16th October 2021
Sunday, 17 October 2021
83rd Saturday Summit: WACEM Weekly Global e-Grand Rounds - Point of Care Ultrasound in EM ~ The Water Bath Technique
9th October 2021
Speaker: Dr. Rakesh Mishra Assistant Professor Neurosurgery research and education at the Institute of Medical Sciences, Banaras Hindu University.
Moderator: Dr Amit Agrawal on behalf of Neutrophil-lymphocyte ratio Research Group
Evidence-based medicine has revolutionized the decision-making process
in different specialties of medicine. Systematic review and meta-analysis have
most important research tool for evidence synthesis and identifying the quality of evidence. Systematic review is an arduous task with iterative steps and requires extensive cooperative team work. In the talk the essential concepts, steps, philosophy and necessity of systematic review and meta-analysis was discussed using NLR in TBI as the model.
At the end of the session:
- Understand the concepts of systematic review and meta-analysis.
- Using NLR model the process of systematic review and meta-analysis was discussed into and all the individuals’ steps were deliberated upon.
- Discuss on several research questions of importance to health care and emergency medicine and find the right approach for the evidence synthesis.
Friday, 8 October 2021
81st Saturday Summit: WACEM Weekly Global e-Grand Rounds - The Quaterly Resident Rumble : Evidence Based Wound Care in the ED
WACEM Quarterly Resident Rumble
2nd October 2021
Presenter: Dr. Courtney Kirkland, DO
Florida State University
EM Residency Program, Sarasota, Florida.
Part I of the Presentation:
Journey of PGY III Resident and Status Today:
Description of Sarasota Memorial Hospital acuity and volumes
Responsibilities of an EM resident physician
A list of skillsets and procedures that we are proficient in.
Part II of the Presentation:
Evidence Based Wound Care:
Literature review with various data on controversial wound care management topics
Consensus on “time since wounding” for primary closure vs. delayed primary closure regarding clean wounds is 6-10 hours for extremity wounds and 10-12 hours or even more for wounds on the face and scalp
Contaminat4ed, infected or high-risk wounds should be closed by delayed primary closure
Always obtain an x-ray when concerned about a retained glass foreign body, physical examination alone is not enough to rule it out
Standard for wound irrigation consists of high-pressure irrigation with saline or water
Tap water is just as effective for irrigation as saline
Sterile gloves show no benefit over regular gloves for wound closure
Certain immunocompromised populations may require prophylactic antibiotics
Currently bite wounds above the clavicle are recommended to be closed with careful consideration of primary closure of bite wounds to the extremities
Saturday, 2 October 2021
programmed to enhance professional development of debriefing staff.
Monday, 20 September 2021
79th Saturday Summit: WACEM Weekly Global e-Grand Rounds on Situational Awarness in Crisis Situations
18th September 2021
The WACEM Grand Round was delivered by Professor Bonnie Arquilla from New York.
The Content Focused on a case scenario which brought to light perspectives of leaders from across the world.
It was very clear that many countries have a phenomenal preparedness plans which can be a benchmarks for others nations to follow.
Dr. Lateef (Singapore) emphasized that it is crucial that plans be optimized and followed and Dr. Michaelson (Israel) added that developing a plan and following it was extremely crucial in mass casualty situations.
Different leaders cited their opinions about importance of decision making when plans are exhausted and resources decline and physician burn out happens.
Plan for a Plan is key to contingency management and developing scenarios with options is key component of preparedness.
Without a plan failure is guaranteed and emotional decisions are never planned and are rarely agreeable as a standard.
11th September 2021
VK, V., Bhoi, S., Aggarwal, P., Murmu, L., Agrawal, D., Kumar, A., Sinha, T.P. and Galwankar, S. (2021), Diagnostic utility of point of care ultrasound in identifying cervical spine injury in emergency settings. Australas J Ultrasound Med. https://doi.org/10.1002/ajum.12274
The Grand Round Focused on the Utility of POCUS in Identyfing Cervical Fractures. It was a exploratory research model where initially training was imparted to the person doing the ultrasound and different probes were used to make the diagnosis.
Following Detailed Discussion Following Outcomes were comprehended:
1. More Study was needed on the subject
2. Proper Training Curriculum will need to be built
3. Creation of a Ultrasound Compatible C-Collar could be a innovations Opportunity
4. Focus on MSK injuries beyond just bone injuries and also vascular assessment will be a great area of research.
Friday, 10 September 2021
77th Saturday Summit: WACEM Weekly Global e-Grand Rounds on Neutrophil Leucocyte Ratios in Traumatic Head Injury