Grand Rounds Recap 1.5.22

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Grand Rounds Recap 1.5.22

During this week’s Grand Rounds, Dr. Walsh presented Morbidity and Mortality, Dr. Thode discussed complications of Group A Streptococcal infection, Dr. Harward oriented us to submersion injuries, Drs. Pancioli and Paul Gordon shared opportunities for medical device innovation and engineering collaboration, Dr. Brower shared pearls on facial fracture diagnosis and management, and Drs. Fabiano and Thompson went head-to-head in a CPC to diagnose thyrotoxicosis.

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Face the Music: Emergency Management of Facial Fractures

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Face the Music: Emergency Management of Facial Fractures

Maxillofacial trauma is common in the emergency department as ~80% of patients with polytrauma sustain injuries to the head, face, and/or neck. The most common etiologies of facial fractures are: assault (36%), motor vehicle accidents (32%), falls (18%), sports injuries (11%), occupational injuries (3%), and gunshot wounds (2%).3 The most commonly fractured facial bones are (in descending order): nasal bones, orbital floor, zygomaticomaxillary complex, maxillary sinuses, mandibular ramus, and the nasoethmoidorbital. This post will review the general approach to evaluation of maxillofacial trauma in the ED followed by specific management recommendations for various fracture patterns.

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Grand Rounds Recap 12.15.21

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Grand Rounds Recap 12.15.21

Join us for a recap of this week’s robust Grand Rounds. We have a wide array of topics including biliary pathology, ED operations and how are decisions impact boarding, congenital long QT and Boerhaave syndrome, TTP, and pediatric stridor.

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Grand Rounds Recap 12.1.21

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Grand Rounds Recap 12.1.21

In this week’s Grand Rounds, Dr. Skinner introduces updates to EMS protocols , Dr. Gressick discusses thrombotic complications in COVID-19, Dr. Hunt shares her tips to avoid burnout in residency, Dr. Sobocinski walks us through nephritic and nephrotic syndromes, Dr. Yates challenges Dr. Hughes to diagnose an infected urachal remnant, and Drs. Broadstock, Comiskey, Kimmel, and Winslow discuss the diagnosis and treatment of uniquely Floridian dangers.

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Grand Rounds Recap 11.17.21

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Grand Rounds Recap 11.17.21

Join us for our last grand rounds before Thanksgiving as Drs. Finney and Diaz discuss AKI management in the ED, Dr. Gobble discusses blunt cardiac injuries, Dr. Gawron tells the story of a young man presenting with a STEMI, and Drs. Connelly and Lane give us pointers on taking care of patients in the air.

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Grand Rounds Recap 11.10.21

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Grand Rounds Recap 11.10.21

In this week’s Grand Rounds, Dr. Hassani theatrically illustrated the components of medical malpractice depositions with Dr. Walsh and important considerations for physicians in their preparation, Drs. Stevens and Gensic explored the differential for CBD dilation in their CPC, Dr. Shaw shared important considerations differentiating DKA and HHS and discussed asymptomatic hyperglycemia in the ED, and Dr. Laurence highlighted the differential for patients with HIV and AMS and the value in considering zebra diagnoses.

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Grand Rounds Recap 11.3.21

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Grand Rounds Recap 11.3.21

During this week’s Grand Rounds, Dr. Urbanowicz presented Morbidity and Mortality, Dr. Ijaz discussed the diagnosis and management of aortic dissection, Dr. Walsh shares tips for thoracentesis and dosing for systemic tPA, and Dr. Oteng joins us to share his experiences in global emergency medicine.

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Hyperglycemia in the ED

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Hyperglycemia in the ED

In 2016, a total of 16 million ED visits were reported with diabetes listed as a diagnosis, with 224,000 of these being for hyperglycemic crisis (1). In this post, we will explore the evaluation and treatment of various hyperglycemic etiologies in the ED through a series of clinical scenarios.

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Grand Rounds Recap 10.20.21

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Grand Rounds Recap 10.20.21

During this week’s Grand Rounds, fitness gurus joined us for Wellness Grand Rounds, Dr. Grisoli discussed the diagnosis and management of CRAO and CRVO, Dr. Minges described paradigms of diagnosis and management for abdominal aortic aneurysm, and Dr. Paulsen shared reasons and tools for debriefing resuscitations.

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Grand Rounds Recap 10.13.21

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Grand Rounds Recap 10.13.21

This week Drs. Leenellett and McDonough guide us through conflict resolution, Dr. Kimmel provides pears from a recent postpartum hemorrhage, Dr. Chhabria walks us through the diagnosis and management of toxic gas exposures, and we are joined by the Cincinnati Childrens PEM fellows for a lecture on pediatric trauma.

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Grand Rounds Recap 10.6.21

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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 9.22.21

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Grand Rounds Recap 9.22.21

Join Us for another week of Grand Rounds as Dr. Freiermuth give us tips and tricks for conducting research as a resident, Dr. Martinez reviews eye emergencies, Dr. Thode gives us ten tips for an emergency medicine resident, Dr. Leenellett walks us through writing your own letter of recommendation, and Drs. Frederick, Thode, Urbanowicz, and Wolochatiuk talk toxicology.

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Grand Rounds Recap 9.15.21

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Grand Rounds Recap 9.15.21

Join Us for another week of Grand Rounds as Dr. Boldt takes us through ED management of obstetric emergencies, Dr. Zalesky reviews a year of emergency medicine literature in a blitz, Dr. Hassan discusses ultrasound vs physical exam in modern emergency medicine, and our PEM colleagues take us through Ketamine laryngospasm, neonatal jaundice, and bacterial tracheitis.

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