This week’s Grand Rounds started with a great Airway Grand Rounds lecture by Dr. Carleton. Dr. Frankenfeld led a discussion on face and mouth infections followed by Dr. Li’s Taming the SRU lecture on loperamide overdose. We had a great lecture by Dr. Thompson about healthcare change methodology. The week wrapped up with pediatric simulation focusing on ultrasound.
Read MoreAfter a brief hiatus we returned to grand rounds this week and started off with an in depth discussion on common overdoses and treatments in the ED with our guest lecturer and expert toxicologist Dr. Gillian Beauchamp. We then got some hands on time with the new hand held ultrasound machines that are now available on Air Care as well as reviewed pre-hospital management of traumatic pneumothoaces with Dr. Humphries. Finally, airway guru Dr. Carleton took us on a deep dive on airway management in angioedema.
Read MoreDrs. Winslow and Habib started the Grand Rounds off with a case-based discussion on the Centor Criteria and testing for strep pharyngitis. Drs. Walsh and Sabedra led an interesting discussion about a case of TTP. In his R4 Case Follow Up lecture, Dr. Nagle presented about DKA and family presence during resuscitation. Dr. Hogan, one of the EMS Fellows, gave a great presentation about the current controversies in cardiac arrest management. Finally, the week wrapped up with some great simulation and cases from our PEM fellows about post T&A bleeds, PTA, and acute chest syndrome.
Read MoreThis week in grand rounds we started off reviewing the importance of matching the minute ventilation post intubation with airway master Dr. Carleton. We also reviewed salicylate overdose treatment with Dr. Owens as well as common and life threatening SCUBA emergencies with Dr. Comiskey. Finally, we finished the week off with a severe calcium channel blocker overdose and reviewed the treatment strategies to combat this extremely deadly overdose.
Read MoreWe had a great week in Grand Rounds. The first lecture included a debate about the use of rocuronium or succinylcholine in paralysis for intubation by Drs. Lang and Plash. Drs. Ryan and Moellman led a thrilling discussion through some of their most interesting and thought provoking cases of their careers. Pharmacists Nicole Harger and Paige Gaber then discussed updates in pharmacy, specifically the use of droperidol and anticoagulation reversal in the emergency department. We learned about cognitive biases and clinical decision making from Dr. Hill. The day wrapped up with Dr. Knight showcasing the NIH stroke scale with Dr. Foreman.
Read MoreWe hope you enjoy this week’s Grand Rounds Recap from 6.05.2019. We started the day with a talk on how to master the extraglottic device during Airway Grand Rounds with Dr. Carleton. Next, Dr. Liebman talked about error reduction in Airway Management with the use of checklists. Dr. Shaw then presented a fascinating case of Guillain-Barre Syndrome. Dr. Walsh shared some pearls as to how to utilize the Sgarbossa Criteria. Lastly, we were honored to have Dr. Dunlop talk to us about trauma in the developing world during Global Health Grand Rounds.
Read MoreFrom surgical airways to the undifferentiated shock patient, this week’s Grand Rounds was packed full of clinical pearls. Dr. Carleton started with a discussion of a tachycardia-inducing failed airway requiring cricothyrotomy. Drs. Jensen and Makinen presented a very detailed review of the literature and their proposed algorithm on infective endocarditis. Dr. Harty reviews a fascinating case of cecal volvulus that was identified early with the aid of a RUSH exam, while Dr. Liebman walked us through an approach to the patient with inhalation injuries. Finally, Dr. Roblee led an excellent review of SBP. The discussion was full of information you might use on your next shift!
Read MoreWe had an excellent series of lectures this week at our Grand Rounds to welcome in the New Year! The esteemed Drs. Calhoun and Stettler started us off with our Great Debate series pitting Ketofol against Ketamine or Propofol alone for procedural sedation. The winner of this debate? Definitely the audience who got to soak up the expertise from these clinical giants. Next up was Dr. Leenellett who guided us through some community ED cases of early pregnancy vaginal bleeding in our Discharge, Transfer, or Treat lecture series. Dr. Laurence then led us through a small group case based discussion on the indications for massive transfusions in trauma. Then a hush fell over the crowd as Dr. Iparraguierre laid down the CPC gauntlet with a presentation of Myasthenia Gravis for Dr. LaFollete who masterfully identified the Ice Pack Test as the diagnostic test of choice! Next up was Dr. Colmer who gave some tips for the management of severe alcohol withdrawal with his case follow-up lecture. There was no knocking this knowledge train off the tracks as Dr. Urbanowicz led us through a harrowing discussion on Weapons of Mass Destruction. To round out the day Drs. Klaszky, Gauger, and Murphy Crews led us through some small group exercises on the NIH stroke scale, CT angiography of the head and neck interpretation, neurological emergencies jeopardy, and indications for performing a burr hole with some hands on practice (simulation of course!).
Read MoreWe had a great Grand Rounds line-up this week - Dr. Whitford started us off with a challenging case of altered mental status that took a variety of twists and turns highlighting the need for reassessment flexibility in your differential diagnosis in the critically ill patient. Next up was Dr. Koehler and Dr. Betz who led us through a case of septic arthritis which presented atypically as altered mental status. Dr. Edmunds then provided us with emergency presentations of pediatric vomiting. Lastly, we closed the day with Dr. Roblee’s excellent case-based discussion on the evaluation and management of hypertension in pregnancy.
Read MoreFrom epi drips to peds fracture tips, it was an eventful Grand Rounds. We began with a debate on the utility and method of epinephrine during cardiac arrest. Dr. Murphy then discussed hemodialysis access complications followed by Dr. Palmer’s operations update. Dr. Shah led a discussion on the recognition and management of pediatric fractures. We concluded by covering a variety of other pediatric topics during the R3 small group session. Take a look!
Read MoreThis weeks grand rounds started off with our combined Emergency Medicine and Neurology conference where Dr. Walsh provided us a summary of the current evidence surrounding ICH expansion and reversal of Warfarin and DOACs. This was followed by Dr. Summers who provided suggestions on how we can be more efficient providers in the ED. Dr. Irankunda then presented on the often missed diagnosis of abdominal compartment syndrome. Next up was Dr. Lang who summarized the current evidence for the various available modalities commonly used in treating back pain. Dr. Golden then finished the day with a couple of cases highlighting the challenges in managing the critically ill patient who presents with penetrating neck injuries.
Read MoreThis 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.
Read MoreThis weeks grand rounds started off with a discussion on the utility of the bougie in airway management by Dr. Carleton. This was followed by Dr. Kiser and Dr. Gensic who led us through a case-based discussion on complex laceration repairs encountered in the community ED setting. Dr. Neth then presented the evidence behind the use of epinephrine and mechanical CPR in out of hospital cardiac arrest. Next up was Dr. Soria who presented a case of Wernicke’s Encephalopathy with some learning pearls about this often under-diagnosed condition. Dr. Goel then masterfully answered the CPC challenge placed by Dr. Li to diagnose a rare case of ocular syphilis. Dr. Berger then finished the day with an overview of necrotizing fasciitis and the LRINEC score.
Read MoreThis academic year’s penultimate Grand Rounds started with Guest Faculty Lecturer Dr. Richard Levitan lecturing on airway tips, tricks, and trouble shooting. Drs. Harrison, Sabedra, and Summers then led small group sessions focused on unique applications of ultrasound. Dr. Hughes discussed TB management in the ED and Dr. Thompson closed out Grand Rounds with pearls on patient management.
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 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.
