Beaumont RO EM Residency

Beaumont Royal Oak Department of Emergency Medicine Residency. Like us on Tweets are not considered medical advice.

[Beaumont RO EM Residency @BeaumontEM]

Pediatric Trauma:
* Broselow Tape is your friend!
* IO if can't obtain IV access
* Resuscitate with fluids early, 20cc/kg
* Head trauma? Remember your PECARN guide

[Beaumont RO EM Residency @BeaumontEM]

And we're back at it again!

Grand Rounds featuring:
Dr. Liza Shaw: Pregnancy Trauma and Pediatric Trauma
Drs. Hutchinson and Rocco: Charting and Coding

[Beaumont RO EM Residency @BeaumontEM]

Perimortem C-section (contd):
* Ongoing maternal CPR during the whole process
* Push baby (uterus) to L side to get off IVC and continue CPR
* Incision from subxiphoid to pubis
* Incision at lower portion of uterus, open, and get baby out!

[Beaumont RO EM Residency @BeaumontEM]

And remember: "You don't rise to the occasion, you fall back on your level of training"

[Beaumont RO EM Residency @BeaumontEM]

First Grand Rounds back in person since over a year ago! #COVID #EM #EmergencyMedicine #GrandRounds #SocialDistance

[Beaumont RO EM Residency @BeaumontEM]

Airway Management:
* Hypoxia kills patients first
* Fluid in airway kills patients next
* Check gag reflex: ask patient to swallow!
* Don't be overly reassured by a patient that's breathing
* Facial burn: INTUBATE EARLY
* Pediatric drowning: Intubate (in anticipation)

[Beaumont RO EM Residency @BeaumontEM]

Welcome, Beaumont Health Royal Oak Class of 2024!

[Beaumont RO EM Residency @BeaumontEM]

https://t.co/2qnCcV66mw

Get your Shot!

[Beaumont RO EM Residency @BeaumontEM]

That's for this week! Truly fortunate to have the opportunity to have such a multidisciplinary lecture series. Follow for more weekly pearls!

[Beaumont RO EM Residency @BeaumontEM]

Another week of Beaumont EM Grand Rounds Pearls!
First we had a fantastic review of ophtho emergencies given by on of our Ophthalmologist colleagues!

1. Remember swinging light test to determine (+)afferent pupillary defect. This can can be a sign of many emergent conditions

[Beaumont RO EM Residency @BeaumontEM]

Finally, we had a guest lecturer Dental Resident talk about dental emergencies.

Confused about oral nerve blocks? Anesthesia can be obtained by injecting directly superior to the tooth involved. Consider bupivacaine for as long as 12 hrs of pain relief!

[Beaumont RO EM Residency @BeaumontEM]

Grand Rounds Pearls!

#1 Nadir of pediatric physiologic anemic is ~2 months. and lower cut off for Hgb is 9.0.
#2 Consider NAT is cases with isolated vomiting - especially if story is inconsistent.
#3 There shouldn't be bruising in young infants* or unusual areas for older peds.

[Beaumont RO EM Residency @BeaumontEM]

I’m very proud of our Emergency Medicine residency program - it’s a fantastic, supportive place to train to become a world-class EM physician! If you are a prospective medical student interested in EM, check out our “Day in the Life” video. 😊

https://t.co/75Yueo3sud