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Grand Rounds Recap 11.16.22
This week features an R4 Capstone on “Leading from the Front” with Dr. Ijaz, and overview of thoracic outlet syndrome with Dr. Stothers, two incredible lectures from Dr. Gita Pensa on Litigation Stress and Trial vs. Settlement, and Air Care Grand Rounds with a focus on impella and ECMO transports.
What Drip to Use After the Drop - Post-Cardiac Arrest Hypotension
During a cardiac arrest resuscitation, finally palpating a pulsatile flow beneath your gloved fingertips brings a sense of satisfaction like no other. But just as you go to finally breathe a sigh of relief and wipe the beading sweat off your brow, your now widening pupils focus on the patient’s steadily plummeting blood pressure. As you begin to sense your own heart palpitating, you think about medications to utilize in hopes of staving off another round of chest compressions. Since you’ve already given four doses of code-dose epinephrine, maybe an epinephrine infusion is best? You also recall that norepinephrine seems to be a popular choice in patients with shock, so maybe you should start that instead?
Annals of B Pod: Aspergilloma
Former rotating medical student Matthew Mannion describes the case of hemoptysis in an immunocompromised patient that turned out to be a great ball of fungus: aspergilloma.
Education Spotlight
Refresh your facial regional anesthesia with these blocks