Mastering Minor Care: Nasal Septal Hematoma
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This complication of blunt facial trauma is nothing to turn your nose up at! Join us as we review relevant anatomy and walk through the management of nasal septal hematomas.
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TXA in Trauma
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In this journal club recap, Dr Sarah Moulds recaps a recent meta-analysis of papers looking at the therapeutic effect of TXA in patients with severe trauma. Are their higher rates of thromboembolic complications? Is mortality improved? This article by Fouche et al attempts to answer these questions.
Read MoreGrand Rounds Recap 05.29.24
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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.
Read MoreGrand Rounds 5.8.24
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Recap another week of Grands Rounds with us! Dr. Gabor helps us confidently navigate the medical emergencies in patients with a transplanted organ. Next up, Dr. Kein talks about the difficulty of navigating grief while completing residency training. Dr. Hill introduces use to research topics in the field of medical education. Our faculty who trained at other institutions, Drs. Adan and Lang, highlight different regional practice pattern variations and the evidence behind them. Meanwhile, Dr. Roche helps us learn how to better care for our female patients in the community. Lastly, we wrapped up with a joint lecture with the Cincinnati Children’s PEM program to learn out handling pediatric foreign bodies in the ED.
Read MoreGrand Rounds Recap 5.1.24
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Join us as we recap another excellent week of Grand Rounds. We start with the final installment of our leadership curriculum, where Drs. Hill and LaFollette guide us through the dreaded task of self-promotion. We join Dr. Stark on a moment of self-reflection and growth following a particularly difficult patient case. We are transported into the SRU as Dr. Wright presents the evidence for how we should approach traumatic cardiac arrests in the resus bay. Dr. Adan shares his airway expertise and provides helpful tips/tricks for overcoming the feared anterior airway. Lastly, our colleagues from pharmacy drop by to discuss some relevant updates- including reasons why you should think twice before ordering a urine culture in the ED.
Read MoreGrand Rounds Recap 1.31.24
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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 MoreMastering Minor Care: Concussion
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Join us as we “knock out” an outline for the evaluation and management of patients presenting to the ED with a concussion. Dr. Arnold highlights the importance of thorough discharge instructions and strict return precautions.
Read MoreGrand Rounds Recap 11.29.23
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This week’s grand rounds was packed with education! We started off the day with our morbidity and mortality conference which was led by chief resident, Dr. Stark. She discussed multiple high yield cases including immunosuppressed patients with fever, subarachnoid hemorrhage, complex trauma resuscitations, stridor in the adult, posterior circulation stroke, and finally an interesting case of Lemierre syndrome. Following M&M, Dr. Wolski took on Dr. Broadstock in an epic clinical pathologic case where the ultimate diagnosis in a child with abdominal pain was a bezoar. This was then followed by Dr. Newton’s R1 Diagnostic and Therapeutics lecture on Troubleshooting tubes in the ED including G-tubes, foley catheters, and suprapubic catheters. Finally, we wrapped up the day with R3 small group sessions. Dr. Harward led a session on ***. Meanwhile, Dr. Moulds discussed pharmacotherapy. Last but certainly not least, Dr. Sobocinski reviewed ***. All around, an excellent day at UCEM Grand Rounds!
Read MoreGrand Rounds Recap 8.16.23
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Join us to summarize another fantastic series of Grand Rounds lectures. We start off with in-flight emergencies, including changes to physiology and what equipment is available to you on most commercial flights, with Dr. Urbanowicz. Followed by a literature-filled debate between Drs. Lane and McDonough on the utility of CT pan-scans in trauma patients. With the help of Dr. Shewakramani, we all learn how to better recognize and care for patients with sepsis. Meanwhile, Dr. Roche teaches us about all various bites/stings- including marine species, scorpions, and mosquitos! Lastly, Dr. Wright introduces us to the science of reliability and how to design processes in healthcare to be more reliable, with the ultimate goal of improving our care of patients.
Read MoreGrand Rounds Recap 5.3.23
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Join us to recap our Grand Rounds session from the first week in May. Starting with the April M&M report expertly delivered by Dr. Broadstock- featuring atypical ACS, as well as the aggressive management of a CCB overdose. Followed by Dr. Mullen taking us through a set of cases involving near misses, as she reflects on things she learned during her four years in residency. Next up, Dr. Hajdu educated us about the presentation, pathophysiology, and evidence-based management of mild TBI’s/concussions in the ED. Lastly, we finish off with Air Care GR featuring details about the TOWAR study, review of management of pediatric seizures, as well as tips & tricks to improve our flight-related documentation.
Read MoreGrand Rounds Recap 8.24.22
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This week’s 8.24.22 Grand Rounds started off with a CPC of Drs Pulvino and Negron battling over a case of neurocysticercosis. Next Dr. Goff gave a ‘tales from 4 years’ capstone lecture, followed by blunt aortic injuries by Dr. Rodriguez and Patient Safety with Dr. Hemphill.
Read MoreGrand Rounds Recap 11.17.21
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Join us for our last grand rounds before Thanksgiving as Drs. Finney and Diaz discuss AKI management in the ED, Dr. Gobble discusses blunt cardiac injuries, Dr. Gawron tells the story of a young man presenting with a STEMI, and Drs. Connelly and Lane give us pointers on taking care of patients in the air.
Read MoreGrand Rounds Recap 10.13.21
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This week Drs. Leenellett and McDonough guide us through conflict resolution, Dr. Kimmel provides pears from a recent postpartum hemorrhage, Dr. Chhabria walks us through the diagnosis and management of toxic gas exposures, and we are joined by the Cincinnati Childrens PEM fellows for a lecture on pediatric trauma.
Read MoreGrand Rounds Recap 8.18.21
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Join us for another awesome week of grand rounds as Dr. Negron takes us through compartment syndrome, Dr. Meigh discusses esophageal tamponade balloons, Dr. Stolz discusses the finer points of traumatic arrest, and Dr. Connelly provides us with some Air Care updates!
Read MoreGrand Rounds Recap 8.11.21
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Another awesome week of Grand Rounds! If you couldn’t catch it live check out the summary here! Dr. Haffner discusses mesenteric ischemia, Dr. Roblee addresses dealing with patient deaths, Dr. Thompson gives us insight into quality improvement, Dr. Goodman reviews product resuscitation in trauma patients, and Dr. Ketabchi, one of our esteemed PEM fellows, takes us through neonatal sepsis.
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