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Grand Rounds Recap 12.20.23
This week we started off with a riveting M&M presented by Dr. Kletsel, where we discussed massive GI bleeds, renal abscesses, and more. This was followed by a face off for the ages between Drs. Beyde and Bonomo on an uncommon presentation of thyrotoxicosis. Finally, a group of R4s led us through an educational simulation of BRASH syndrome and some informational oral boards style cases.
Troublesome G-Tubes
Replacing gastrostomy tubes that have fallen out or are no longer functioning is a common procedure in the Emergency Department. Often, these replacements are smooth and easy. There are times however when the replacement process can get complicated with the need to dilate quickly stenosing tracts and/or the need to consult a sub specialist to assist with replacement. This post covers the key historical factors to gather on these patients and the basics steps in replacing the tubes.
Troubleshooting Foley Caths and Suprapubic Caths
Placement of a foley catheter is usually a simple process. However when it doesn’t go smoothly, when the foley just won’t seem to pass, there are specific approaches that are needed to successfully catheterize the patient. Suprapubic catheters will also frequently need replacement and troubleshooting in the ED.