Grand Rounds Recap 3.2.22

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Grand Rounds Recap 3.2.22

We kicked off the month of March with a jam-packed Morbidity and Mortality Conference with Dr. Meaghan Frederick highlighting some of our amazing cases from downstairs including features on high sensitivity troponin, stridor and complicated alcohol withdrawal. Next up, Dr. Katherine Connelly walked us through how to troubleshoot in-transport alarms and failures of cardiac assist devices. Lastly, Dr. Bill Hinckley shared pearls of wisdom from his years at Air Care.

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Grand Rounds Recap 4.17.19

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Grand Rounds Recap 4.17.19

Enjoy this weeks Grand Rounds Summary. We had a great small group session on conflict resolution presented by Dr. McDonough and Leenellett of the leadership curriculum team. Next, Drs. Iparraguirre and Li taught us about an evidence-based approach to epistaxis. We completed our morning going through a great simulation on Acute Myocardial Infarction requiring Thrombolysis with Drs. Colmer, Mckee, Harrison, and Continenza.

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Grand Rounds Recap - 12/18/14

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Grand Rounds Recap - 12/18/14

Morbidity and Mortality Learning Points with Dr. Stull

1. Should Post-ROSC patients get cardiac cath?

  • Cardiac arrest patients who have STEMI on EKG after ROSC tend to have good outcomes (overall survival and intact neurologic survival) if they get cath'ed.
  • According to latest Australian study (all patients with ROSC from OHCA, not STEMI) OR for overall survival is 2.77 and OR 2.2 for good neurologic outcome
  • VT/VF cardiac arrest patients who do not have a  STEMI on EKG: improved survival and likelihood of good neurologic outcomes if cath'ed within 24 hours.
  • Our cardiology department wants all post-ROSC VF/VT patients to have cath lab activation. All other post-ROSC cases, call cardiology to discuss need for cath lab
  • All post-ROSC STEMI should go to cath lab no matter what their neuro status is
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