Grand Rounds Recap 03.13.24

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Grand Rounds Recap 03.13.24

Another great week of Grand Rounds! We started with optimizing our wet reads on MSK xrays then moved into a victorious CPC win in the diagnosis of giant cell artertitis with a patient presenting with CN VI palsy and diplopia. We then discussed the tips and tricks for hernia reduction before hearing a moving story of a harrowing AirCare transport for ECMO cannulation. We moved into R3 small groups covering obstetrics and labor from mother to newborn and finished off with our pediatrics team visiting to discuss emergent cardiac conditions.

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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 1.12.22

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Grand Rounds Recap 1.12.22

Joins us for another week of Grand Rounds as Dr. Moulds breaks down platelet disorders, Dr. Alden Landry joins us to discuss disparities in healthcare, Dr. Urbanowicz laughs her way through her R4 Capstone on the science of laughter, and we team up with our alloys at CCHMC PEM to learn about iron toxicity.

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Grand Rounds Recap 06.09.21

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Grand Rounds Recap 06.09.21

This week’s Grand Rounds was kicked off with our inaugural “The Art of EM” lecture that included a panel of our esteemed non-UC trained faculty members Drs. Lang, Minges, D.Thompson, Adan, and Stolz. Dr. Gillespie then expertly led us through hand infections in her R1 Clinical Knowledge lecture. Drs. Comiskey & Crawford took us on a deep dive of the literature surrounding the evaluation and management of DVTs. Lastly, our PEM colleagues walked us through a great video-simulation case series on critical pediatric cardiac pathology!

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Grand Rounds Recap 04.14.21

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Grand Rounds Recap 04.14.21

This week’s Grand Rounds was jam-packed with great morsels for all! Dr. Finney kicked us off with a discussion on orbital infections, Dr. Frederick discussed the nuances of dynamic EKG changes in the ED and consultation etiquette in her R3 Taming the SRU lecture, Dr. Iparraguirre discussed pearls of wisdom for his R4 Capstone, Dr. Kein expertly discussed the literature behind the most commonly used medications for agitation in the ED, Drs. Mullen and Ham battled head-to-head in a CPC case highlighting ethylene glycol toxicity, Dr. LaFollette presented a rare case of metformin-associated lactic acidosis, and lastly Dr. Runkle wrapped the day up with pearls for rural PEM.

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Grand Rounds Recap 03.03.21

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Grand Rounds Recap 03.03.21

Dr. Li shares some R4 case follow up(s). Review of migraine treatments with Drs. Diaz and Shaw. Dr. Gressick vs. Dr. Roche in a CPC case. Air Care Grand Rounds reviewing trauma, obstetrical trauma, aircraft safety, and a pediatric trauma simulation with Drs. Hinckley, Gottula, and Skrobut.

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Grand Rounds Recap 02.03.2021

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Grand Rounds Recap 02.03.2021

This week Dr. Freiermuth showed us how to create a research project. Drs. Tillotson and Makinen discussed the evidence on open fracture management. The R2 CPC between Drs. Ramsay and Nagle taught us an important lesson on HIV and ITP. Finally, Drs. Iparraguirre, Li, Makinen, and Mand created a simulation to teach management of a pediatric nicotinic poisoning.

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Grand Rounds Recap 11.11.20

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Grand Rounds Recap 11.11.20

In this jam packed week Dr. Stolz started us off with lower extremity ultrasound and the ultrasound theme continued with Dr. Skrobut’s case follow up on cardiac tamponade. Two R1s presented on transfusion reactions and septic arthritis. Our PEM colleagues discussed pediatric rashes. Finally Dr. Ryan Knight gave a Veteran’s Day special on emergency medicine in the austere environment.

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Grand Rounds Summary 10.11.17

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Grand Rounds Summary 10.11.17

Dr. Stolz started Grand Rounds off with a great talk on lung ultrasound. Our consultant of the month, Dr. Hebbeler-Clark, gave a talk on patient safety and swarms. Dr. Lipshaw, a Peds-EM fellow, discussed the differential, evaluation, and management of congenital heart disease babies in the Emergency Department. Finally, Dr. Teuber ended with an interesting discussion on priapism. 

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Grand Rounds Summary 9.20.17

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Grand Rounds Summary 9.20.17

This week's grand rounds started off with our EMS team represented by Dr. McMullan updating us on new EMS stroke protocols, an upcoming trial for pre-hospital ketamine use, as well as a refresher on notification calls.  This was followed by Dr. Shaw, who made his grand rounds lecture debut discussing the diagnostic and clinical utility of lactate.  Drs. Harty and Toth then went mano-a-mano in another installment of the CPC lecture series, during which they discuss the presentation, workup and management of carotid cavernous fistula.  Dr. Gorder then presented her clinical soap box, using the example of NG tube placement for SBO as a platform for addressing the impact of dogma within medicine.  Our peds EM colleagues then steered the ship for the final 2 hours, discussing 2 oral boards cases (fussiness in a newborn and HSP) as well as putting on a pediatric trauma simulation.

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Flights - Shaken

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Flights - Shaken

You are sitting on the helipad during your UH shift talking with the flight nurse when the tones drop for a pediatric scene call.  You gather yourself after you have that crap your pants moment that everyone has with pediatric scene calls and whip out your smart phone with your pediatric application of choice.  You begin to write down doses and sizes on your tape on your leg based on the report of the patient’s weight from the providers on scene.

You land in an elementary school parking lot to the delight of the children at the local school.  Cars begin to slow and pull over as you exit the helicopter and walk to the squad.  You walk to the side door of the ambulance and find 6 EMTs crammed in the squad.

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Pediatric Abdominal Ultrasound

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Pediatric Abdominal Ultrasound

After a long shift in the adult ED, jam packed with patients presenting with abdominal pain, your looking forward to a brand new day in the Peds ED.  Your first patient, however, gives you PTSD-like flashbacks to the previous days shift.  

Alice is a 8 year old girl who developed abdominal pain last night.  Her parents thought that she would be okay waiting until morning, that the pain would pass in the night.  On waking this morning, however, the pain was still there.

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Grand Rounds Recap 1/7/14

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Grand Rounds Recap 1/7/14

CPC with Dr. Boyer vs. Dr. Steuerwald

16yoF with 4 days of bilateral lower quadrant abdominal pain and diarrhea that was tachy, dry, and with a diffusely tender abdomen and some right-sided discomfort on pelvic exam with a mild leukocytosis.

Dr. Steuerwald's approach to listening to patient presentations: Pick out the main symptoms, get a time course, and listen for any other true "weirdness" then build your own timeline of events.

  • Don't forget about the "sexy numbers" in everyone, these include the vitals and also key aspects of a disease process (i.e. the EF in a patient with CHF)
  • DDx included appendicitis, PID, TOA, Fitz-Hugh Curtis, Ovarian Torsion, Yersinia enterocolitis
  • Dr. Steuerwald correctly identified the need to get a RLQ US to assess for appendicitis!
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