airway requiring cricothyrotomy. Drs. Jensen and Makinen presented a very detailed review of the literature and their proposed algorithm on infective endocarditis. Dr. Harty reviews a fascinating case of cecal volvulus that was identified early with the aid of a RUSH exam, while Dr. Liebman walked us through an approach to the patient with inhalation injuries. Finally, Dr. Roblee led an excellent review of SBP. The discussion was full of information you might use on your next shift!
The CBC and the Man Behind the Curtain
It’s been called “the refuge of the intellectually destitute (physician)” by Amal Muttu. The CBC is a much maligned test that is nevertheless one of the the most frequently ordered diagnostic tests in the ED. To truly know how to interpret this test, one must understand its individual components, the possible causes of variations from normal for those components, and how it integrates into the clinical presentation of the patient. Also, it can’t help but to know and understand some of the historical background…
Annals of B-Pod: Dural Venous Sinus Thrombosis
The headache is the simplest and most complex we see on a daily basis in the ED, but it is important to consider, on both ends, how the coagulation cascade can go awry and be a causative source. Dr. Gawron walks us through a patient presenting with an unprovoked and rather discourteous dural venous sinus thrombosis, its natural history, and appropriate emergent evaluation and management.