Grand Rounds Recap 7.26.17

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Grand Rounds Recap 7.26.17

In this week's Grand Rounds, we led with our first Morbidity and Mortality conference of the year. Dr. Lagasse walked us through cognitive biases, the management of early obstetric emergencies, and the management of skin and soft tissue infections in the diabetic foot. In our leadership curriculum, Drs Hill and Stettler discussed the fundamentals of being a leader, and we got to hear from a panel of accomplished physicians within our department about their own leadership journey. Finally, in our Consultant of the Month series, Dr. Martha Ferguson discussed the management of ano-rectal conditions in the Emergency Department.

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Grand Rounds Recap 7.12.17

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Grand Rounds Recap 7.12.17

In this week's Grand Rounds, Dr. McDonough spearheaded a discussion of the art of breaking bad news in the Emergency Department. Drs Dang, Renne and Teuber led us through a focused management of obstetric emergencies: placental abruption, difficult deliveries and the pregnant traumatic arrest patient.

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Grand Rounds Recap 7.5.17

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Grand Rounds Recap 7.5.17

In our first Grand Rounds of the academic year, we started with Dr. Pancioli teaching us about the history of Emergency Medicine. Dr. Palmer discussed team work and the case for building social capital and Dr. LaFollette worked through the disposition of patients with chest pain. Our clinical pharmacist Chris Droege, PharmD discussed the evolving landscape of agents we have to reverse oral anticoagulants.

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Grand Rounds Recap 6.28.2017

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Grand Rounds Recap 6.28.2017

The last Grand Rounds of the 2016-2017 academic year kicked off with M&M with Dr. Betham presenting on EKGs, vitamin deficiencies, sepsis and hemorrhoids. Dr. Deb Gerdes brought us a global health update and Dr. Titone taught us about hyperthermic emergencies. 

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Small Kids and Squiggle Lines - An Introduction to Pediatric EKG Interpretation

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Small Kids and Squiggle Lines - An Introduction to Pediatric EKG Interpretation

It’s a typical shift in your community shop when you see a patient on the board that makes you nervous. 2 year old male with syncope. It’s been awhile since you have treated someone born in the 21st century and you know this child’s workup will likely involve an EKG. The closest pediatric hospital is 2 hours away.  How comfortable do you feel interpreting the squiggle lines generated by this little heart?

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Grand Rounds Recap 6.14.17

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Grand Rounds Recap 6.14.17

Dr. Ventura discusses the value of head CT and risk factors of CNS complications in HIV. Dr. Goel discussing the cognitive biases that drive decision making in EM. Dr. Stettler taught us that framing feedback can be as important as giving it and finally our CCHMC colleagues run through some difficult tox and airway cases. Plenty of learning to go around this week!

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Liver Function Tests Decoded

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Liver Function Tests Decoded

If the chief complaint of your patient is abdominal pain, altered mental status, overdose, generalized weakness chances are you at least considered ordering a hepatic panel. In fact, studies show that the hepatic panel is the third most common laboratory test ordered in the emergency department only behind the CBC and renal panel. If emergency medicine physicians are so quick to order this test, it is important to also know how to interpret all the little red arrows that often accompany your results. For this we will review each component and even (wait for it) … a little biochemistry!

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Grand Rounds Recap 5.24.2017

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Grand Rounds Recap 5.24.2017

Grand Rounds kicked off this week with Dr. Axelson's final M&M of the year where we learned about hypertensive emergencies, 2nd & 3rd trimester vaginal bleeding, the care of the sick asthmatic, which bronchiolitics can go home and how exactly to treat the many forms of UTIs. Drs. Kircher and Murphy-Crews continued the learning with a case follow-up about intubating patients with airway stents and pediatric head injury, respectively. Our joint EM-Peds lecture rounded out the day with visual diagnoses in peds. 

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Grands Rounds Recap 4.26.2017

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Grands Rounds Recap 4.26.2017

Dr. McKean kicked off this week with another great M&M where he taught us about the utility of stress testing to predict coronary artery disease, otomastoiditis, and much more. Dr. Brenkert joined us for an hour on pediatric musculoskeletal ultrasound and then Dr. Mudd reviewed transfusion strategies in upper GI bleeding. Dr. Ventura taught us about CSF analysis and Drs. Stettler and Whitford rounded out the day with a CPC about acid-base disturbances. 

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Grand Rounds Recap 4.19.2017

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Grand Rounds Recap 4.19.2017

This week kicked off with a Tox filled R4 Simulation where we learned about ASA, digoxin, and hydrofluoric acid toxicities. This was followed by lectures on cardiac disease in diabetes, pediatric pain management strategies, physician burnout and hypothermic cardiac arrest. 

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