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Grand Rounds Recap 1.31.24
We had a jam packed grand rounds this week, which started off with a simulation and ultrasound demonstration from our AirCare team. Next Dr. Vaughan took us through the dermatologic emergencies we cannot miss, and Dr. Ferreri discussed why every decompensated patient should receive an sonographic waves for assessment. We continued with our third installment of Landmark Studies of EM, covering the important papers on traumatic resuscitations. Finally, Dr. Bryant took us through a global health inspired case and Dr. Otten taught us about the medications that can be toxic to pediatrics in small doses.
Grand Rounds Summary 8/5
Taming the SRU Case Follow-Up: GSW to the Head with Dr. Grosso
- In one census: 66% of violent deaths are suicide, with 30k suicide deaths annually in the US
- ~50% of suicide attempts include firearms
- GSW to head mortality is 80%, and 71% die on scene
- ~40% of those who survive to hospital have favorable outcomes
- Favorable prognosis: GCS>8, normal pupillary reaction, absence of coagulopathy of trauma/hemodynamic instability