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Grand Rounds Recap 7.31.24

Taming the SRU

In select patient populations (such as those with poor outpatient follow-up), screening with a BMP to evaluate their serum creatinine may be beneficial Patients with asymptomatic hypertension should be referred to their PCP for outpatient follow-up.

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Grand Rounds Recap 4.26.23

Taming the SRU

Generally accepted (and some airlines spell it out) that they are assuming the liability even for you helping Documentation: To protect yourself (and the airline), will/should make documentation of what happened. hours earlier and went to OR 3.5 hours earlier and went to OR 3.5 Each airline generally has their own protocol.

OB/GYN 52
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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. If the trauma center performed screening ultrasounds to evaluate for asymptomatic DVTs, they were not included in this study.

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Episode 26 – Blunt Cardiac Injury: Emergency Department Diagnosis and Management (Trauma CME)

EB Medicine

Post opiate hypotension in prehospital trauma patients is a rare but documented complication. Jeff: Interestingly, the system I work in has prehospital physicians, who do carry US, but I can’t think of a major trauma where ultrasound changed any of the decisions we made. for pericardial effusion. Let’s move on to treatment.

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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

In addition, they also note that our good friend, the point of care ultrasound, likely plays a role, as in one study, POCUS demonstrated a 25% improvement in sensitivity from clinical impression alone. One, lung ultrasound can be really useful to find that occult pneumonia or differentiating pneumonia from CHF. Jeff : Sounds good.

Sepsis 40
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Sickle Cell Disease Module

Don't Forget the Bubbles

Be careful if the patient has received a recent blood transfusion since it may be misinterpreted as sickle cell trait instead of sickle cell disease. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. Would you consider this patient for blood transfusion?