Grand Rounds 5.8.24

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Grand Rounds 5.8.24

Recap another week of Grands Rounds with us! Dr. Gabor helps us confidently navigate the medical emergencies in patients with a transplanted organ. Next up, Dr. Kein talks about the difficulty of navigating grief while completing residency training. Dr. Hill introduces use to research topics in the field of medical education. Our faculty who trained at other institutions, Drs. Adan and Lang, highlight different regional practice pattern variations and the evidence behind them. Meanwhile, Dr. Roche helps us learn how to better care for our female patients in the community. Lastly, we wrapped up with a joint lecture with the Cincinnati Children’s PEM program to learn out handling pediatric foreign bodies in the ED.

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Consultant Corner: Acute Management of the Dislocated Knee

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Consultant Corner: Acute Management of the Dislocated Knee

A patient presents with severe knee and leg pain after an MVC and you are worried about a possible knee dislocation, but don’t know how to evaluate them thoroughly… Join us for a special consultant edition of TTSRU - Dr Sean Catlett, a PGY-4 orthopedic surgery resident and Dr Sarah Moulds, a PGY-3 EM resident to discuss a full approach to the knee exam and management of the dislocated knee.

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Grand Rounds Recap 1.17.24

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Grand Rounds Recap 1.17.24

Join us as we recap another fantastic Grand Rounds session. We started off with our longitudinal leadership curriculum, specifically focusing on recruitment and building a team. This was led by two prominent leaders in our very own emergency department- Drs. Fermann and LaFollette. Next, we join Dr. Finney on a journey as she reflects on the relationships we build with our patients and their families, as well as providing insight on how to cope with the grief that we may face following the most difficult cases. Lastly, Drs. Chhabria, Davis, and Gobble, help us prepare for the upcoming ITE exam by providing us with useful quick hits relating to orthopedic injuries, PEM, and toxicology.

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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 9.7.22

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Grand Rounds Recap 9.7.22

We are back with another fantastic week of GR content. We started with a guest lecture on LVADs by Dr. Vierecke from the Department of Cardiology, then QI/KT on Blunt Cardiac Injury with Drs. Haffner and Sobocinski. Next, Dr. Benoit takes us through his list of cardiac arrest pearls. Lastly, we finish with an overview of orthopedics cases in the community with Drs. Milligan, Gawron, and Betz.

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Grand Rounds Recap 10.31.18

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Grand Rounds Recap 10.31.18

We had a diverse and interesting set of topics for this week of Grand Rounds! Dr. Mehlman, a pediatric orthopedist, took us through high-yield, can’t miss orthopedics cases. Following this, we went through strategies in team-building and recruitment with Drs. Stettler, Fermann, and McDonough as part of our Leadership Curriculum. Dr. Jarrell then presented local data on our Naloxone Distribution program and opioid overdoses. We concluded the day with a lecture on hernia diagnosis and management by Dr. Leech, followed by a fantastic small group session on Wellness lead by Drs. Jarrell and Banning. Enjoy our summary of these high-yield topics!

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Grand Rounds Recap 8.1.18

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Grand Rounds Recap 8.1.18

Chock full of didactic pearls, this week EM/Sports Medicine physician Dr. Betz started us off with a number of can’t-miss orthopedic injuries. Drs. Baez and Owens led us through case follow ups of air embolism and a sick neonate in shock. To finish up, Wilderness Medicine’s own Drs Mel Otten and Conal Roche taught us about marine and snake envenomations and dive injuries.

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Annals of B-Pod: Quick Hit Case

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Annals of B-Pod: Quick Hit Case

The second installment from the December Issue of Annals of B Pod, Dr. Ham presents a female patient with no past medical history who presents to the Emergency Department shortly after stepping through a picture frame that was propped up on her floor at home. The glass shattered, lacerating the posterior aspect of her left lower leg. She is complaining of difficulty walking, but denies loss of sensation distal to the injury...

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NSAIDs in a Patient with Fractures?!

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NSAIDs in a Patient with Fractures?!

The Issue

NSAIDs are excellent analgesics that can decrease the use of opiatess for pain, but might lead to poor healing from orthopedic injuries.

Prior Evidence

In vitro studies and rat models since the early 80s showed delayed fracture healing with NSAIDs, and the effects appeared to be dose-related. These findings have been re-demonstrated in future in vitro and rat studies as well.   In humans however, the data has been, to say the least, mixed...

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Clinical Approach to Knee Radiographs

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Early in the morning, you begin your day in your local emergency department. After getting yourself situated, a slow trickle of patients begin to appear on the board. It appears to be a normal morning, all except for the fact that five patients appear, one after the other, who have the same chief complaint: “Knee pain”. It is a good thing you brushed up on reading knee x-rays recently!

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