This week we start off with Drs Davis and Paulsen in a CPC of an infected thyroglossal duct cyst. We then had two tox presentations on ethylene glycol poisoning as well as a trip through all those poisonous plants you knew once. Drs. Zalesky and Wosiski-Kuhn then take a trip around the latest research in EM!
Read MoreCheck out this week’s MASSIVE recap with Dr. Connelly’s poignant lessons from her time with Sydney HEMS, Dr. Broadstock’s R4 case follow up of HIV myositis, Dr. De Castro’s extensive Vitamin deficient review, Small Groups on task saturation and ITE review and a Palliative Medicine lecture by dual trained Dr. Kiser.
Read MoreThis week in Grand rounds, we had some case reflection from R4 Dr.Zalesky reminding us to avoid anchoring, be aware of our biases for or against patients, and avoid creating a rude work environment. Dr. Moulds and Dr. Goel had a CPC showdown with a case of Cecal Diverticulitis, while Dr. Artiga gave us the low down on Lung Ultrasound in the ED. We wrapped up the day with an R4 lead simulation on a case of Thyrotoxicosis.
Read MoreDuring Grand Rounds this week, we had the pleasure of hosting our Brian Gibler visiting lecturer Dr. John Deleda who Spoke about Henry Ford Hospitals COVID-19 response and the leadership lessons he learned over his career. Dr. Della Porta then gave us the rundown on different blood products and using TEG. We discussed PPROM, Breech delivery, and neonatal resuscitation with Dr. Crawford. The CPC showdown with Dr. Minges and Dr. Brower ended as a case of Hyperleukocystosis and Leukostasis. We ended the day with a talk from our PEM colleagues on inborn errors of metabolism.
Read MoreThis week we had a tour de force of education goodness. We started off with Dr. Mullen presenting Morbidity and Mortality Conference. This was followed with an updated DKA QI/KT protocol developed by Dr. Shaw and Dr. Glenn. More great faculty Core Content was brought by Dr. Irankunda elucidating high pressure injection injuries. We wrapped up the day with some research nuggets with Dr. Freiermuth.
Read MoreThis week we covered everything from swollen bladders to swollen intestines. Take a look at Dr. Wolski’s talk on Acute Urinary Retention. Dr. Wright and Gawron had a CPC Showdown over a case with Myxedema Coma. We wrapped the day up with Dr. Schor giving us the yips talking about Bot Flys, Malaria, Intestinal worms and Parasites!
Read MoreThis week was jam pack in Grand Rounds. We covered best practice tips for POCUS and Cardiac Arrest with Dr. Stolz. Dr. Pensak talked with us about the Emergency Department Implications of the Dobbs v Jackson. We buffed up our teaching skills with Dr. Santen and “Not another Boring Lecture”. Dr. Roche and Wilderness Medicine Faculty taught us how to improvise important medical equipment. To end the day, Dr. Kiser showed us how to better care for and treat the pain of patients with chronic medical conditions.
Read MoreFor Grand Rounds this week We took a deep dive into 2 cases of Pericardial Effusions with our R2 CPC with Dr. Grisoli and our R3 Taming the SRU lecture with Dr. Ferreri. One case ended up being a purulent pericardial effusion while the other was an LV freewall rupture. Dr. Sabedra Expanded our knowledge on how to better care for pregnant and breast feeding patients and how to be a support co-worker to our pregnant and breast feeding colleges. Lastly, Dr. Frankenfeld walked us through some of the data around when patients leave against medical advice, how to try to avoid this, and how to appropriately counsel our patients.
Read MoreAnother great week of Grand Rounds kicked off by Dr. Lex Kimmel’s Morbidity and Mortality Conference touching on Ectopic Pregnancy, Finger Dislocation and DOAC overdose management. Dr. Goff presents a case follow up of a gastritis complication. Firearms are lethal, join Dr. Yates as she discusses how to prep yourself with the data to help our patients. Finally we get specialist lecturers discussing acute management of acute occlusive event management in sickle cell disease.
Read MoreThis week we heard from Dr. Baxter about clinical reasoning and the pendulum of clinical thought one often goes through during residency. Dr. Thompson had a brief Operations update for trauma pages and sepsis. We were pushed to consider our own practice patterns with Dr. LaFollette’s cases of Hyponatremia, Sodium Nitrate and Syncope. The quick hits lecture series made its debut talking about QTc intervals, penetrating neck trauma, and a pneumonia research quick hit. We wrapped up the day with neuroimaging tips from Dr. Knight and understanding the care delivered to incarcerated persons at the Hamilton county justice center with Dr. Srivastava.
Read MoreFirst Grand Rounds of the 2022-2023 Academic Year! Join Dr. Pancioli as he recounts how our program came to fruition as well as challenges that EM continues to find ways to overcome. Dr. McDonough leads a professionalism talk that helps define what keeps us on top of our game and collectively strong in the hospital. Dr. Paulsen gives Admit, Discharge and Transfer case studies to ground our difficult community decisions.
Read MoreCardiogenic Shock can humble the finest of critical care crew. Knowing the physiology and new adjuncts that can be a critical part of resuscitation can salvage the sickest LVs out there. Take a deep dive into cardiogenic shock and Impella support with Dr. Adam Gottula
Read MoreCome and see what the future of ultrasound and HEMS looks like through a year of case based experience with POCUS on Air Care with Dr. Gottula and Dr. Lane and examine what the future could look like bringing ED level care to the patient.
Read MoreDr. Hassani navigates a perilous case of a Calcium Channel Blocker overdose. Review the pathophysiology of this highly morbid ingestion and the evidence behind the available treatments.
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
