Ultrasound of the Month: Radial Pseudoaneurysm
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Abscess? Cyst? Hematoma? Join Dr. Tillotson and review the unique images obtained that led to a diagnosis of a radial pseudoaneurysm!
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Grand Rounds Recap 1.11.23
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Join us for our 1.11.23 Recap with Dr. Wolski covering caustic skin injuries, Dr Shaw taking on Dr. Hughes with a CPC case of trophoblastic disease with thyrotoxicosis and finally peds sim cases with our CCHMC PEM colleagues
Read MoreCTs for SAH - Does Time Even Matter?
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Spontaneous subarachnoid hemorrhage (SAH) is a can’t miss diagnosis for patients presenting to the emergency department with a headache. The diagnosis is associated with a 30% mortality at 30 days, and approximately 30% of survivors may have long-term neurocognitive deficits (Rincon et al., 2013). The majority of spontaneous SAH are secondary to a ruptured arterial aneurysm (80%) while non-aneurysmal SAH are often due to low pressure venous bleeds, arteriovenous malformations, and other more rare causes. This post will recap the existing literature on the diagnosis of aSAH and will focus on breaking down a recently published paper by Vincent, et al which may inform our future practice.
Read MoreCaustic Skin Injuries
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Chemical burns are also an evolving pathology, with thousands of new chemicals added to the market each year (4). Since 2000, both assault and warfare with chemical weapons have increased, although these pathologies vary based on practice location (1). For instance, chemical burns can comprise up to 14% of burns in the developing world, compared to 3% in the US and Europe (2, 5). It is therefore important to understand your local chemical burn patterns, in much the same way providers learn local patterns of antibiotic resistance.
Read MoreGrand Rounds Recap 1.4.2023
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Join us this week as we cover Morbidity and Mortality report cases with Dr. Broadstock, a discussion of law enforcement in the ED with Dr. Crawford, brainstem stroke syndromes with Dr. Arnold, and Air Care grand rounds with Drs. Goff and Winslow.
Read MoreGrand Rounds Recap 12.14.22
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This week, we reviewed new EMS protocols, learned about rare pathologies like tumor lysis syndrome and anterior cord syndrome, simulated a case of an aortic dissection, and practiced visual diagnoses in pediatric patients.
Read MoreGrand Rounds Recap 12.21.22
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This week, we reviewed some ENT pearls, discussed the differential diagnosis of bilateral upper extremity weakness in a fantastic CPC case, discussed paraneoplastic syndromes, and held a hands on airway workshop.
Read MoreUltrasound of the Month: LV Aneurysm
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Not all persistent chest pain is the same - join Dr. Sobocinski on a complex cardiac patient and the ultrasound images that defined her left ventricular aneurysm
Read MoreDiagnostics - Paraneoplastic Syndromes
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Join Dr. Beyde as he examines three common complications of paraneoplastic syndromes - hypercalcemia of malignancy, SIADH and LEMS. Join us for learning or a just-in-time infographic refresher!
Read MoreGrand Rounds Recap 12.7.22
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This week, we had two phenomenal guest lecturers, held Airway Grand Rounds, reviewed pediatric burns, and heard about how point of care ultrasound can change practice in the emergency department.
Read MoreGrand Rounds Recap 11.30.22
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This week, we were joined by Dr. Gorgas from OSU to discuss ethics in global health, heard about evidence-based medicine from Dr. Zalesky, used gamification to review winter topics with Drs. Wosiski, Diaz, and Stark, and held our M&M conference.
Read MoreGrand Rounds Recap 11.16.22
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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.
Read MoreWhat Drip to Use After the Drop - Post-Cardiac Arrest Hypotension
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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?
Read MoreAnnals of B Pod: Aspergilloma
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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.
Read MoreGrand Rounds Recap 11.9.22
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This week, we heard about a case of HELLP syndrome on AirCare from Dr. Comiskey, learned about acute liver failure with Dr. de Castro, practiced hands-on ultrasound skills including superior cervical plexus block, TEE, and DVT US with Drs. Baez, Frederick, and Minges, and reviewed NRP with Dr. Vinet
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