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Grand Rounds Recap 6.28.23
For our first grand rounds of the academic year, Dr. Paulsen challenged us with her Admit/Discharge/Transfer lecture which made us ponder the disposition of several difficult cases. This was followed by a case-based and interactive discussion on how to break bad news to patients in the ED by Dr. McDonough. Last but not certainly not least, our Department Chair Dr. Pancioli took us through the past, present, and future of EM, it’s triumphs, and potential threats to the way we practice.
Hunting for Invasive Bacterial Illness in Infants with a Positive UA
The workup of febrile infants (<60 days) can be extensive and invasive. This post and podcast covers a recent paper by the PECARN research group that sought an answer to the question: What is the prevalence of bacteremia and/or bacterial meningitis (“invasive bacterial illness”, ISI) in febrile infants ≤60 days of age with a positive urinalysis (UA) result?
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.