We are back with another exciting week of grand rounds, this time with an overview of acute aortic insufficiency and tricuspid regurgitation, a walkthrough of ED use of coronary CTA, a High Acuity/Low Opportunity and Low Acuity/Low Opportunity procedure lab, and finally a discussion of the always-feared sick undifferentiated infant.
Read MoreFor Grand Rounds this week We took a deep dive into 2 cases of Pericardial Effusions with our R2 CPC with Dr. Grisoli and our R3 Taming the SRU lecture with Dr. Ferreri. One case ended up being a purulent pericardial effusion while the other was an LV freewall rupture. Dr. Sabedra Expanded our knowledge on how to better care for pregnant and breast feeding patients and how to be a support co-worker to our pregnant and breast feeding colleges. Lastly, Dr. Frankenfeld walked us through some of the data around when patients leave against medical advice, how to try to avoid this, and how to appropriately counsel our patients.
Read MoreAnother great week of Grand Rounds kicked off by Dr. Lex Kimmel’s Morbidity and Mortality Conference touching on Ectopic Pregnancy, Finger Dislocation and DOAC overdose management. Dr. Goff presents a case follow up of a gastritis complication. Firearms are lethal, join Dr. Yates as she discusses how to prep yourself with the data to help our patients. Finally we get specialist lecturers discussing acute management of acute occlusive event management in sickle cell disease.
Read MoreThis week’s grand rounds features a discussion of best practices for receiving feedback, how to think about and apply clinical decision rules, BRASH syndrome, Cryptococcus Meningitis, and two oral boards cases about aortoenteric fistulas and mesenteric ischemia.
Read MoreJoin us this week for an update on stroke treatment, ultrasound evaluation of acute dyspnea, Dr. Baez's reflections on residency training, how to give an inclusive lecture, tips on efficiency and workflow operations, and a list of dangerous pediatric toxins.
Read MoreThis week we heard from Dr. Baxter about clinical reasoning and the pendulum of clinical thought one often goes through during residency. Dr. Thompson had a brief Operations update for trauma pages and sepsis. We were pushed to consider our own practice patterns with Dr. LaFollette’s cases of Hyponatremia, Sodium Nitrate and Syncope. The quick hits lecture series made its debut talking about QTc intervals, penetrating neck trauma, and a pneumonia research quick hit. We wrapped up the day with neuroimaging tips from Dr. Knight and understanding the care delivered to incarcerated persons at the Hamilton county justice center with Dr. Srivastava.
Read MoreFirst Grand Rounds of the 2022-2023 Academic Year! Join Dr. Pancioli as he recounts how our program came to fruition as well as challenges that EM continues to find ways to overcome. Dr. McDonough leads a professionalism talk that helps define what keeps us on top of our game and collectively strong in the hospital. Dr. Paulsen gives Admit, Discharge and Transfer case studies to ground our difficult community decisions.
Read MoreThe final week of grand rounds for the class of 2022! This week brings a diverse array of M&M cases, updates in social EM, a discussion on intubating the physiologically challenging patient, pearls for asplenic patients, and an overview of REBOA.
Read MoreWe’re back this week with more exciting grand rounds content! We covered a new COVID-19 treatment algorithm, angioedema airway management, Ramsey Hunt Syndrome, and much more!
Read MoreAnother great week of Grand Rounds including pneumothorax therapeutics with Dr. Sardis Harward, snake bites with Dr. Mel Otten, Ventricular and Junctional Escape Rhythms with Dr. Dave Jackson - QIPS and Patient Safety with Dr. Dave Thompson, Wellness and On-Shift Nutrition with Dr. Roblee and the Wellness Team and finally The Crashing Neonate with the Cincy PEM Team!
Read MoreIt was another exciting week here in Cincinnati as we kicked off grand rounds with a session on performance improvement during our quarterly leadership curriculum with Dr. McDonough and discussed alternatives to hospital admission and available outpatient resources in the era of high boarding with our Chair, Dr. Pancioli. We finished our day with an excellent discussion on prenatal mental health care with Dr. Wolochatiuk in her R4 Case Follow Up and on uncommon causes of disorientation in Dr. Zalesky’s Taming the SRU lecture.
Read MoreThe majority of cases of hearing loss and tinnitus are not immediately dangerous and may be safely deferred to the outpatient setting. There are, however, several etiologies of such complaints that are dangerous and require prompt evaluation in the emergency department. The approach to hearing loss and/or tinnitus in the emergency department must focus on identifying characteristics that may clue the examiner in on a potentially harmful etiology.
Read MoreJoin us as we dive in to some terrifying cases of gynecologic pathologies in the ED followed by tips and tricks on lifelong learning from the amazing clinician and medical educator Dr. Jenny Beck-Esmay through our visiting lecture series! We then continue our journey to always be improving patient care and have some excellent discussion in our monthly Morbidity and Mortality Conference with Chief Resident, Dr. Colleen Laurence. Don’t miss all the incredible nuggets of wisdom from this week’s Grand Rounds!
Read MoreJoin us as we recap this week’s lectures including polypharmacy ingestions with Dr. Goff, pituitary disorders in the ED with Dr. Davis, and patient communication with Dr. Frederick. Lastly but certainly not least, review the head to head challenge of Dr. Diaz and Dr. Mand in this weeks CPC (Spoiler Alert: Dr. Mand Knocks it out of the park!)
Read MoreThis week’s Grand Rounds featured fantastic discussions covering the breadth of pathology we see in the ED each day. Join us as Dr. Urbanowicz shares case-based insights in this month’s Morbidity and Mortality Conference, Dr. Haffner walks us through the various etiologies and management for lymphedema and its mimics, Drs. Stark and Koehler go head to head in a CPC case of HSV meningoencephalitis, and Drs. Chuko, Crawford, and Ijaz focus on cardiology in R3 small groups with lessons on transvenous pacing from Dr. Crawford.
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
