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Is Old Age a Reason to Scan a Cervical Spine?
Many clinical decision rules exclude elderly patients from the derivation cohorts. So the question remains unanswered do all elderly patients need cervical spine CTs in the setting of trauma? What if they have no symptoms? This recap of a journal club article explores the incidence of significant cervical spine fractures in elderly patients.
Diagnostics: Flex your D Dimer
In times of COVID, a Dimer of 3000 is nothing to look twice about, however there was an earlier (and future) time where the D Dimer is the hallmark of pulmonary embolism risk stratification. Dr. Comiskey breaks how how this once dichotomous tool has recent data to increase its specificity in elderly patients, pregnant patients and those with low pretest risk factors. Take a look, and when this whole pandemic is over your quiver will be fuller of Dimer tips.
Grand Rounds Recap 8.2.17
This week was filled with lots of high yield quick hit Grand Rounds sessions. Dr. Stolz kicked it off with her first official lecture as UC EM's Ultrasound Director with a talk on how to use ultrasound in resuscitation of the shock patient. Next Dr. Knight went over some procedural complications and then switched gears to pearls on how to give a stellar lecture. Dr. Lagasse walked us through a case of ascending cholangitis followed by Drs. Colmer, Soria and Continenza who led small groups focused on care of the geriatric patient. Dr. Toth followed with management of eye complaints in the community and Dr. Shaw wrapped things up with an update on the opioid epidemic in Ohio.