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Grand Rounds Recap 7.12.23

Taming the SRU

Make speakers more relaxed Make speakers more self-aware Help speakers gain clarity and reflect non-defensively Help speakers see both sides of an argument Perceived as “people leaders” Generate more trust Instill higher job satisfaction Increase team creativity How to be a better listener?

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Grand Rounds Recap 1.17.24

Taming the SRU

Leadership curriculum: recruiting & building a team r4 Case follow-up - r3 small groups Leadership curriculum: recruiting & building a team WITH Drs. ETT Depth = ETT size x3 initial defibrillation: 2J/kg (next shock is 4J/kg) Toxicology Quick Hits Fomepizole is the treatment for both polyethylene glycol and methanol toxicity.

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Top Ten Things I Learned at ACOEP 18

All Ohio EM

If they have 2 of the 4 criteria (shock index > 1, penetrating mechanism, positive FAST, pelvic fracture), go ahead and start the MTP early. While permissive hypotension is all the rage in hemorrhagic shock, head injured patients are the exception.

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The Latest in Critical Care, 11/27/23 (Issue #20)

PulmCCM

Beta-blockers for septic shock (STRESS-L trial) Septic shock deranges multiple complex signaling systems in the body. A meta-analysis of 7 randomized trials (n=503) previously suggested that co-administration of esmolol to blunt vasopressor-induced tachycardia and arrhythmias could reduce mortality in septic shock by one-third.

Sepsis 52
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Big Labs, Little People

Pediatric Emergency Playbook

There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later.

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ACEP Board Meeting Tackles Current Issues, Practice Trends

ACEP Now

Approved Policy Statements in April included— Length of Residency in Training in Emergency Medicine—new Policy Statement (which was developed based on a 2023 Council Resolution about “Supporting 3-year and 4-Year EM Residency Program Accreditation”) Selective Triage for Victims of Sexual Assault to Designated Exam Facilities—revised Policy Statement (..)

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You’re Now A Paediatric Registrar: Step Up, Survive & Thrive 

Don't Forget the Bubbles

Don’t forget the essentials: Eat Hydrate +/- caffeinate Exercise Unwind Sleep It’s not rocket science, but it’s shocking how many of us forget! Looking after yourself is a non-negotiable and something we must all prioritise so that we can also look after little people! What puts a pep in your step?