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Grand Rounds Recap 3.16.22
In this week’s Grand Rounds, Dr. Carleton reviews our new and old airway equipment and describes best approaches for ETT exchange, Dr. Laurence shares insight on creative approaches to asking questions, appreciative inquiry, and questioning barriers for patients, Dr. Glenn discusses atypical headache etiologies including IIH, giant cell arteritis, acute angle closure glaucoma, and trigeminal neuralgia, Drs. Kein and Adan match wits in a CPC case of digoxin toxicity, and our PEM colleagues take us through a case of a critically ill infant with a ductal dependent lesion.
Atypical Headaches
Headaches account for approximately 4 million, nearly 3% of all ED visits annually. [1] We classify headaches as either primary (benign) or secondary, with secondary headaches occurring due to underlying pathology. In the ED, the goal is to alleviate symptoms safely and effectively while excluding dangerous causes of headaches. While nearly 98% of headaches in the ED are primary or benign [2], ruling out secondary causes of headaches is imperative as failing to diagnose correctly may result in significant morbidity or mortality.
Grand Rounds Recap 3.9.22
In this week’s Grand Rounds, Dr. Gibler Visiting Professor and UCEM Alum, Dr. Chris Miller, shares his insight on emergency medicine leadership development and our role in healthcare’s evolution, Drs. Tillotson and Yates guide us through their evidence-based QI/KT protocol for hypertension evaluation and management in the ED, Dr. Sobocinski discusses the pathophysiology, presentation, and management of PRES and RCVS, and Dr. Wolochatiuk shares lessons learned and approach to bias in medicine during her R4 Capstone.