Grand Rounds Recap 8.17.22

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Grand Rounds Recap 8.17.22

This week was jam pack in Grand Rounds. We covered best practice tips for POCUS and Cardiac Arrest with Dr. Stolz. Dr. Pensak talked with us about the Emergency Department Implications of the Dobbs v Jackson. We buffed up our teaching skills with Dr. Santen and “Not another Boring Lecture”. Dr. Roche and Wilderness Medicine Faculty taught us how to improvise important medical equipment. To end the day, Dr. Kiser showed us how to better care for and treat the pain of patients with chronic medical conditions.

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Ketamine Potpourri

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Ketamine Potpourri

In our most recent journal club, we took a look at 3 articles focused on the use of ketamine in the Emergency Department. When treating pain with ketamine, does a rapid administration of ketamine result in more dysphoria? When used for RSI, is ketamine more hemodynamically stable than etomidate? When using ketamine for procedural sedation in adult patients, does pre-treatment with versed or haldol decrease clinically significant emergence agitation?

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Grand Rounds Recap 3.27.19

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Grand Rounds Recap 3.27.19

Enjoy this week’s Grand Round’s Recap. Dr. Murphy started us off with a great Morbidity and Mortality conference with a variety of fascinating cases. Next, Dr. LaFollette taught us some pearls for HEENT emergencies if you are out in the community. Dr. Hunt took us through transfusion reactions and how to manage them, followed by Dr. Hall discussing the management pearls of Nonconvulsive Status Epilepticus. Next, Dr. Connelly taught us how we can incorporate alternative EKG leads into our practice, and Dr. Klaszky finished our day with a nuanced take of how to manage refractory septic shock. It was a jam packed day full of great learning!

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Grand Rounds Recap 4.19.2017

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Grand Rounds Recap 4.19.2017

This week kicked off with a Tox filled R4 Simulation where we learned about ASA, digoxin, and hydrofluoric acid toxicities. This was followed by lectures on cardiac disease in diabetes, pediatric pain management strategies, physician burnout and hypothermic cardiac arrest. 

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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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