Grand Rounds: Topic?

[pinipig523]

Any ideas for a good Grand Rounds topic?

I was thinking PE, ddimer and other diagnostics, when to thrombolyse.

What do you guys think? Any other ideas?

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[EM2BE]

Any ideas for a good Grand Rounds topic?

I was thinking PE, ddimer and other diagnostics, when to thrombolyse.

What do you guys think? Any other ideas?

I found I also like lectures on things I may not be that familiar with but afraid to miss because it's more rare or more commonly missed.

Here's a few that come to mind:
Myasthenic crisis vs cholinergic crisis
Guillain Barre
Serotonin syndrome
Anticholinergic syndrome
Toxidromes

 

[Mighty Mouse]

here's one i did in residency....

i've always been interested in what our ED would do in a mass casualty incident. so one day i went up to the charge nurse and asked her where our disaster plan was. took 25 minutes to find it. i figured out something was wrong.

once i found it, i realized it was outdated and called for responsibilities etc that were out of sync with how our ED was staffed.

so, as a lecture, i made a power point essentially breaking down a mass casuality incident (i set off a bomb at the local baseball stadium).

at each point i basically broke down the situation and asked the residents what they would do next...making it interactive.

i broke down who was working in the ED at that moment.

who was expected to do what

where all the gear was

where the triage area was

what we do with the patients already in the ED

it got a great response from the group, and particularly helped when 2 weeks later a tornado ripped through town and we had 45 traumas show up in 30 minutes.

i think it is something every ED should re-visit, and i think has the potential to be far more interesting than another talk on stuff we hear about a lot

 

[Arcan57]

Any ideas for a good Grand Rounds topic?

I was thinking PE, ddimer and other diagnostics, when to thrombolyse.

What do you guys think? Any other ideas?

The problem with that is that the interesting punch-line (when to thrombolyse) is going to be "we don't know". Unless you're going to pull d-dimer in pregnancy, hopefully no one listening to the talk should be hearing any new information.

It's not my cup of tea, but atypical tox stuff (HF exposure, marine envenomations, mushrooms, carbon monoxide/cyanide) usually is informative to most levels of training. Hemostatic agents for trauma if it hasn't been covered.

 

[Daiphon]

Given that I know where the OP is training, the tox stuff is typically covered by a fantastic tox group... so, pinipig, talk with SA/SB/MM/JL to see if there's anything from "tox time" that hasn't been covered in depth.

I really like the SS v. NMS v. Malignant Hyperthermia idea... there's a spectrum there, important differences in dx & management; and a little bit of important history (Libby Zion + meperidine + neuroleptics = residency work hour restrictions).

Also, the most recent ACLS update changed a bunch of meds, so it might be prudent to go through the protocols and do a good pharmacotherapy talk on the indications/dosages/etc. Talk to your stellar departmental PharmD about this, if you want.

Good luck!
-t

 

[njac]

Given that I know where the OP is training, the tox stuff is typically covered by a fantastic tox group... so, pinipig, talk with SA/SB/MM/JL to see if there's anything from "tox time" that hasn't been covered in depth.

I really like the SS v. NMS v. Malignant Hyperthermia idea... there's a spectrum there, important differences in dx & management; and a little bit of important history (Libby Zion + meperidine + neuroleptics = residency work hour restrictions).

Also, the most recent ACLS update changed a bunch of meds, so it might be prudent to go through the protocols and do a good pharmacotherapy talk on the indications/dosages/etc. Talk to your stellar departmental PharmD about this, if you want.

Good luck!
-t

😍 awww, the girls sure have trained you well over the years. I won't tell FP you had such nice things to say!

 

[Daiphon]

😍 awww, the girls sure have trained you well over the years. I won't tell FP you had such nice things to say!

I know that pooch! And, FP knows... it's ok to say nice things once y'all graduate. d;-)

-t