We are back with another exciting week of grand rounds, this time with an overview of acute aortic insufficiency and tricuspid regurgitation, a walkthrough of ED use of coronary CTA, a High Acuity/Low Opportunity and Low Acuity/Low Opportunity procedure lab, and finally a discussion of the always-feared sick undifferentiated infant.
Read MoreThis 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 MoreThis week were treated to the story of stroke evaluation and treatment. An interesting case series was presented showing the importance of aortic stenosis. Dr. Gillespie dove into the literature on the treatment modalities for non-specific low back pain. Dr. Ijaz could not stump Dr. Roche with a case of chronic salicylate toxicity. The importance of what words we use, how we use them, and why we use them was presented by Dr. Hughes. Lastly our R3’s showed us all things ENT in small groups.
Read MoreHow often do we see the elderly patient that comes into the ED with the chief complaint of “nosebleed”? Although these visits are usually straightforward, sometimes they are not. Be prepared for the next complicated nosebleed you see by reading this post by Dr. Ijaz who nose a thing or two about epistaxis!
Read MoreThis week started with a discussion on how we can improve our documentation to maximize our level V billing. This was followed by a summary of practice changing literature over the last year, a discussion on how we deal with failure in the clinical setting, and a guide to the approach of the agitated pediatric patient. Finally, we broke into small groups to learn about ENT emergencies.
Read MoreThis week's Grand Rounds started out with another installment of our leadership curriculum led by Dr. Stettler, where we discussed how to identify and manage finance in leadership. This was then followed by Dr. Makinen's small group session on thyroid diagnostics in the ED. Drs. Gauger and Loftus then went head-to-head on a case of syncope, found to have a massive PE. Dr. Miller then gave a great summary of current thoughts and future approaches to sepsis, followed by Dr. Murphy discussing post-ENT procedure bleeds in the ED. Dr. Curry then finished off the conference with his "Mastering Minor Care" segment on epistaxis.
Read MoreDue to the fear of toxic shock syndrome (TSS), it has long been considered the standard of care to prescribe antibiotics as prophylaxis for patients who receive packing to treat anterior epistaxis. But do these patient's really need antibiotics? How real is the threat? What if you are only packing for a short time?
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.
