Dr. Ventura discusses the value of head CT and risk factors of CNS complications in HIV. Dr. Goel discussing the cognitive biases that drive decision making in EM. Dr. Stettler taught us that framing feedback can be as important as giving it and finally our CCHMC colleagues run through some difficult tox and airway cases. Plenty of learning to go around this week!
Read MoreThis week Airway Guru Dr. Carleton walks through the perils of peri-intubation hemodynamic instability, and how we can use changes in pre-oxygenation and induction methods to reduce the chance of intubation M&M. Afterwards, Dr. Riddle covers terminology, dogma and how to care of our LGBT patients.
Read MoreThis week Dr. Axelson took us through great DKA in pregnancy, hyponatremia tips, and prioritization in UGIB in this month's M&M. Critical Care bound Dr. Renne laid out some intra-arrest tips and Dr. Brown from Cincinnati Children's talked about Adult Congenital Heart Disease. Small groups covered everything from ACLS logistics to shoulder US to Minnesota tube insertion.
Read MoreThis week, Dr. Carleton talks logistics, tips and tricks of lower extremity regional anesthesia. We had a sim on the challenges of afib control in the hypotensive patient, reviewed rare trauma populations in oral boards and Dr Richardson discussed hospice and palliative care in the ED.
Read MoreThis week's Grand Rounds welcomed Dr. James Hoekstra to discuss changes in the Emergency Medicine landscape and hospital reforms. Dr. Colmer discussed difficult to control pulmonary injuries and Dr. Habib reviewed the differential of a child with a limp.
Read MoreThis week in the Grand Rounds Recap, Dr. Richardson gives us the quick and dirty of constipation, Drs Jarrell and Kircher discuss cases of laboratory study interpretation in liver disease. In addition, Dr. Carleton reviews the anatomy of femoral nerve blocks and Dr. Klasky discusses how we should be approaching non-hemorrhagic anemia in the ED.
Read MoreThis week we got put in the hot seat with oral boards on AAA rupture, SVT and eclampsia, a simulation with end-of-life discussions, a critical beta blocker overdose from Dr. Lagasse and some Peds EM tips on conscious sedation from Cincinnati Children's PEM Fellow Dr. Lee. Click to check out more highlights from this week's Grand Rounds!
Read MoreWe had another great week at Grand Rounds to wrap up the month of October. Dr. Betham ran the gamut of medical knowledge in her M&M, teaching us from organophosphate poisoning to rhabdomyolysis. Drs. Merriam and Curry battled in a CPC about submassive and massive PE. Dr. Shewakramani taught us about all things dental and Dr. Scupp brought it home with his soapbox about the importance of balance in IV fluid resuscitation.
Read MoreWe’re back again this week to discuss more about the initial approach to the MVC patient in B-pod. Last week we discussed occult bowel injury in the setting of blunt abdominal trauma. In the second episode of this topic, Dr. Powell also highlights the importance of an appropriate pain medication selection upon discharge from the emergency department, citing the importance to consciously avoid cavalier prescription of potentially habit-forming pain medications. But what kind of risk is involved when we send patients home with opioid prescriptions? Are they destined to seek out more?
Read MoreCertain pathology gets a lot of attention in medical school. Stroke? Sure! Tests love asking about which vessel is blocked based on clues from the physical exam. And rightly so; a fund of medical knowledge is certainly valuable when it comes to identifying pathology such as this. However, when faced with a problem like blunt trauma, i.e. the “MVC”, one may find that there are also many practical and logistical factors that require bedside experience, ranging from marshaling of resources to reconciling patient presentation with reported mechanism of injury...
Read MoreThis week we had a special visit from Dr. Darren Braude from the University of New Mexico Department of Emergency Medicine to speak on special topics in airway management. He introduced us to the idea of Rapid Sequence Airway (RSA) and other novel thoughts on extraglottic devices. We then had a chance to dive in to our regularly scheduled program with topics ranging from tuberculosis to ED operations to complex febrile seizure. Enjoy!
Read MoreBurns, bubbling airways and bradycardic arrests: all part of this week's grand rounds that brought plenty of knowledge our way. This week we heard from Dr. Dale, burn surgeon, about the latest in burn management. Dr. Carleton ran through some of his hardest airway cases for an infallable mental model of intubation. Our R3s gave a practical session on transvenous pacer placement and Dr Kircher gave us his clinical soapbox of pneumonia management.
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.
