Grand Rounds Recap 06.24.20

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Grand Rounds Recap 06.24.20

The final Grand Rounds of the 2019-20 academic year offered an incredible line up of lectures followed by an annual residency program evaluation and wrap-up by the outgoing chief residents, lovingly called “KJAM”.

Dr. Golden presented our monthly Morbidity and Mortality conference, full of cases to learn from and improve clinical care. Dr. Shaw presented his Taming the SRU lecture on a case of massive hemoptysis in an otherwise young and healthy patient. Dr. Murphy-Crews delivered a moving R4 Capstone lecture, demonstrating the low NNT for ED thoracotomies and highlighting that resilience is not the issue when it comes to burnout and physician suicide.

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A Pain in the Neck

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A Pain in the Neck

There are some areas in our practice where the literature grants us a somewhat sure path forward in the evaluation of our patients.  The decision whether or not to pursue cervical spine imaging studies following a traumatic mechanism of injury is one of these areas.  The NEXUS criteria and Canadian C-Spine Rule are useful guides for the evaluation of these patients.  What comes after the imaging can be a bit more challenging.  What do we do with patients who have persistent pain but negative imaging? To what extent do we pursue the possibility of a ligamentous injury? Must we wait for all patients to be sober so that we can "clinically clear" them in addition to our radiographic clearance.   The 3 articles below seek to answer some of these challenging questions.  Take a listen to the podcast and read the summaries to familiarize yourself with some of the latest literature addressing these challenging patient care scenarios.

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