July 25, 2024

Grand Rounds Recap 7.10.24

July 25, 2024/ Jazmyn Shaw

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.

July 24, 2024

Grand Rounds Recap 7.17.24

July 24, 2024/ Jazmyn Shaw

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.

June 27, 2021

Grand Rounds Recap 6.23.21

June 27, 2021/ Meaghan Frederick

It is the last Grand Rounds of the academic year and we have some heavy hitters this week! Dr. Hughes reviews cases and shares clinical pearls in this month’s morbidity and Morbidity and Mortality. Dr. Wolochatiuk tames a crashing pulmonary embolism in the SRU. Dr. Skrobut discusses the toll that EM takes on all of us. Dr. Paulsen discussess supervision, professional development, and burnout.

May 29, 2021

Grand Rounds Recap 05.26.2021

May 29, 2021/ James Li

Dr. Koehler reviews cases and shared clinical pearls with this month’s Morbidity and Mortality Conference, Dr. Kowalenko visits virtually to discuss ABEM Board Certification and give us a medical history lesson on Presidential Assassinations

May 25, 2020

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

May 25, 2020/ Christopher Shaw

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.

March 26, 2020

Grand Rounds Recap 03.25.20

March 26, 2020/ Jared Ham

In our first ever teleconferenced Grand Rounds - this week Dr. Kathryn Banning presented us with opportunities to improve the care we deliver in our monthly morbidity and mortality conference. Then, our panel of expert clinicians and self-aware humans engaged us all in a discussion of wellness and longevity that was at times vulnerable and candid, but also enlightening from start to finish. Finally, we learned more about radio operations and reflected on both failures and victories in HEMS CQI cases with our Air Care leadership team.

February 21, 2020

Grand Rounds Recap 2.19.20

February 21, 2020/ Kathryn Banning

This week featured an all-start lineup of resident lectures. Dr. Golden started us off with an amazing M&M, followed by Dr. Mullen enlightening us on eating disorders and the management in the ED. Dr. Iparraguirre taught us about the management of the severely burned patient. Dr. Laurence and Dr. Lagasse faced off in another interesting CPC. Finally Dr. Goff, hit it home with review of pneumonia severity scores and their clinical context.

February 16, 2020

Yeah, it's Pneumonia, But How Bad is it Really?

February 16, 2020/ Jeffery Hill, MD M.Ed

According to the American Thoracic Society (ATS) in 2018, 1 million patients required hospitalization for pneumonia and there were 50,000 associated deaths. Pneumonia was the leading cause of sepsis and septic shock and not surprisingly therefore qualified in the top 10 most expensive inpatient hospitalizations.(1) Given these findings, some have sought opportunity to develop mechanisms to assess and safely triage pneumonia patients to either inpatient or outpatient treatment strategies based upon pneumonia severity scores. In October 2019, the Infectious Diseases Society of America (IDSA) in conjunction with the ATS published recommendations for the assessment, treatment and disposition of immunocompetent adult patients with community acquired pneumonia which included several clinical decision rules also known as pneumonia severity scores.(2) The recommended decision rules and several associated, emerging tools are reviewed here.

October 25, 2019

Grand Rounds Recap 10.23.19

October 25, 2019/ Jared Ham

This week Dr. Banning discussed several practice-changing topics in our Morbidity and Mortality conference. Drs. Laurence and Wolochatiuk prsented their QIKT project for the management of acute, decompensated pulmonary hypertension, and Dr. Wright gave a fascinating presentation on the approach to fever in a returning traveler.

October 23, 2019

Grand Rounds Recap 10.16.19

October 23, 2019/ Jared Ham

This week we disccused interventions for the crashing asthma patient with Dr. Mand, ESRD and dialysis related complications with Dr. Scanlon, shoulder and elbow xrays with Drs. Crawford and Scanlon, and a case of intussusception in an adult patient with Drs. Hunt and Bryant. Dr. Gauger provided his case follow up on PJP pneumonia complicated by methemoglobinemia, and Dr. Li took us through the ins-and-outs of gastric lavage in a simulated case of calcium channel blocker overdose.

May 25, 2019

Grand Rounds Recap 5.22.19

May 25, 2019/ Jessica Baez

This week we welcomed Dr. Thurman, a UC alumnus, back to Cincinnati for a fantastic quick hit visual diagnosis lecture. This was followed by a review of the literature on pneumonia by Drs. Modi and Mand. Dr. Wolochatiuk reviewed chemical and electrical burns, and Dr. Lane and Lang reviewed the diagnosis and management of proctitis in their CPC. Dr. Humphries presented some fantastic cases of zebra diagnoses in the ED. Lastly, Dr. Soria concluded with her inquisitive thoughts from over the years.

May 03, 2019

Grand Rounds Recap 5.1.19

May 03, 2019/ Gerad Colmer

We had an exciting Grand Rounds this week. We started off with our visiting lecturer, Dr. Jennifer Wiler, who gave us an excellent overview of the dollars and cents behind the care that we provide in the emergency department. Afterwards we practice some oral board style cases. Dr. Betz led a challenging triple patient encounter where we had to simultaneously manage a knee dislocation, aortic dissection with involvement of the right coronary artery, and pneumonia in the setting of HIV. Dr. Curry led a riveting case of preeclampsia where identifying the critical history of a recent delivery was critical to initiating the correct management. We wrapped up the day with a simulation led by Drs. Hill, LaFollette, and Lang on in-flight emergencies!

March 29, 2019

Grand Rounds Recap 3.27.19

March 29, 2019/ Isaac Shaw

Enjoy this week’s Grand Round’s Recap. Dr. Murphy started us off with a great Morbidity and Mortality conference with a variety of fascinating cases. Next, Dr. LaFollette taught us some pearls for HEENT emergencies if you are out in the community. Dr. Hunt took us through transfusion reactions and how to manage them, followed by Dr. Hall discussing the management pearls of Nonconvulsive Status Epilepticus. Next, Dr. Connelly taught us how we can incorporate alternative EKG leads into our practice, and Dr. Klaszky finished our day with a nuanced take of how to manage refractory septic shock. It was a jam packed day full of great learning!

March 01, 2019

Pneumonia Alphabet Soup

March 01, 2019/ Jeffery Hill, MD M.Ed

Pneumonia. It’s one of the first conditions we learn to diagnose as medical students. It was probably the cause of the first really sick, septic geriatric patient you saw in residency. Conversely you have also probably sent a fair share of patient’s home with an outpatient course of antibiotics and PCP follow-up. While determining the appropriate treatment and disposition for patients on the extreme ends of illness severity is quite straight forward; that pesky majority in the middle can be a conundrum at times. Who can go home? Who needs broad spectrum? Who needs step-down? Over the last two decades there has been a smorgasbord of pneumonia related acronyms used in clinical practice to predict severity, guide therapeutics and recommend disposition. During our most recent resident Journal Club, we took a look at a handful of the more familiar acronyms as well as some new ones coming down the pipeline.

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SRU (pronounced "shrew") = Shock Resuscitation Unit

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