Grand Rounds Recap 9.12.18

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Grand Rounds Recap 9.12.18

This week of grand rounds began with an evidence based algorithm for COPD management in the ED with Drs. Lane and Hall. Dr. Faryar then led us through a discussion on various common hand injuries. Dr. Fermann guided us through the management of a feared patient presentation: patients with atrial fibrillation and heart failure. The day continued with Dr. Banning’s Taming the SRU lecture about a case she had of a seizing pregnant patient. Dr. Frederick then gave us an overview of toxic alcohols. The day ended with a pediatric trauma simulation and several pediatric oral boards cases.

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Grand Rounds Recap 8.15.18

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Grand Rounds Recap 8.15.18

The week started off with a discussion on research and ways to get involved during residency. We then got a primer on early pregnancy ultrasound and ectopic pregnancy from Dr. Stolz. Our yearly directives series covered personal finance/loans as well as the job search and contract negotiation. Dr. Stettler then gave us some pearls on how to manage the agitated patient. This was followed by Dr. Plash who discussed the removal of GI foreign bodies. We then ended with a visiting lecturer, Michigan Program Director Dr. Laura Hopson, who covered bedside teaching tips and tricks.

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The Shocked Intubation: Definitive Airway Sans Hypotension

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The Shocked Intubation: Definitive Airway Sans Hypotension

Not many aspects of Emergency Medicine define our specialty better than resuscitation, and few concepts exemplify resuscitation better than shock and intubation.  Yet few words together strike greater fear in the minds of savvy resuscitationists.  Not because we cannot deftly manage shock, or because we are anything but hardy intubators, but because the swiftest way to transform a living patient into a dying patient or a dying patient into a dead patient is to brazenly intubate someone who is in shock.  What are the root causes of endotracheal intubation's (ETI) hemodynamic effects and, most importantly, how do we circumnavigate them?  Read on to learn how to safely intubate the patient in shock…

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Air Care Orientation Case #4

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Air Care Orientation Case #4

May brought the fourth case of our Air Care Flight Physician Orientation Case Series with the goal of preparing our first year residents for their roles as Flight Physicians. This is a monthly series that will continue through the R1’s Flight Physician Orientation Day in June. First year residents discuss the case and its associated questions on our internal asynchronous learning forum, Slack.  This month, a case of sepsis.  Should we just transfer the patient as quickly as possible, or are there other things we should do first?  Read on to find out!

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AirCare Series: Pre-Hospital Ultrasound

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AirCare Series: Pre-Hospital Ultrasound

This month's AirCare Series post is the first podcast in the series!  In this podcast one of our current interns, Adam Gottula, interviews a graduate of our program, Andrew Latimer.  Dr. Latimer is currently a Senior EMS Fellow at the University of Washington.  In this interview, Dr. Latimer discusses how they use pre-hospital ultrasound at his flight program as well as his thoughts on the future applications of this technology. 

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Air Care Orientation Case #3

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Air Care Orientation Case #3

April brought the third case of our Air Care Flight Physician Orientation Case Series with the goal of preparing our first year residents for their roles as Flight Physicians. This is a monthly series that will continue through the R1’s Flight Physician Orientation Day in June. First year residents discuss the case and its associated questions on our internal asynchronous learning forum, Slack. This month, a case of STEMI, seemingly simple, right… but what happens next?

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AirCare Series: Resuscitative Hysterotomy

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AirCare Series: Resuscitative Hysterotomy

Air Care Series is back!  This time with one of the most feared procedures in pre-hospital medicine: the Resuscitative Hysterotomy (aka peri-mortem c-section).  Pregnant patients scare us, but coding pregnant patients scare us even more.  Read on to learn not only when to perform this procedure, but how to perform it properly and safely.  

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Air Care Orientation Case #2

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Air Care Orientation Case #2

This is Case #2 of our Air Care Orientation Curriculum!  This curriculum is designed to help prepare our rising R2's for their new responsibility as flight physicians.  These cases are discussed amongst our training flight docs and this is the resultant learning points.  In this case, we discuss a critical patient with a head injury.  What interventions need to be performed?  In what order?  Who should do them?  Read on to find out.

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Air Care Orientation Case #1

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Air Care Orientation Case #1

This is Case #1 of our Air Care Orientation Curriculum!  This curriculum is designed to help prepare our rising R2's for their new responsibility as flight physicians.  These cases are discussed amongst our training flight docs and this is the resultant learning points.  In this case, we discuss a sick trauma patient that needs multiple interventions.  But what interventions need to be done?  In what order?  And who should do them?  Read on to find out!

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Minor Care Series: Corneal Abrasions

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Minor Care Series: Corneal Abrasions

Minor Care series is back with more from the red eye!  We've already covered conjunctivitis and scleritis, now for another high yield topic: Corneal Abrasions!  Everyone seems to have their own way of treating these patients, but is it evidence based?  Read on to find out what the literature says about this common complaint.  

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