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Grand Rounds Recap 12.18.19
Dr. Ham led off this week’s Grand Rounds reviewing cases from the month of November for our monthly Morbidity and Mortality conference. Dr. Chuko then led us through a deep dive on the diagnosis and treatment of male genitourinary disorders and was followed by Dr. Frankenfeld who led our small group discussion on STEMI equivalents. A battle of minds ensued between Dr. Gawron and Dr. Betz of an interesting case of traumatic rhabdomyolysis. Finally, Dr. Crook reviewed all of the latest important changes to the southwest Ohio EMS protocol.
STEMIs in Disguise
The 2013 ACC/AHA STEMI guidelines outline, with specific age and gender-related cutoffs for ST segment elevation in certain leads. While these are clinically important, there are several STEMI equivalents or EKG patterns that do not meet these criteria but should point the practitioner to consult with an interventional cardiologist. These STEMI equivalents are found in 10-25% of cases of coronary occlusion, making it imperative that emergency personnel be familiar with these patterns.
Grand Rounds Recap 12.11.19
This week in grand rounds started off with Dr. Humphries reviewing the evidence of various interventions in traumatic cardiac arrest and providing a clear algorithm to follow in patients who suffer blunt traumatic cardiac arrest. We then had an in depth discussion on the approach to the encephalopathic patient in the Emergency Department. Dr. Bryant then presented some interesting cases that she had on her most recent trip to Guyana, followed by Dr. Ramsey’s in depth review of the emergent complications of acute leukemia. We finished off the day with our pediatric Emergency Medicine colleagues who led us through a simulation and oral boards cases.