This week’s grand rounds started with excitement with an operations update and a scavenger hunt in the new ED, congrats Team 7 on the win! This was followed by forward thinking didactics on a new protocol for manual vacuum aspirations in the ED,
Read MoreDuring Grand Rounds this week, we had the pleasure of hosting our Brian Gibler visiting lecturer Dr. John Deleda who Spoke about Henry Ford Hospitals COVID-19 response and the leadership lessons he learned over his career. Dr. Della Porta then gave us the rundown on different blood products and using TEG. We discussed PPROM, Breech delivery, and neonatal resuscitation with Dr. Crawford. The CPC showdown with Dr. Minges and Dr. Brower ended as a case of Hyperleukocystosis and Leukostasis. We ended the day with a talk from our PEM colleagues on inborn errors of metabolism.
Read MoreIt 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.
Read MoreNausea and vomiting, one of the most common complaints in the pregnancy patient, is a common plight of Emergency Physicians. With a barrage of social media and publication bias, we often need rock solid evidence to make anti-emetic decisions that just doesn’t exist. Join Dr. Josh Ferreri as he summarizes the latest data on conquering the queasy.
Read MoreEnjoy the review of this week’s Grand Rounds! We began the morning with Dr. Minges giving us his pro-tips on how to identify cardiac tamponade with ultrasound. Following this, we learned about high-yield management pearls about Carotid Blowout Syndrome and SCIWORA from Dr. Scanlon and Dr. Baez respectively. We concluded the day with AirCare Grand Rounds, where we learned how to deal with refractory hypoxia, postpartum hemorrhage, and utilize the V-scan for ultrasound.
Read MoreHemolytic Disease of the Fetus and Newborn (HDFN) is an alloimmune disease which develops in a fetus when a women’s immune system is sensitized, developing antibodies which cross the placenta and attack fetal RBCs.
While there is a spectrum of the disease, in severe cases the fetus can ultimately develop hydrops fetalis which is often fatal.
As Emergency Physician’s we are classically taught that we can help to prevent HDFN by recognizing sensitizing events in Rh-negative women and subsequently providing RhoGAM. But which patients really need RhoGAM? The evidence seems to be lacking and recommendations are often inconsistent.
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
