Grand Rounds Recap 03.13.24

/
Grand Rounds Recap 03.13.24

Another great week of Grand Rounds! We started with optimizing our wet reads on MSK xrays then moved into a victorious CPC win in the diagnosis of giant cell artertitis with a patient presenting with CN VI palsy and diplopia. We then discussed the tips and tricks for hernia reduction before hearing a moving story of a harrowing AirCare transport for ECMO cannulation. We moved into R3 small groups covering obstetrics and labor from mother to newborn and finished off with our pediatrics team visiting to discuss emergent cardiac conditions.

Read More

SQuID Protocol for DKA: Impact on ED Length-of-Stay

/
SQuID Protocol for DKA: Impact on ED Length-of-Stay

With the advent of fast-acting subcutaneous insulin analogs over the past 20 years, multiple studies have demonstrated that subcutaneous insulin protocols for treatment for treatment of mild-to-moderate severity DKA are safe and cost-effective when compared to intravenous insulin infusion protocols in non-ICU settings. In the context of increasing ED and hospital crowding as well as limited ICU availability, this study aimed to evaluate the impact of a subcutaneous insulin (SQuID) protocol in the treatment of DKA on emergency department length-of-stay (EDLOS) and ICU admissions

Read More

Consultant Corner: Acute Management of the Dislocated Knee

/
Consultant Corner: Acute Management of the Dislocated Knee

A patient presents with severe knee and leg pain after an MVC and you are worried about a possible knee dislocation, but don’t know how to evaluate them thoroughly… Join us for a special consultant edition of TTSRU - Dr Sean Catlett, a PGY-4 orthopedic surgery resident and Dr Sarah Moulds, a PGY-3 EM resident to discuss a full approach to the knee exam and management of the dislocated knee.

Read More

Grand Rounds Recap 3.6.24

/
Grand Rounds Recap 3.6.24

We had another exciting week of Grand Rounds! We covered topics including our new hypoglycemia protocol with Drs. Beyde and Wolski to traumatic cardiac tamponade with Dr. Glenn to syncope roles with Dr. Kotei. We enjoyed a visiting lecture from our Ohio ACEP team talking about the role of ACEP in residency and beyond. We finished strong with a lecture from our program director Dr. McDonough talking about her take on wellness in residency!

Read More

Grand Rounds Recap 2.14.24

/
Grand Rounds Recap 2.14.24

Join us as we recap a very special week of Grand Rounds here at UCEM! We started off with Dr. David Wright, visiting us from Emory University, to discuss the very latest in ICH management and also share his pearls for developing into leaders in our field. Next, we are joined by Dr. Cheetham, a PEM attending and EMS fellow, who reminds us the importance of EMS handoffs and even offers ways we can improve the safety of our patients. Dr. Martella shares how his previous time spent working in fast food industry helped shape him into the dedicated and compassionate physician he is today. Followed by Dr. Lewis educating each of us on how to better recognize and manage acute-onset pulmonary edema in the crashing patient. Lastly, our PEM colleagues from CCHMC stop by to help us better diagnose and manage a child presenting to ED with a limp. This week certainly highlighted the collaborative nature of our speciality and we are beyond grateful for all our colleagues near & far that help make us into better providers!

Read More

Grand Rounds Recap 2.7.24

/
Grand Rounds Recap 2.7.24

Join us we recap another week of Grand Rounds. We start off with a CPC case, where Dr. Rodriguez challenges Dr. Benoit to a case involving a young child with recurrent syncopal episodes. Next up, Dr. Knudsen-Robbins teaches us all the tips/tricks to performing LPs in the ED. If you ever felt nervous about an pediatric airway, our airway expert, Dr. Carleton, walks us through all the nuances of a pediatric intubation. Meanwhile, Dr. Milligan reflects on her four years as a resident and shares her insight about making the hard decisions during training. One of our very own SRU tamers, Dr. Davis, teaches us how to expertly manage symptomatic bradycardia. Lastly, Drs. Broadstock and Ramachandran help us add nerve blocks to our growing toolbox used for treating acute pain in the ED.

Read More

Grand Rounds Recap 1.31.24

/
Grand Rounds Recap 1.31.24

We had a jam packed grand rounds this week, which started off with a simulation and ultrasound demonstration from our AirCare team. Next Dr. Vaughan took us through the dermatologic emergencies we cannot miss, and Dr. Ferreri discussed why every decompensated patient should receive an sonographic waves for assessment. We continued with our third installment of Landmark Studies of EM, covering the important papers on traumatic resuscitations. Finally, Dr. Bryant took us through a global health inspired case and Dr. Otten taught us about the medications that can be toxic to pediatrics in small doses.

Read More

Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

/
Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Lumbar punctures can be a high stress and difficult procedure for many. Dr. Knudsen-Robbins walks us through the optimal setup, performance, and troubleshooting of this procedure, including the ultrasound-assisted LP! Check out this article before your next LP attempt to breeze through this procedure with ease.

Read More

Grand Rounds Recap 1.24.24

/
Grand Rounds Recap 1.24.24

This week at Grand Rounds we started off with a lively discussion of some unique case presentations during M&M presented by Dr. Yates. Drs. Wosiski-Kuhn and Stothers then walked us through the most pressing research papers in our Mini-Lit Blitz, followed by Dr. Benoit talking us through ideal Post-ROSC Care. Finally, our QI/KT on necrotizing soft tissue infections was expertly presented by Drs. Schor and de Castro.

Read More