Grand Rounds Recap 10.4.23

Grand Rounds Recap 10.4.23

This week’s Grand Rounds kicked off with a series of involved cases including endocarditis strokes, Tasotsubo cardiomyopathy and more. Dr. Freiermuth gave us an update on the landscape of research and move to adaptive designs. Drs. Sookdeo and Diaz gave talks on RCVS, PRES and compartment syndrome for some core content.

Read More

Grand Rounds Recap 9.20.23

Grand Rounds Recap 9.20.23

Another excellent week for UCEM Grand Rounds! We started the day with an introduction to universal HCV screening in the ED from our pharmacy colleagues. We then transitioned to a great discussion on concussions sports medicine faculty Dr. Gawron. Next, Dr. Guillaume led us through diagnostics and therapeutics for nonconvulsive status epilepticus. Then, Dr. Shaw presented two cases of PRES and the importance of recognizing this diagnosis. Finally, R4s led the way through a simulation on adrenal insufficiency as well as structured oral boards case practice.

Read More

Grand Rounds Recap 3.9.22

Grand Rounds Recap 3.9.22

In this week’s Grand Rounds, Dr. Gibler Visiting Professor and UCEM Alum, Dr. Chris Miller, shares his insight on emergency medicine leadership development and our role in healthcare’s evolution, Drs. Tillotson and Yates guide us through their evidence-based QI/KT protocol for hypertension evaluation and management in the ED, Dr. Sobocinski discusses the pathophysiology, presentation, and management of PRES and RCVS, and Dr. Wolochatiuk shares lessons learned and approach to bias in medicine during her R4 Capstone.

Read More

Grand Rounds Recap 02.17.21

Grand Rounds Recap 02.17.21

This week Dr. Koehler has great teaching points on epistaxis, PRES and more during M&M. Dr. McMullan recounts a harrowing tale of compassion in a case follow up. Dr. Wosiski-Kuhn gives a timely reminder on carbon monoxide and cyanide toxicities followed by Dr. Roblee’s acidotic arrest case and Dr. Lane wraps up with some business need-to-knows of EM.

Read More

Grand Rounds Recap 3.20.19

Grand Rounds Recap 3.20.19

Enjoy this week’s Grand Rounds Recap! Dr. Jordan Bonomo started us off with a fascinating talk on brain death, and how therapeutic hypothermia in the post-arrest patient can make this diagnosis more challenging. Next up, Dr. Harrison taught us some pearls on management of the bradycardic peri-arrest patient. Dr. Nagle shared with a us how to rescuscitate a patient with acute aortic dissection. Lastly, Dr. Summers talked to us about PRES and how to recognize and treat this rare disorder.

Read More

Grand Rounds Recap 6.27.18

Grand Rounds Recap 6.27.18

The final Grand Rounds for the 2017-2018 academic year opened with a fantastic morbidity and mortality conference given by Dr. Ludmer. Dr. Randolph then gave us his approach to the dyspneic and hypoxic patient. Thanks for following us through this enriching and amazing year of education!

Read More

Grand Rounds Recap - 12/18/14

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
Read More