Grand Rounds Recap 09.23.20

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Grand Rounds Recap 09.23.20

Join us as we welcome our guest lecturer, Dr. Luke Messac, for our Global Health Grand Rounds. Dr. Modi then expertly takes us through the ED management of traumatic brain injury in his R4 Case Follow Up. Dr. Diaz makes her lecture debut with dermatologic emergencies. Drs. Winslow and Zalesky walk us through the evidence-based approach to neonatal resuscitation in their QI/KT, and lastly, we end the day learning about the power of positive psychology in our Wellness Curriculum.

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Air Care Series: Electrocution

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Air Care Series: Electrocution

Electruction is a significant cause of morbidity and mortality with a widely variable injury pattern. Join the Air Care Series and Annals of B Pod teams as we dive into the pathophysiology and literature surrounding electrocution.

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Grand Rounds Recap 09.16.20

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Grand Rounds Recap 09.16.20

Join us as we explore our EMS Grand Rounds with Dr. Gray, discussion of pain management in pediatrics with Dr. Bryant, and the evidence-based approach to pericarditis treatment with Drs. Stevens and Jensen. Drs. Chuko and LaFollette then go head-to-head in our beloved CPC, Dr. Martella takes us through the diagnosis and management of myasthenia gravis, and Dr. Berger outlines the importance of taking care of our critically ill patients with humanity and kindness in his R3 Taming the SRU lecture. Lastly, Dr. Gottula wraps up with a discussion on how to excel at the little things during his R4 Capstone.

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A Fix for a Stinging Heart - Pericarditis Treatment in the ED

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A Fix for a Stinging Heart - Pericarditis Treatment in the ED

Pericarditis is inflammation of the pericardial sac. Classically, pericarditis presents with sharp and pleuritic chest pain which is relieved by sitting up and forward. Pericarditis has multiple etiologies, but is most commonly idiopathic, assumed to be viral, in developed countries (1). Treatment of pericarditis should be targeted to the underlying etiology if possible (1). For presumed viral, idiopathic causes, most patients are treated with non-steroidal anti-inflammatory drugs (NSAIDs) and colchicine (1).

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Grand Rounds Recap 9.9.2020

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Grand Rounds Recap 9.9.2020

The week started off with an anxiety inducting lecture on medical malpractice. Not to be outdone our PEM colleagues gave us a simulation with a 29 week premature delivery. This was followed by a review of different long term tubes that are in our patients. We were honored to have Drs. Mallory and Unaka give us a lecture on structural racism and how this has impacted racism in medicine, as well as how we can do better.

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Ketamine Potpourri

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Ketamine Potpourri

In our most recent journal club, we took a look at 3 articles focused on the use of ketamine in the Emergency Department. When treating pain with ketamine, does a rapid administration of ketamine result in more dysphoria? When used for RSI, is ketamine more hemodynamically stable than etomidate? When using ketamine for procedural sedation in adult patients, does pre-treatment with versed or haldol decrease clinically significant emergence agitation?

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Mastering Minor Care: Auricular Hematoma

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Mastering Minor Care: Auricular Hematoma

You are finally done with your initial trauma assessment when you see a purple, swollen ear. You know this auricular hematoma needs to be evacuated but where to start? What’s the latest on bolstering? Join Dr. Ijaz as he goes through the basics and the latest on auricular hematoma management.

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Grand Rounds Recap 9.2.2020

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Grand Rounds Recap 9.2.2020

This week were treated to the story of stroke evaluation and treatment. An interesting case series was presented showing the importance of aortic stenosis. Dr. Gillespie dove into the literature on the treatment modalities for non-specific low back pain. Dr. Ijaz could not stump Dr. Roche with a case of chronic salicylate toxicity. The importance of what words we use, how we use them, and why we use them was presented by Dr. Hughes. Lastly our R3’s showed us all things ENT in small groups.

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Back to Basics: Treatment of Acute Low Back Pain in the ED

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Back to Basics: Treatment of Acute Low Back Pain in the ED

How do you treat acute low back pain that comes into the ED. Do you have a ‘cocktail’? Do you have any injections / stretching that you recommend? Is there data behind any of that?? Join Dr. Gillespie on an evidence-based look at the therapeutics of low back pain in the ED.

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Grand Rounds Recap 8.26.2020

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Grand Rounds Recap 8.26.2020

This week we have domgalysis with Dr. Hall, discussing rectal exams in trauma, skeletal traction and repeat head imaging in TBI. We also have a fantastic set of learning pearls from M&M cases with Dr. Li and a case of myesthenic crisis with Dr. Urbanowicz. Finally we have a literature review surrounding the impending Qi/KT algorithm on peritonitis with Drs. Ramsey and Mullen

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Air Care Series: Status Epilepticus Update

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Air Care Series: Status Epilepticus Update

The diagnoses and treatment of status epilepticus continutes to evolve. Review the latest evidence for status epliepticus management in the critical care transport medicine environment, including an evolving role for Ketamine!

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Grand Rounds Recap 08.12.20

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Grand Rounds Recap 08.12.20

This week’s Grand Rounds started off with Dr. Minges walking us through how to perform ultrasound-guided regional anesthesia. Drs. Curry and Ryan then presented the first Year Directives of the academic year discussing EMTALA criteria and how to negotiate a contract. Drs. Wosiski and Iparraguirre expertly discussed the literature behind angioedema management. Drs. Crawford and Doerning battled it out on a case involving hiccups (read to find out more about this fascinating case). And lastly, Dr. Stratton from our PEM division walked us through how to approach the pediatric patient and pearls on how to determine “sick” from “not sick".”

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