Grand Rounds Recap 8.9.23

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Grand Rounds Recap 8.9.23

Join us as we recap our last week of Grand Rounds, including our first intern lecture of the year focusing on pericarditis & myocarditis. Learn about the art of skillfully resuscitating a patient with an LVAD, as well as the tips/tricks for effectively communicating with patients, from our senior residents. Learn how to confidently handle ENT emergencies in the community and orthopedic trauma in a limited-resource settings. Our pharmacy colleagues gave us an timely update on use of Precedex in the ED, as well as Andexxa vs. PCC for reversal of Xa-inhibitors. Lastly, our pediatric EM colleagues joined us to discuss to subtle difference in diagnosis and management of neonatal & pediatric seizures compared to adults.

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Grand Rounds Recap 1.5.22

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Grand Rounds Recap 1.5.22

During this week’s Grand Rounds, Dr. Walsh presented Morbidity and Mortality, Dr. Thode discussed complications of Group A Streptococcal infection, Dr. Harward oriented us to submersion injuries, Drs. Pancioli and Paul Gordon shared opportunities for medical device innovation and engineering collaboration, Dr. Brower shared pearls on facial fracture diagnosis and management, and Drs. Fabiano and Thompson went head-to-head in a CPC to diagnose thyrotoxicosis.

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Face the Music: Emergency Management of Facial Fractures

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Face the Music: Emergency Management of Facial Fractures

Maxillofacial trauma is common in the emergency department as ~80% of patients with polytrauma sustain injuries to the head, face, and/or neck. The most common etiologies of facial fractures are: assault (36%), motor vehicle accidents (32%), falls (18%), sports injuries (11%), occupational injuries (3%), and gunshot wounds (2%).3 The most commonly fractured facial bones are (in descending order): nasal bones, orbital floor, zygomaticomaxillary complex, maxillary sinuses, mandibular ramus, and the nasoethmoidorbital. This post will review the general approach to evaluation of maxillofacial trauma in the ED followed by specific management recommendations for various fracture patterns.

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Antibiotics for Facial Fractures

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Antibiotics for Facial Fractures

In the Emergency Department, we frequently encounter patient's with facial fractures and associated lacerations.  The orthopedic surgery literature strongly supports the use of antibiotics for open fractures.  The facial surgery literature, however, does not have extensive publications addressing the use of antibiotics in open facial fractures.  So what are we to do? Does every fracture get antibiotics? If not, which fractures?

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Grand Rounds Recap - 12/3/2014

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Grand Rounds Recap - 12/3/2014

EMS Protocol Updates for 2015 with Dr. Leblanc

Use of EMS units as transport units

  • If pt is transported to a facility that is not capable of taking care of the pt, you may be able to use the same squad to transport the pt to another facility
  • Need to have an accepting doc
  • May need to send additional personnel with the squad

Hypotension/Shock protocol

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