Grand Rounds Recap 2.14.24

Grand Rounds Recap 2.14.24

Join us as we recap a very special week of Grand Rounds here at UCEM! We started off with Dr. David Wright, visiting us from Emory University, to discuss the very latest in ICH management and also share his pearls for developing into leaders in our field. Next, we are joined by Dr. Cheetham, a PEM attending and EMS fellow, who reminds us the importance of EMS handoffs and even offers ways we can improve the safety of our patients. Dr. Martella shares how his previous time spent working in fast food industry helped shape him into the dedicated and compassionate physician he is today. Followed by Dr. Lewis educating each of us on how to better recognize and manage acute-onset pulmonary edema in the crashing patient. Lastly, our PEM colleagues from CCHMC stop by to help us better diagnose and manage a child presenting to ED with a limp. This week certainly highlighted the collaborative nature of our speciality and we are beyond grateful for all our colleagues near & far that help make us into better providers!

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Grand Rounds Recap 12.6.23

Grand Rounds Recap 12.6.23

What a great Wednesday at UCEM Grand Rounds! To start off the morning, we had the absolute honor to host NFL Players Association Medical Director Dr. Thom Mayer who guided us through a lesson on leadership via examples in the NFL. We then transitioned to our quarterly EMS grand rounds where we discussed updated Southwest Ohio EMS protocols with EMS fellow Dr. Weekley. Following this, we brought out our competitive sides by participating in a game of sports medicine jeopardy led by Dr. Betz, one of our sports medicine trained faculty members. Dr. Fabiano then gave an insightful capstone lecture on reflecting on what you want to do with your life, particularly outside of our careers. We then transitioned back to the clinical space for Dr. Snyder’s informative lecture on prosthetic valve emergencies. Finally, we wrapped up the day with a quality improvement and knowledge translation lecture about spontaneous intracerebral hemorrhage.

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Grand Rounds Recap 9.27.23

Grand Rounds Recap 9.27.23

It was a stellar week here at UCEM Grand Rounds! We kicked off the day with a lecture from our colleague at CCHMC, Dr. Dean, about management of pediatric airways. We then transitioned to a review of landmark studies in EM, specifically with regards to targeted and systemic thrombolysis for MI, stroke, and PE. We continued our day by discussing evidence based medicine and the implementation of this in the prehospital setting with EMS faculty, Dr. Richards. Next, Drs. de Castro and Thompson faced off in an epic battle of CPC where we covered the diagnosis and management of euglycemic DKA. This was then followed by Dr. Vaughan’s R1 diagnostics and therapeutics lecture on pneumothoracies. Finally, we wrapped up the day with Dr. Gillespie’s R4 capstone lecture.

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Grand Rounds Recap 8.30.23

Grand Rounds Recap 8.30.23

We start off strong this week with EMS grand rounds, where EMS fellow Dr. Klein walks us through potential uses and barriers for using ultrasound in the prehospital setting. We then moved on to our R1 Diagnostic and Therapeutics lecture, where Dr. Segev expertly led us through a discussion on the use of inflammatory markers in the ED including several small group cases. Next, an exciting CPC matchup between Drs. Schor and Stolz who went head to head to discuss a mysterious case of the hiccups. This was followed by Dr. Diaz who gave her R4 Capstone lecture on what her R4s taught her. Finally, we wrapped up the day with an excellent discussion on airway management during our airway grand rounds.

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Grand Rounds Recap 8.31.22

Grand Rounds Recap 8.31.22

This week’s Grand Rounds started with 2 hours of M&M tips with Dr. Broadstock, Small groups followed with Thoracentesis with Dr. Milligan, Lung Ultrasound with Dr. yates and Trach Management with Dr. Gillespie. Functional Movement Disorders with Dr. Eltatawy rounded out a great Grand Rounds!

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Grand Rounds Recap 2.16.2022

Grand Rounds Recap 2.16.2022

In this week’s Grand Rounds, Dr. Li shares his evidence-based savvy on out-of-hospital cardiac arrest and termination of resuscitation, Dr. Freiermuth guides us through implementation science, Dr. Grisoli leads us through a case-based discussion of hemophilia diagnosis and treatment, and Drs. Finney and Jarrell go head to head over a case of Dapsone-induced methemoglobinemia.

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Grand Rounds Recap 12.1.21

Grand Rounds Recap 12.1.21

In this week’s Grand Rounds, Dr. Skinner introduces updates to EMS protocols , Dr. Gressick discusses thrombotic complications in COVID-19, Dr. Hunt shares her tips to avoid burnout in residency, Dr. Sobocinski walks us through nephritic and nephrotic syndromes, Dr. Yates challenges Dr. Hughes to diagnose an infected urachal remnant, and Drs. Broadstock, Comiskey, Kimmel, and Winslow discuss the diagnosis and treatment of uniquely Floridian dangers.

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Grand Rounds Recap 9.1.21

Grand Rounds Recap 9.1.21

Another excellent week of Grand Rounds reflection and learning. Check out the recap here as Dr. Curry shares insights from his work with OH-TF1 on the Surfside Building Collapse, Drs. Kein and Stark provide evidence-based recommendations for management of NSTEMI patients, Dr. Hunt discusses a case of basilar stroke in a patient with SLE, Dr. Milligan challenges Dr. Benoit with a pediatric acute urinary retention case, and Drs. Goff, Ramsey, and Zalesky provide quick hit wisdom in the “There will be blood” edition of the R3 small groups.

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Grand Rounds Recap 5.5.21

Grand Rounds Recap 5.5.21

This week’s Grand Rounds started off with a journal club on various aspects of emergent heart catheterization with Drs. Berger, Roblee and Thode. This was followed by some evidence by Dr. Sams on the evidence and feasibility of proning in the prehospital setting. Dr. Knight gave a case-based lesson in neuroimaging and finally Drs. Gleimer, Shaw and Hughes gave a sim on buproprion overdose and a guest lecturer on Human Trafficking.

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Grand Rounds Recap - EMS Disaster Day 03.31.21

Grand Rounds Recap - EMS Disaster Day 03.31.21

This week highlighted our annual EMS Disaster Day! From decontamination pearls with our guest lecturer Dr. James Augustine, to preparation planning and response with our very own Dr. Mel Otten, to Ebola updates and radiation injuries with Dr. Calhoun, to gun violence with guest lecturer Dr. Brian Springer, there are pearls for all!

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Air Care Series: Accidental Hypothermia

Air Care Series: Accidental Hypothermia

Stuck in the Polar Vortex? Consider this. Hypothermia often requires unique approaches to the traditional management of classic pathology in the critical care transport environment. Take a deep dive into the classifcation and management of patients suffering from accidental hypothermia - from rewarming to cardiac arrest management and ECMO.

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Grand Rounds Recap 11.04.2020

Grand Rounds Recap 11.04.2020

This was a jam packed week that started with an EMS lecture from one our fellows, Dr. Morgan, about community paramedicine and mobile integrated healthcare. Dr. Mand’s case follow up focused on how to cope with grief in the emergency department. Dr. Kletsel gave us a literature based update on treatments of dental infections. Drs. Betz and Goff faced off in a CPC. Finally Drs. Gottula, Jensen, and Lane gave an intense simulation.

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Non-Invasive Estimation of Optimal PEEP

Non-Invasive Estimation of Optimal PEEP

As a general rule, mechanical ventilation of obese patients is more complex and difficult than in those with a normal body habitus. Obese patients have decreased chest wall compliance due to increased truncal adiposity, amongst other factors. They are also predisposed to other comorbidities that can lead to more involved physiologic challenges.

Critical Care Transport teams commonly transport patients who are intubated and mechanically ventilated. These patients are intubated for a variety of reasons, from altered mental status to hypercapnea to hypoxia. One of the more common challenges we face in our patients who are mechanically ventilated is difficulty with oxygenation – whether the patient is suffering primary or secondary hypoxemic respiratory failure.

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Grand Rounds Recap 09.16.20

Grand Rounds Recap 09.16.20

Join us as we explore our EMS Grand Rounds with Dr. Gray, discussion of pain management in pediatrics with Dr. Bryant, and the evidence-based approach to pericarditis treatment with Drs. Stevens and Jensen. Drs. Chuko and LaFollette then go head-to-head in our beloved CPC, Dr. Martella takes us through the diagnosis and management of myasthenia gravis, and Dr. Berger outlines the importance of taking care of our critically ill patients with humanity and kindness in his R3 Taming the SRU lecture. Lastly, Dr. Gottula wraps up with a discussion on how to excel at the little things during his R4 Capstone.

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