Tamingthesru
Riding the Waves: End-Tidal CO2 Monitoring
End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. Whether used diagnostically or for monitoring of a patient’s physiology, clinicians must possess an understanding of the information that you can gather from EtCO2 waveform tracings. Knowing how to interpret the waveforms makes EtCO2 much more than a number, allowing the clinician to gain insight into minute to minute changes in a patients physiological state.
Grand Rounds Recap 6.21.23
This week’s grand rounds starts off strong with the last Morbidity and Mortality of the year presented by Dr. Zalesky. This included multiple stimulating cases including meningitis, procedural safety, acute aortic syndromes, hemophilia, electrical storm, and euglycemic DKA. Finally, we wrap up the day with a lecture on the science behind wellness with Dr. Martella.
Grand Rounds Recap 6.7.23
This week Dr. Diaz starts off with a challenging case of massive upper GI bleed managed with balloon tamponade. We then moved into a case follow-up with profound electrical storm and recurrent ventricular arrhythmias secondary to a STEMI. Following this, we took a deep dive into waveform capnography regarding normal physiology and alterations with lung pathology with Dr. Wilson. Next, we had an exciting CPC showdown where Dr. Bryant successfully diagnosed Dr. Haffner’s case of valproic acid toxicity presenting with hyperammonemic encephalopathy. We closed with Dr. Wosiski-Kuhn outlining the difficulty of intubation in a patient with DKA and severe metabolic acidosis.