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Grand Rounds Recap 10.17.18
This week we started off with Drs. Gleimer and Koehler running through the new ‘early, often and subQ’ QI/KT protocol for Sickle Cell Disease. Dr. LaFollette then discuss the oft-ignored complaint of hemorrhoids and peri-anal abscesses. We got snapshots from resident attendees of ACEP and Dr. Continenza discussed a case of postpartum hemorrhage resuscitation.
Grand Rounds Recap - 11/5/14
Background of the simulation: eclamptic seizure leading to cardiac arrest
- Eclampsia should be high on the DDx of seizure for women of child bearing age without past history of seizures
- Eclampsia typically follows the 1/3 rule: 1/3 occur after 20 weeks gestation, 1/3 occur antepartum, and 1/3 occur postpartum (up to 4 weeks)
- Be aggressive about seizure management with benzodiazepines and use magnesium (4-6g MgSO4 IV over 10 minutes, followed by a drip for neuroprotection)
- Follow magnesium levels clinical using reflexes and respiratory rate