Grand Rounds Recap 4.10.24

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Grand Rounds Recap 4.10.24

An excellent Wednesday here in Cincinnati! We started out the day with our ultrasound grand rounds where ultrasound fellow Dr. Broadstock took us through an interactive lecture on advanced cardiac ultrasound. This was followed by a lecture by faculty member Dr. Irankunda who discussed the importance of names and embracing individuality. Finally, we ended the day with a combined session with our pediatric colleagues where we covered pediatric procedures, foreign body aspiration, and a neonatal potpouri. We can’t wait for next week!

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Grand Rounds Recap 2.7.24

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Grand Rounds Recap 2.7.24

Join us we recap another week of Grand Rounds. We start off with a CPC case, where Dr. Rodriguez challenges Dr. Benoit to a case involving a young child with recurrent syncopal episodes. Next up, Dr. Knudsen-Robbins teaches us all the tips/tricks to performing LPs in the ED. If you ever felt nervous about an pediatric airway, our airway expert, Dr. Carleton, walks us through all the nuances of a pediatric intubation. Meanwhile, Dr. Milligan reflects on her four years as a resident and shares her insight about making the hard decisions during training. One of our very own SRU tamers, Dr. Davis, teaches us how to expertly manage symptomatic bradycardia. Lastly, Drs. Broadstock and Ramachandran help us add nerve blocks to our growing toolbox used for treating acute pain in the ED.

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Grand Rounds Recap 1.31.24

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Grand Rounds Recap 1.31.24

We had a jam packed grand rounds this week, which started off with a simulation and ultrasound demonstration from our AirCare team. Next Dr. Vaughan took us through the dermatologic emergencies we cannot miss, and Dr. Ferreri discussed why every decompensated patient should receive an sonographic waves for assessment. We continued with our third installment of Landmark Studies of EM, covering the important papers on traumatic resuscitations. Finally, Dr. Bryant took us through a global health inspired case and Dr. Otten taught us about the medications that can be toxic to pediatrics in small doses.

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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Lumbar punctures can be a high stress and difficult procedure for many. Dr. Knudsen-Robbins walks us through the optimal setup, performance, and troubleshooting of this procedure, including the ultrasound-assisted LP! Check out this article before your next LP attempt to breeze through this procedure with ease.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons. In this post, we will review multiple alternative access options, as well as briefly discuss concerns related to PICC lines.

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Sound Waves for Shoulder Dislocations

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Sound Waves for Shoulder Dislocations

Shoulder injury and dislocations are common reasons for patients to present to the emergency department (ED) for evaluation. As ED physicians we often must determine whether the shoulder is fractured, dislocated, or both. Most of the time this is done through the use of physical examination in addition to the use of a plain film radiograph of the shoulder.

 The use of ultrasound in the diagnosis and management of musculoskeletal injuries is becoming more common. While it currently does not supplant the use of radiographs, it can be a useful adjunct to the management of these patients.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Is that a yolk sac? a fetal pole? not sure? Then it’s not a DEFINITIVE intrauterine pregnancy! Medical student Michael Brooks discusses a case of indeterminate findings that led to a diagnosis of ectopic pregnancy. He highlights the findings suggestive of an ectopic pregnancy on POCUS and difficulty in making the diagnosis!

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Grand Rounds Recap 9.6.23

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Grand Rounds Recap 9.6.23

Join us for a review of another fantastic week of Grand Rounds. We start with Dr. Minges expertly guiding us through performing DVT studies in the ED, to help us better address the needs of the patients in front of us. Dr. Kreitzer presents the data, as well as and personal experience, to passionately advocate for including family members in the ED and ICU’s- including procedures, resuscitation, rounds, and multidisciplinary meetings. Meanwhile, Dr. Onuzuruike refreshes our foundation knowledge pertaining to AICD’s in the ED. Lastly, Drs. Negron and Wright reflect on their expertise as leaders in the SRU to teach us all about managing the most difficult airways- including intubating through the nose and even an supraglottic device.

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Grand Rounds Recap 8.30.23

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Grand Rounds Recap 8.30.23

We start off strong this week with EMS grand rounds, where EMS fellow Dr. Klein walks us through potential uses and barriers for using ultrasound in the prehospital setting. We then moved on to our R1 Diagnostic and Therapeutics lecture, where Dr. Segev expertly led us through a discussion on the use of inflammatory markers in the ED including several small group cases. Next, an exciting CPC matchup between Drs. Schor and Stolz who went head to head to discuss a mysterious case of the hiccups. This was followed by Dr. Diaz who gave her R4 Capstone lecture on what her R4s taught her. Finally, we wrapped up the day with an excellent discussion on airway management during our airway grand rounds.

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Grand Rounds Recap 7.12.23

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Grand Rounds Recap 7.12.23

Another exciting week of grand rounds with a ton of variety! We started off with Fundamentals of ECMO with Dr. Bonomo, one of our EM/CC faculty, so that we have a better understanding of why and how ECMO works and the data surrounding outcomes, as well as how to facilitate identifying appropriate candidates to allow for cannulation directly from the ED for E-CPR or VV-ECMO. Next, Dr. McDonough helped us practice leading as a listener with a lecture and small groups for this iteration of our longitudinal Leadership Curriculum. We moved into ultrasound GR with Dr. Stolz and discussed many different types of artifact and their clinical utility in our point-of-care practice. We closed out with Macgyver techniques with Dr. Ham and learned his tips and tricks to rocking central lines!

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Grand Rounds Recap 2.1.23

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Grand Rounds Recap 2.1.23

This week in Grand rounds, we had some case reflection from R4 Dr.Zalesky reminding us to avoid anchoring, be aware of our biases for or against patients, and avoid creating a rude work environment. Dr. Moulds and Dr. Goel had a CPC showdown with a case of Cecal Diverticulitis, while Dr. Artiga gave us the low down on Lung Ultrasound in the ED. We wrapped up the day with an R4 lead simulation on a case of Thyrotoxicosis.

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