Grand Rounds Recap 8.23.17

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Grand Rounds Recap 8.23.17

Dr. Carleton started things off with a review of oral fiberoptic intubation and a step by step guide to trach recanalization. Next we headed off to EM-Neuro combined conference where Dr. Neel discussed headaches that kill, headaches that maim and headaches that annoy. Dr. Thompson walked us through a case of vertebral artery dissection and Dr. Liebman kicked off our wellness curriculum. Dr. Roche finished things up with a discussion the nuances of toxicology in the community. 

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Airways, like Martinis, are Best "Dry"

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Airways, like Martinis, are Best "Dry"

Have you ever looked down the blade of a laryngoscope and said to yourself, “Damn!  This airway is just too dry!”  I thought not.  Rather, we often look down the blade into a mucky swamp of secretions that drip from the pharyngeal walls like drool from a big, sloppy dog, and often obscure familiar landmarks and goop-up our optical and video adjuncts.  Is there no solution?  There is!  Let us review an illustrative case...

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Protect Me! "Flights" #4 Recap

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Protect Me! "Flights" #4 Recap

Welcome to the Final Recap of our “Flights” Case Series!

Thanks to all those who participated in the discussion and to those who tuned into the “Flights” cases throughout the spring and summer.  The final "Flights" cases centered in on several challenging airway scenarios.  Penetrating neck trauma with a tracheal injury; GSW to the face with significantly altered anatomy; and a tracheostomy displaced and a patient with critical hypoxia - airway management in the field requires a nimble mind and knowledge of one's own equipment.  Take a look at our thoughts on the cases and see what you might do in similar situations.

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Grand Rounds Recap - 6/15/16

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Grand Rounds Recap - 6/15/16

This week the airway guru Dr. Steve Carleton outlines trends in airway management and makes a compelling case for keeping blind nasotracheal intubation in the toolkit of your aircraft. Dr. Plash gives us a difficult case of LVAD complications. Dr. Lagasse discusses acute aortic complications and Drs. Thompson and Gorder discuss their protocol for post-ROSC care.

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Grand Rounds Summary 3/9/2016

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Grand Rounds Summary 3/9/2016

Back Pain with Dr. Summers

Of the more than 2.5 million ED cases of back pain every year, roughly 5% of these actually have an emergent cause. Conventional red flags include:

  • Age >50 or <20 yo
  • History of cancer
  • Immunocompromised
  • HIV
  • Steroid use
  • IV Drug Use
  • Known aortic aneurysm
  • Motor neurologic deficit
  • Urinary retention, bowel incontinence, or saddle anesthesia
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