Beaumont RO EM Residency

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

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!

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

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

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)

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

Welcome, Beaumont Health Royal Oak Class of 2024!

youtu.be/lQTTww1s4_c Get your Shot!

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

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!

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

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.

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. 😊 youtube.com/watch?v=VyNEMW…