Grand Rounds
Our weekly case conference is the cornerstone of resident didactic education for the training program. The time is spent with both resident and attending-led didactic lectures, simulations, case presentations, and small group discussions. Here you will find the most recent #EMConf Recaps as well as other helpful resources.
The Levy Cup
The Levy Cup is a day of Grand Rounds competition consisting of procedural relays, simulation, visual diagnosis, oral boards, and more! Congrats to all the contestants and especially the winning team!
Check out content from other #EMConf Residencies
Grand Rounds Recaps and Other GR Content on TamingtheSRU
Join us as we recap another excellent week of Grand Rounds. We start with the final installment of our leadership curriculum, where Drs. Hill and LaFollette guide us through the dreaded task of self-promotion. We join Dr. Stark on a moment of self-reflection and growth following a particularly difficult patient case. We are transported into the SRU as Dr. Wright presents the evidence for how we should approach traumatic cardiac arrests in the resus bay. Dr. Adan shares his airway expertise and provides helpful tips/tricks for overcoming the feared anterior airway. Lastly, our colleagues from pharmacy drop by to discuss some relevant updates- including reasons why you should think twice before ordering a urine culture in the ED.
We started off this Wednesday with the crowd favorite M&M by Dr. Kletsel covering fantastic learning cases. This was followed by an expert discussion of neuromuscular weakness by Dr. Onuzuruike, and a quick hit EKG lecture by Dr. Urbanowicz on EKG artifacts. We wrapped up this day of discussion with our social emergency medicine grand rounds and our quarterly Landmark Studies of EM focusing on critical care.
Welcome to Disaster Day! UCEM learned about a broad range of topics today from active shooter incidents, climate change and how it affects our approach to disaster medicine, and mass casualty preparedness.
Sepsis is a leading cause of mortality for hospitalized patient’s both worldwide and in the United States. The surviving sepsis guidelines weakly recommend invasive arterial blood pressure monitoring (IABP) over noninvasive blood pressure monitoring (NIBP) with a blood pressure cuff supported by low quality evidence.(1) Data comparing the accuracy between IABP and NIBP measurements are limited. The largest analysis of 736 critically ill patients found a mean difference of 1 mmHg which was not statistically significant, however, there was only one measurement recorded per patient.(2) Arterial lines have several drawbacks compared with non-invasive methods such as: training requirements for caregivers, potential for pain and increased pain medications, limitation of participation in physical therapy, risk of digital ischemia, and risk of iatrogenic infection.(3) In this journal club recap, we analyze an article looking at the relationship between invasive arterial line blood pressure readings and non-invasive cuff measurements.
Recap another week of Grands Rounds with us! Dr. Gabor helps us confidently navigate the medical emergencies in patients with a transplanted organ. Next up, Dr. Kein talks about the difficulty of navigating grief while completing residency training. Dr. Hill introduces use to research topics in the field of medical education. Our faculty who trained at other institutions, Drs. Adan and Lang, highlight different regional practice pattern variations and the evidence behind them. Meanwhile, Dr. Roche helps us learn how to better care for our female patients in the community. Lastly, we wrapped up with a joint lecture with the Cincinnati Children’s PEM program to learn out handling pediatric foreign bodies in the ED.