Another awesome week of Grand Rounds! If you couldn’t catch it live check out the summary here! Dr. Haffner discusses mesenteric ischemia, Dr. Roblee addresses dealing with patient deaths, Dr. Thompson gives us insight into quality improvement, Dr. Goodman reviews product resuscitation in trauma patients, and Dr. Ketabchi, one of our esteemed PEM fellows, takes us through neonatal sepsis.
Read MoreWe had a fantastic Grand Rounds this week!! Dr. Li kicked us off with our monthly Morbidity and Mortality conference, covering cases ranging from methamphetamine intoxication to the evidence behind the medical pan scan. Dr. Harty then led us through several cases where ultrasound made critical diagnoses that completely altered patients’ clinical courses #SonoWavesFTW. Dr. Modi passionately educated us on the importance of an individual’s name, in both identity and cultural significance, and how crucial it is to respect and pronounce names correctly. Lastly. Drs. Berger, Irankunda, and Urbanowicz expertly discussed pediatric orthopedic injuries.
Read MoreThis week’s edition of grand rounds featured some amazing lectures! We practiced pitching ideas in our leadership curriculum then the newest QI/KT pathway was revealed by Drs. Chuko and Goff. Dr Gawron taught us about medical causes of trauma and Dr. Kein gave us an amazing lecture on cyanotic congenital heart diseases. We finished off with Dr. Shewakramani giving an amazing wellness lecture about his BAYLEAF method for dealing with stress in the ED.
Read MoreVisiting Professor Dr. Patsy McNeil shared pearls about Physician Leadership. Dr. Fabiano reviewed the evidence of anaphylaxis treatment and Dr. Kimmel presented a fascinating case of MIS-C. Dr. Walsh and our PEM colleagues walked us through critically ill pediatric cases.
Read MoreThis week’s Grand Rounds offers a potpourri of topics, from Change Leadership via the Leadership Curriculum by Drs. McDonough & Fermann, to fundamentals and pearls of female GU infections by Dr. Fabiano, to a deep dive on hypermobility type of Ehlers-Danlos Syndrome by Dr. Jensen, to neonatal abdominal pain by Dr. Thomas (CCHMC PEM Fellow).
Read MoreWondering what to do with a floppy baby that rolls into the ED? Perhaps one that has been snacking on the family’s fresh honey collection? Look no further than this case of infantile botulism, as told by Dr. Habib.
Read MoreThis week we reconvened with our pediatric colleagues for a case series of seizures and COVID autoimmune vasculitis. Drs Modi, Harty and Jarrell took us through global health case series and finally guest lecturer Dr. Kenji Inaba from LAC-USC gave us some take-home tips in hemorrhage management.
Read MorePediatric cardiac arrests are, potentially, some of the most challenging patients for an emergency physician to care for. Cognitively, emotionally; these patients push us to our very limits. In this journal club recap, we cover 3 recently published articles looking at the care of these patients. Should survivors be cooled? Is Epi any good? Which is better amiodarone or lidocaine?
Read MoreThis 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 MoreDr. McDonough and Dr. Palmer kicked off this week with an engaging session of leadership curriculum discussing self-promotion as well as how to write an effective CV. Dr. Forde walked us through the exciting topic of Mobile Stroke Units during EMS Grand Rounds. Lastly, Dr. Krack walked us through some interesting and terrifying pediatric heme-one emergencies.
Read MoreThis week we brought in the new Roaring 20s with an exciting lineup. Drs. Gauger, Humphries, Jarrell, and Owens led us through a simulated case of hypertensive emergency in a cocaine body packer. Dr. Gressick taught us about blunt carotid artery injuries, and Dr. Gottula discussed resuscitation of septic patients with comorbid CHF and ESRD. Dr. Ham took a detour from clinical topics to discuss how to go about finding your niche in medicine, and Dr. Doerning increased our financial literacy with his high-yield points. Finally, our colleagues from Cincinnati Children’s helped us learn the nuances of having difficult conversations with children and their families.
Read MoreThis week in grand rounds started off with Dr. Humphries reviewing the evidence of various interventions in traumatic cardiac arrest and providing a clear algorithm to follow in patients who suffer blunt traumatic cardiac arrest. We then had an in depth discussion on the approach to the encephalopathic patient in the Emergency Department. Dr. Bryant then presented some interesting cases that she had on her most recent trip to Guyana, followed by Dr. Ramsey’s in depth review of the emergent complications of acute leukemia. We finished off the day with our pediatric Emergency Medicine colleagues who led us through a simulation and oral boards cases.
Read MoreThis week we continued our leadership curriculum with Dr. Pancioli’s lecture on the intersection of leadership and finance. This was followed by Dr. Klaszky with his R4 case follow up of a patient with cardiac tamponade, and then Drs. Baez and Continenza faced off for the most recent installment of our Great Debate series as they discussed chemical vs electrical cardioversion for atrial fibrillation. Finally, our colleagues from Cincinnati Children’s presented learning pearls about causes of and interventions for hypoxia in pediatrics emergency medicine.
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 MoreNot every bradycardic patient is the same, however sometimes their past history gives away their pathology and you need to manage a complex disease in the ED or in transit to the ICU. Remind yourself of the details of the cardiac action potential as Dr. Roblee walks us through a unique case of Long QT Syndrome.
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.
