Grand Rounds Recap 6.8.22

Grand Rounds Recap 6.8.22

Another 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!

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Grand Rounds Recap 5.18.22

Grand Rounds Recap 5.18.22

It 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.

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Do You Hear What I Hear: Tinnitus and Auditory Disturbances

Do You Hear What I Hear: Tinnitus and Auditory Disturbances

The 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.

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Grand Rounds Recap 5.25.22

Grand Rounds Recap 5.25.22

Join 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!

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Grand Rounds Recap 5.4.22

Grand Rounds Recap 5.4.22

Join 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!)

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Grand Rounds Recap 4.27.22

Grand Rounds Recap 4.27.22

This 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.

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Lymphedema and Its Mimics

Lymphedema and Its Mimics

Lymphedema is a progressive pathologic condition of the lymphatic system where interstitial accumulation of protein-rich fluid leads to subsequent inflammation, adipose tissue hypertrophy, and fibrosis [1]. The direct effect of this development and its long-term complications can lead to disfigurement, decreased mobility, and significant morbidity. While the management of lymphedema typically requires long-term therapeutic interventions outside of the role of the Emergency Department, a thorough understanding of this condition and its mimics will help Emergency Physicians appropriately evaluate and manage the broad presentation of “swelling”.

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Grand Rounds Recap 4.20.22

Grand Rounds Recap 4.20.22

This week’s Grand Rounds was all about emergency response and management in disasters with fantastic lectures by visiting lecturer and UC EM alum, Dr. Tom Blackwell, on the basics of disaster response, airport mass casualty incident response with Assistant Chief Ray Dabbelt, and recognizing and caring for patients with chemical-induced injuries with Dr. Calhoun.

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Diagnostics: Dysnatremias

Diagnostics: Dysnatremias

Abnormal sodium values are a common finding on basic metabolic testing, however the more deranged the value, the more critical it is to think causation, as interventions to treat the abnormality can become as dangerous as the abnormality itself. Join Dr. Chhabria as she dives into the causations and treatments of dysnatremias

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Grand Rounds Recap 4.13.22

Grand Rounds Recap 4.13.22

Join us as Dr. Frederick discusses a case of massive upper GI bleeding, Dr. Kletsel challenges Dr. Ham to a battle of wits in CPC, Dr. Chhabria spills the salt on ‘dysnatremias’, Dr. Frankenfeld discusses posterior strokes, and Our CCHMC PEM colleagues brief us on pediatric broken bones!

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