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Grand Rounds Recap 03.13.24
Another great week of Grand Rounds! We started with optimizing our wet reads on MSK xrays then moved into a victorious CPC win in the diagnosis of giant cell artertitis with a patient presenting with CN VI palsy and diplopia. We then discussed the tips and tricks for hernia reduction before hearing a moving story of a harrowing AirCare transport for ECMO cannulation. We moved into R3 small groups covering obstetrics and labor from mother to newborn and finished off with our pediatrics team visiting to discuss emergent cardiac conditions.
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.
The Lever Test for Diagnosing ACL Injuries
The anterior cruciate ligament (ACL) is one of the most commonly injured knee ligaments, with nearly 200,000 injuries annually in the US, with ~100,000 requiring reconstruction. The ACL prevents anterior translation of the tibia relative to the femur and is a secondary restraint to tibial and varus/valgus rotation. Accurately diagnosing ACL injuries in the ED after an acute knee injury remains difficult. The diagnosis is complicated because clinical tests are performed on an acutely injured knee, which is likely swollen and painful, leading to muscle contractures and patient apprehension. As Emergency Medicine physicians, we must have some confidence in suspicion of an ACL tear because not all patients can or should be referred for prompt orthopedic follow-up.