Grand Rounds Recap 5.1.24

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Grand Rounds Recap 5.1.24

Join us as we recap another excellent week of Grand Rounds. We start with the final installment of our leadership curriculum, where Drs. Hill and LaFollette guide us through the dreaded task of self-promotion. We join Dr. Stark on a moment of self-reflection and growth following a particularly difficult patient case. We are transported into the SRU as Dr. Wright presents the evidence for how we should approach traumatic cardiac arrests in the resus bay. Dr. Adan shares his airway expertise and provides helpful tips/tricks for overcoming the feared anterior airway. Lastly, our colleagues from pharmacy drop by to discuss some relevant updates- including reasons why you should think twice before ordering a urine culture in the ED.

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Grand Rounds Recap 10.23.19

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Grand Rounds Recap 10.23.19

This week Dr. Banning discussed several practice-changing topics in our Morbidity and Mortality conference. Drs. Laurence and Wolochatiuk prsented their QIKT project for the management of acute, decompensated pulmonary hypertension, and Dr. Wright gave a fascinating presentation on the approach to fever in a returning traveler.

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Grand Rounds Recap 1/6

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Grand Rounds Recap 1/6

Emergency KT Protocol - The Pharmacology of RSI with Drs. Dang and Renne

Who do we RSI? What do we use? We can be better than etomidate and succ and the protocol in development will drill into the details - here is an overview:

  • The most clinically useful categorization of RSI candidates is probably based on hemodynamics
  • Hemodynamically unstable patients can be classified as “shock" based on myriad criteria and/or clinician gestalt while patients in whom the adrenergic surge of laryngoscopy could potentiate their pathology (e.g., increased ICP, aortic dissection, active ACS, or hypertensive crisis, etc.) can be classified as “high risk hypertension” for patients with increased ICP
  • The hemodynamic classification of a patient determines his/her track down the pathway, but their classification can shift at any point based on clinician discretion (i.e., a well-resuscitated shock patient may later be considered “stable” and managed accordingly) 
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