Welcome to another week of Grand Rounds! Join us for Sports Medicine Grand Rounds, where he discuss cases from the training room, followed by a discussion on rabies prophylaxis. Two of our wonderful R2s gave their QI/KT on acetaminophen overdose, then we had a review of landmark studies in Emergency Medicine. We had an R4 discharge/transfer/treat case discussion, and ended the day with a pediatrics lecture!

Another week, another Grand Rounds! Dr. Boggust took us through the basic of management of patients with Multiple Sclerosis in the ED. Then, Dr. Grisoli presented her Capstone on the treatment and care of patients with disabilities. Finally, Dr. Minges and the rest of the ultrasound team discussed MSK ultrasounds, with hands on session for the most frequent upper and lower extremity scans!

Join us for another great week of Grand Rounds! We started out with a great discussion of the changing workforce and how the differences between generations and leadership styles impacts our interactions with our colleagues. Then we discussed the nuances of managing a dysfunctional tracheostomy with Dr. Adan. We were taken through the pathophysiology and clinical presentation of patients with pneumomediastinum and mediastinitis with Dr. Valles. Finally, Drs. Artiga, Beyde and Vaishnav gave us hands on practice with the different types of nerve blocks that can be used in the ED!

Current screening tools for pediatric septic shock and sepsis are highly specific but lack sensitivity. This study substituted age adjusted vital sign measures and a pediatric shock index into currently existing pediatric sepsis scoring systems to create the qPS4.When utilizing a cut off of ≧ 2 points, the qPS4 was highly sensitive and specific, and identified pediatric septic shock far sooner into a patient's course.

Join us for another exciting week of Grand Rounds! This week, we had Morbidity and Mortality conference with Dr. Gobble. This was followed by CPC with Drs. Qin and Bryant. Next, Dr. Wilson walked us through a case of methoglobinemia caused by sodium nitrite toxicity. We finished up the day with Dr. Wright’s capstone on rural emergency medicine.