Grand Rounds Recap 3.20.24

Grand Rounds Recap 3.20.24

We had an exciting Grand Rounds this week! Dr. Ben Bassin, a UCEM alum and our visiting lecturer from the University of Michigan, started off strong discussing innovation in emergency care delivery. He discussed modeling and design of modern emergency departments and our upcoming Flex ICU. Dr. Grisoli then shared an exciting resuscitation of a profoundly hypothermic cardiac arrest. We split off into small groups for simulation and oral boards covering tuberculosis, meningitis and the RV spiral of death.

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'Roids to the Rescue?

'Roids to the Rescue?

Can the addition of high-dose methylprednisolone to the treatment of out-of-hospital cardiac arrest make a meaningful difference? In this post-hoc analysis of a placebo-controlled randomized control trial comparing high-dose methylprednisolone versus placebo in out-of-hospital cardiac arrest (OHCA), the authors aimed to assess the hemodynamic effects of prehospital high-dose glucocorticoid treatment in resuscitated comatose OHCA patients.

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What Drip to Use After the Drop - Post-Cardiac Arrest Hypotension

What Drip to Use After the Drop - Post-Cardiac Arrest Hypotension

During a cardiac arrest resuscitation, finally palpating a pulsatile flow beneath your gloved fingertips brings a sense of satisfaction like no other. But just as you go to finally breathe a sigh of relief and wipe the beading sweat off your brow, your now widening pupils focus on the patient’s steadily plummeting blood pressure. As you begin to sense your own heart palpitating, you think about medications to utilize in hopes of staving off another round of chest compressions. Since you’ve already given four doses of code-dose epinephrine, maybe an epinephrine infusion is best? You also recall that norepinephrine seems to be a popular choice in patients with shock, so maybe you should start that instead?

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Family Presence in Cardiac Arrest Resuscitations

Family Presence in Cardiac Arrest Resuscitations

Cardiac arrests are an inevitable reality for emergency medicine providers. There is often a debate on whether family members presence during CPR will lead to more emotional burdens on the family members who witnessed these resuscitations. This study aimed to determine if there are increased rates of PTSD-related symptoms of close relatives who witnessed CPR of a family member.

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Grand Rounds Recap 9.7.22

Grand Rounds Recap 9.7.22

We are back with another fantastic week of GR content. We started with a guest lecture on LVADs by Dr. Vierecke from the Department of Cardiology, then QI/KT on Blunt Cardiac Injury with Drs. Haffner and Sobocinski. Next, Dr. Benoit takes us through his list of cardiac arrest pearls. Lastly, we finish with an overview of orthopedics cases in the community with Drs. Milligan, Gawron, and Betz.

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Grand Rounds Recap 8.31.22

Grand Rounds Recap 8.31.22

This week’s Grand Rounds started with 2 hours of M&M tips with Dr. Broadstock, Small groups followed with Thoracentesis with Dr. Milligan, Lung Ultrasound with Dr. yates and Trach Management with Dr. Gillespie. Functional Movement Disorders with Dr. Eltatawy rounded out a great Grand Rounds!

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Grand Rounds Recap 8.17.22

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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Grand Rounds Recap 2.16.2022

Grand Rounds Recap 2.16.2022

In this week’s Grand Rounds, Dr. Li shares his evidence-based savvy on out-of-hospital cardiac arrest and termination of resuscitation, Dr. Freiermuth guides us through implementation science, Dr. Grisoli leads us through a case-based discussion of hemophilia diagnosis and treatment, and Drs. Finney and Jarrell go head to head over a case of Dapsone-induced methemoglobinemia.

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Grand Rounds Recap 2.2.22

Grand Rounds Recap 2.2.22

In this week’s Grand Rounds, Dr. Laurence led us through an incredible and education Morbidity and Mortality Conference, Drs. Gillespie and Continenza worked through a dramatic case combining vision changes and rash, Dr. Wright reminded us to not forget the esophagus in our patients with chest pain and Dr. Connelly gave a fantastic overview of EMS provider education and systems structure in her R4 Capstone. Finally, our incredible visiting professor, Dr. Megan Rybarcyzk gave us insight into building an emergency medicine education program in the midst of a pandemic and provides tips and tricks for those seeking a career in global health.

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Grand Rounds Recap 10.6.21

Grand Rounds Recap 10.6.21

This week Dr. Laurence provides great case-based learning in our monthly morbidity and mortality conference, Dr. Roblee walks us through aortic dissection management, Drs. Kletsel and Ferreri evaluate fluid resuscitation of ESRD patients, and Dr. Davis covers fungal skin infections.

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Grand Rounds Recap 05.26.2021

Grand Rounds Recap 05.26.2021

Dr. Koehler reviews cases and shared clinical pearls with this month’s Morbidity and Mortality Conference, Dr. Kowalenko visits virtually to discuss ABEM Board Certification and give us a medical history lesson on Presidential Assassinations

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Grand Rounds Recap 03.24.21

What’d we cover in this week’s Grand Rounds? Dr. Mand expertly delivered her final Morbidity & Mortality conference of the year, covering a spectrum of pathology from pediatric cardiac arrest to BRASH syndrome. Dr. Ryan gave the second part of the highly informative medical malpractice series. Dr. Stark reviewed hand injuries for her R1 Clinical Knowledge, an EM bread & butter lecture series. To cap things off, Dr. Hunt reviewed an R3 case where she tamed the SRU.

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Old News and New News for Cardiac Arrest

Old News and New News for Cardiac Arrest

Anyone who’s faced a patient with refractory V fib or V Tac, knows the certain pang of hopelessness that strikes when round and round of epi, CPR, and shocks fails to deliver a return to organized rhythm. ECMO is an option. Baring the availability of perhaps one of the most resource-intensive procedures in medicine, what option does one have? If nothing is working what do you change? Beta blockers? Change up the shocks? Is that bicarb you’re giving doing any good? This post and the affiliated podcast will cover 3 articles looking at the evidence for these new and old treatments for cardiac arrest.

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Air Care Series: Electrocution

Air Care Series: Electrocution

Electruction is a significant cause of morbidity and mortality with a widely variable injury pattern. Join the Air Care Series and Annals of B Pod teams as we dive into the pathophysiology and literature surrounding electrocution.

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