Grand Rounds Recap 12.7.22
/This week, we had two phenomenal guest lecturers, held Airway Grand Rounds, reviewed pediatric burns, and heard about how point of care ultrasound can change practice in the emergency department.
Read Moreemergency medicine tamed
Taming the SRU. The SRU is the "Shock Resuscitation Unit." It is a crucible of clinical training for the residents of the University of Cincinnati Emergency Medicine Residency training program.
This week, we had two phenomenal guest lecturers, held Airway Grand Rounds, reviewed pediatric burns, and heard about how point of care ultrasound can change practice in the emergency department.
Read MoreThis week, we were joined by Dr. Gorgas from OSU to discuss ethics in global health, heard about evidence-based medicine from Dr. Zalesky, used gamification to review winter topics with Drs. Wosiski, Diaz, and Stark, and held our M&M conference.
Read MoreThis week features an R4 Capstone on “Leading from the Front” with Dr. Ijaz, and overview of thoracic outlet syndrome with Dr. Stothers, two incredible lectures from Dr. Gita Pensa on Litigation Stress and Trial vs. Settlement, and Air Care Grand Rounds with a focus on impella and ECMO transports.
Read MoreDuring a cardiac arrest resuscitation, finally palpating a pulsatile flow beneath your gloved fingertips brings a sense of satisfaction like no other. But just as you go to finally breathe a sigh of relief and wipe the beading sweat off your brow, your now widening pupils focus on the patient’s steadily plummeting blood pressure. As you begin to sense your own heart palpitating, you think about medications to utilize in hopes of staving off another round of chest compressions. Since you’ve already given four doses of code-dose epinephrine, maybe an epinephrine infusion is best? You also recall that norepinephrine seems to be a popular choice in patients with shock, so maybe you should start that instead?
Read MoreFormer rotating medical student Matthew Mannion describes the case of hemoptysis in an immunocompromised patient that turned out to be a great ball of fungus: aspergilloma.
Read MoreThis week, we heard about a case of HELLP syndrome on AirCare from Dr. Comiskey, learned about acute liver failure with Dr. de Castro, practiced hands-on ultrasound skills including superior cervical plexus block, TEE, and DVT US with Drs. Baez, Frederick, and Minges, and reviewed NRP with Dr. Vinet
Read MoreCardiac arrests are an inevitable reality for emergency medicine providers. There is often a debate on whether family members presence during CPR will lead to more emotional burdens on the family members who witnessed these resuscitations. This study aimed to determine if there are increased rates of PTSD-related symptoms of close relatives who witnessed CPR of a family member.
Read MoreJoin us for another excellent Grand Rounds starting with educational M&M case points with Dr Zalesky, Social EM Grand Round on Language Justice with Dr. Diaz and Jarrell - Immunotherapy Complications with Dr. Rodriguez and R3 TamingtheSRU with Dr. Stevens to close out the day.
Read MoreJoin Dr. de Castro for an infographics-style review of acute liver failure
Read MoreJoin us for a comprehensive review of the state of the art (and literature) of POCUS in cardiac arrest
Read MoreDoes the patient need a pause? Is an ultrasound better than palpation? Join us as we review recent literature review comparing the two
Read MoreEver had a family member offer to interpret for a patient and wonder what else you might uncover if using a medial interpreter? Join Dr. Hall as she unwraps why ethically, medically (and legally) you need to be obtaining professional medical interpreter services for every patient with limited english proficiency.
Read MoreThis week’s grand rounds features an overview of crush injuries with Dr. Della Porta, a fantastic look into the evidence behind preeclampsia and eclampsia management with Drs. Brower and Jackson, a discussion of evidence behind emergency medicine pharmacology dogma with Dr. Nagle, and a discussion of the cost of healthcare with Dr. Thompson.
Read MoreJoin Dr. Rodriguez as she presents a simple and informative infographic on the complications of immunotherapy
Read MoreThis week’s grand rounds features a discussion on the treatment and complications of inflammatory bowel disease with Dr. Hajdu, a CPC showdown and discussion of appendicitis with Drs. Gobble and Urbanowicz, an overview of hand injuries in the community with Dr. Betz, and an intense Taming the SRU case of a traumatic aortic injury with Dr. Kein.
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.