SQuID Protocol for DKA: Impact on ED Length-of-Stay

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SQuID Protocol for DKA: Impact on ED Length-of-Stay

With the advent of fast-acting subcutaneous insulin analogs over the past 20 years, multiple studies have demonstrated that subcutaneous insulin protocols for treatment for treatment of mild-to-moderate severity DKA are safe and cost-effective when compared to intravenous insulin infusion protocols in non-ICU settings. In the context of increasing ED and hospital crowding as well as limited ICU availability, this study aimed to evaluate the impact of a subcutaneous insulin (SQuID) protocol in the treatment of DKA on emergency department length-of-stay (EDLOS) and ICU admissions

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Grand Rounds Recap 8.16.23

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Grand Rounds Recap 8.16.23

Join us to summarize another fantastic series of Grand Rounds lectures. We start off with in-flight emergencies, including changes to physiology and what equipment is available to you on most commercial flights, with Dr. Urbanowicz. Followed by a literature-filled debate between Drs. Lane and McDonough on the utility of CT pan-scans in trauma patients. With the help of Dr. Shewakramani, we all learn how to better recognize and care for patients with sepsis. Meanwhile, Dr. Roche teaches us about all various bites/stings- including marine species, scorpions, and mosquitos! Lastly, Dr. Wright introduces us to the science of reliability and how to design processes in healthcare to be more reliable, with the ultimate goal of improving our care of patients.

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Grand Rounds Recap 5.18.22

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Grand Rounds Recap 5.18.22

It was another exciting week here in Cincinnati as we kicked off grand rounds with a session on performance improvement during our quarterly leadership curriculum with Dr. McDonough and discussed alternatives to hospital admission and available outpatient resources in the era of high boarding with our Chair, Dr. Pancioli. We finished our day with an excellent discussion on prenatal mental health care with Dr. Wolochatiuk in her R4 Case Follow Up and on uncommon causes of disorientation in Dr. Zalesky’s Taming the SRU lecture.

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Grand Rounds Recap 12.15.21

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Grand Rounds Recap 12.15.21

Join us for a recap of this week’s robust Grand Rounds. We have a wide array of topics including biliary pathology, ED operations and how are decisions impact boarding, congenital long QT and Boerhaave syndrome, TTP, and pediatric stridor.

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Grand Rounds Recap 10.20.21

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Grand Rounds Recap 10.20.21

During this week’s Grand Rounds, fitness gurus joined us for Wellness Grand Rounds, Dr. Grisoli discussed the diagnosis and management of CRAO and CRVO, Dr. Minges described paradigms of diagnosis and management for abdominal aortic aneurysm, and Dr. Paulsen shared reasons and tools for debriefing resuscitations.

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Grand Rounds Recap 9.8.21

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Grand Rounds Recap 9.8.21

Join us as we recap another informative week of grand rounds, exploring opiate use disorder and medication assisted therapy, cerebral venous sinus thrombosis, caring for immunosuppressed heme-onc patients with new therapies, high-value care, perforated peptic ulcers, and laryngectomy tubes!!

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Grand Rounds Recap 06.02.21

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Grand Rounds Recap 06.02.21

What a fabulous and jam-packed Grand Rounds it was! Drs. Knight, Roche, and Freiermuth kicked us off with fantastic attending case follow-ups with pearls for physicians of all levels. Drs. Frankenfeld and Hill duked it out in a fascinating case of iron toxicity. Dr. Thompson expertly led us through UC’s new model for patient safety. Dr. Freiermuth brought us back to the basics of refining our history taking skills with tips on approaching sensitive topics. Dr. Pulvino walked us through a very difficult presentation of simultaneous stroke and STEMI in her R3 Taming the SRU. Lastly, Dr. Mand capped off the day with her R4 capstone detailing the lessons she has learned throughout her residency training. Tune in now for a great read!

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Reconfiguring the EC145 for Two Patients

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Reconfiguring the EC145 for Two Patients

Our EC145 aircraft have the capability to fly two patients.  However, doing this is never our preference.  Those of us who have had the chance to fly two patients can attest that it’s quite challenging, especially if one or both are truly critically injured.  Your crew:patient ratio is halved.  And if you’ve ever thought that ergonomically your space was limited in the helicopter with only one patient, it’s much worse when there are two.  Therefore, we always teach our EMS colleagues: if you’ve got two patients you need to fly, ask for two helicopters.

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