Grand Rounds Recap 6.3.20

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Grand Rounds Recap 6.3.20

This week’s Grand Rounds was Disaster Day, always a theoretical exercise in how to muster resources and prepare for an outbreak. This year, while we are living it, it takes on even more meaning as we hear from Dr. Kralovic, an infectious disease expert in evaluating novel diseases, the ethics of standards of care and rationing care plan with Drs. Diller and Nomellini and event planning with Dr. Divine, sports medicine provider extraordinaire and medical coordinator of the Flying Pig Manage

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Grand Rounds Recap 05.27.20

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Grand Rounds Recap 05.27.20

This week Dr. Klaszky presented cases to help us improve our clinical care in the ED with our monthly Morbidity and Mortality conference. Drs. Hall, Modi, and Shaw taught us about marine, reptile, and arthropod envenomations with their R3 small group session. Finally, we were honored to (remotely) host the nationally renowned Dr. Megan Ranney, who gave us an eye-opening presentation on the overlap between gun violence, public health, and the role of emergency medicine.

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Ultrasound Case of the Month: To B-Line or not to B-Line - Sonographic Diagnosis of Pneumonia

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Ultrasound Case of the Month: To B-Line or not to B-Line - Sonographic Diagnosis of Pneumonia

Historically, air was seen as the downfall of ultrasound, and thus assessment of the lungs was thought to be a fool’s errand. Recent experience suggests that ultrasound has a lot to offer our clinical assessment of pulmonary pathology. Dr. Broadstock takes us through a case of a hypoxemic tachypneic woman, with US serving as the star of the show.

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Grand Rounds Recap 05.20.20

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Grand Rounds Recap 05.20.20

This week we used two papers addressing implicit biases in healthcare as a platform to discuss systematic reviews and meta-analyses in Journal Club. Dr. Dave Thompson then led us through the latest installment of the quality improvement series with insights for how to lead QI initiatives. Dr. Crawford reviewed tick-borne illnesses in her R1 clinical knowledge presentation, and Dr. Modi discussed highlights of management and prognostication of refractory v-fib arrest. Finally, the Air Care team brought us up to speed on a wealth of topics in this edition of the Air Care Grand Rounds series.

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Air Care Series: No Heart, No Problem

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Air Care Series: No Heart, No Problem

Transport of the ECMO patient is no small task, requiring intentional preparation. Join the UC Health Air Care & Mobile Care ECMO transport team to review VA ECMO Basics for Critical Care Transport Medicine.

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Grand Rounds Recap 05.06.20

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Grand Rounds Recap 05.06.20

Grand Rounds this week started with airway QI and COVID-19 airway management per the consummate expertise of Dr. Carleton. Dr. Mullen then taught the pearls and pitfalls of urine drug screens, Dr. Paulsen arose victorious from CPC vs. Dr. Wolochatiuk, and Dr. Ijaz gave a stellar review of ear pathology in the ED. Finally, Drs. Golden, Ham, and Spigner took us on a tour de force remote simulation of structural collapse with crush syndrome complicated by hyperkalemic arrest.

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Air Care Series: Refractory Hypoxemia & ARDS

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Air Care Series: Refractory Hypoxemia & ARDS

Transport of the ARDS patient is fraught with risk. These patients are at high risk of decompensation, which can be disastrous in the back of an ambulance or helicopter. The primary goal for critical care transport teams should be safe arrival of both the crew and patient to their destination. As such, if patients are achieving an adequate oxygen saturation at the referring facility, the better part of valor is to continue the current course, even if ventilator settings are suboptimal. If ventilator changes need to be made due to inadequate oxygenation, ventilation, or other factors, strong consideration should be given to LPV settings. Review the management literature behind ARDS management in 2020 with Chris Shaw, MD.

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A Test of Limitations - Urine Drug Screens

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A Test of Limitations - Urine Drug Screens

The urine drug screen (UDS) is a relatively inexpensive and quick test to obtain in the emergency department, but how useful is it?. You may be tempted to order it for a patient who comes in altered or intoxicated. Before ordering, it is important to understand how the UDS works and its limitations.

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Grand Rounds Recap 4.29.20

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Grand Rounds Recap 4.29.20

Another fantastic week of video conferencing started with Dr. Ham’s Morbidity and Mortality presentation through an array of zebras seen in our ED, Dr Ramsey discussed ED use of ocular ultrasound, Drs Adan and Connelly faced off in CPC case of retroviral syndrome and Dr Harty’s capstone detailed cases of pediatric patients which will prep any new parent.

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Ultrasound case of the month - Placement comes first

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Ultrasound case of the month - Placement comes first

This month, the Taming the SRU ultrasound team details some of the procedural applications of ultrasound in the midst of the COVID-19 pandemic, fresh from two of the minds our intern class: Drs. Hamza Ijaz and Chris Zaleky. This combo post will discuss the use of ultrasound to confirm placement of both endotracheal tubes and central venous catheters.

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Grand Rounds Recap 4.22.20

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Grand Rounds Recap 4.22.20

Another great week of Grand Rounds started with a journal club on pediatric resuscitation (podcast inbound soon), followed by a new electrolyte protocol via QI/KT with Drs Gawron and Hassani. Dr. Jensen’s TamingtheSRU lecture highlights a complex combination drug overdose and Dr. Garber gives an update on the pharamcotherapies of COVID. Finally Drs. Leech and Hill trialed the first remote simulation on post partum hemorrhage.

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Grand Rounds Recap 04.15.20

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Grand Rounds Recap 04.15.20

We had another exemplary installment of Grand Rounds this week that started with Attending Case Followup with Drs. Lang, Baez, and Paulsen. Then we had some top-notch review of core curriculum with Dr. Winslow and the Alvarado Score for appendicitis, Drs. Meigh and Klaszky on food impactions and esophageal foreign bodies, and Drs. Comiskey and Nagle on D-dimer. Finally, Dr. Nagle gave us an overview of the foundations of evidence-based medicine with his R4 capstone.

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