Grand Rounds Recap 7.10.24

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Grand Rounds Recap 7.10.24

We started off this week with femoral nerve block case review with Dr. Lori Stolz, followed by our first ever morbidity and mortality conference focused on community practice given by Dr. Hughes. Next, Drs. Boyer and Benoit faced off in the clinical pathologic case lecture. Dr. Moulds covered high yield ophthalmology visual diagnosis, and Dr. Baxter discussed time sensitive vascular pathology. We finished off the day with Drs. Richards and Demel who discussed the operational aspects of stroke care.

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Sniffing out Sepsis - Vibes vs Scoring Systems?

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Sniffing out Sepsis - Vibes vs Scoring Systems?

Sepsis remains an increasingly common emergency department condition that is tied to higher morbidity and mortality across the United States as well  as the rest of the world. Sepsis as a disease process has been difficult to both clearly define and quickly recognize. Many metrics for recognition and management of sepsis are dependent upon various scoring systems, including SIRS, SOFA, qSOFA, and MEWS, none of which were designed for the acute detection of sepsis within the emergency department. This journal club recap will look at an article by Knack et al looking at physician gestalt vs scoring systems for the detection of sepsis.

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Grand Rounds Recap 7.17.24

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Grand Rounds Recap 7.17.24

We started off this week with a lecture and small groups discussing different leadership styles. This was followed up by a fantastic discussion on interpersonal and community violence with Drs. Jarrell and Kimmel. We then reviewed all things early pregnancy ultrasound with the one and only Dr. Stolz and ended with a great review of landmark studies in EM with Dr. Freiermuth.

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But the INR is 3.2! Markers of Coagulation Status in Cirrhotics

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But the INR is 3.2! Markers of Coagulation Status in Cirrhotics

In patients with cirrhosis and ongoing bleeding, it can be challenging to determine whether or not patients are hyper or hypocoagulable. Traditional markers of coagulation status like INR can be difficult to interpret in patients with abnormal synthetic function and potentially increase consumption of coagulation factors. Can TEG (thromboelastography) be a helpful too in these situations? In this journal club recap, Dr. Grisoli recaps a recent article by Rout et al that addresses this issue.

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Shock Differently - Out of Hospital Cardiac Arrest

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Shock Differently - Out of Hospital Cardiac Arrest

Out of hospital cardiac arrest (OOHCA) represents a great cause of morbidity and mortality. Approximately 350,000 cardiac arrests occur in North America annually and 20% can be attributed to Ventricular tachydysrhythmias (i.e. ventricular tachycardia [v fib] and ventricular tachycardia [v tach]without a pulse). In this journal club recap, Dr Kelly Tillotson recaps an article comparing different ways of defibrillation and their effect on outcomes in OOHCA

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Annals of B Pod: Quick Hits Corner

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Annals of B Pod: Quick Hits Corner

Palliative care? Methemoglobinemia? False positive pregnancy tests? Dr. Lauren Gillespie takes us through a multifaceted journey, ranging from the end-of-life ethics in the setting of organ transplantation to discussing cool facts our residents have looked up on shift!

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Sterile or Clean Gloves for Laceration Repair?

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Sterile or Clean Gloves for Laceration Repair?

Can clean gloves (those in the box in the room) be used safely during the repair of traumatic lacerations in the ED? Should we break open the package of sterile gloves each time? This Journal Club recap covers a recent paper examining the use of clean vs sterile gloves for wound repair in the ED.

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Grand Rounds Recap 05.29.24

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Grand Rounds Recap 05.29.24

Another week, another great Grand Rounds line-up at UCEM. We start off with our monthly Mortality and Morbidity Conference led by Chief Resident Dr. Finney. This session covers cases from the month of April- including the treatment of a canine in the SRU. One of our SRU leaders, Dr. Chhabria, shares the changing landscape of cardiac arrest management using ECMO. Next up, Dr. Thompson helps us reflect on the self-talk that we engage in on a daily basis and offers advice on how to improve our mindset- especially when we are on-shift. We learn from Dr. Kotei how to better ED proceduralists when encountering patients with ascites and/or pleural effusions. We end with Dr. Hajdu challenging Dr. Baez to solve a puzzling case of progressive vision loss in a otherwise healthy young patient.

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