Grand Rounds Recap 11.8.23

Grand Rounds Recap 11.8.23

We start off the day with our quarterly Airway Grand Rounds, where Dr. Carleton discussed the intricacies of performing an awake look intubation. We then transitioned into a brief operations update on the department, followed by a great discussion regarding heavy metal toxicity with Dr. Boyer during his R1 Clinical Knowledge lecture. We were then honored to host Dr. Curran, an associate professor in the Division of Hematology Oncology and specialist in acute hematologic malignancies, for our consultant corner where we discussed acute leukemia. Finally, we wrapped up the day with combined grand rounds with our pediatric colleagues where we practiced a case of DKA during simulation as well as discussed pediatric EKGS and airways. Lots to learn this Wednesday!

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Look Before You Leap - Awake Fiberoptic Intubation

Look Before You Leap - Awake Fiberoptic Intubation

Look Before You Leap, Drive Your Ferrari Like it is a Wheelchair, Harken Ye to the Wicked Witch of the West!

A 37 year-old woman presents with stridor, drooling, tachypnea and accessory respiratory muscle use.  She has an adequate blood pressure, but is tachycardic to 120.  Her oxygen saturation on room air is a reassuring 97%.  She cannot answer questions, appears to have an altered mental status though she follows commands, and suddenly has a brief period of either myoclonus or seizure with unresponsiveness.  No post-ictal period is noted after this episode.

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