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.  

 

78th Saturday Summit: WACEM Weekly Global e-Grand Rounds on POCUS in Cervical Fractures

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

Online : https://onlinelibrary.wiley.com/doi/abs/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.

77th Saturday Summit: WACEM Weekly Global e-Grand Rounds on Neutrophil Leucocyte Ratios in Traumatic Head Injury

 

4th September 2021

The NLR = Number of neutrophils divided by Number of lymphocytes.  In Inflammation the number of neutrophils increases, while the number of lymphocytes decreases.  

This Ratio was used to analyze large amounts of Data in Traumatic Brain Injury and Outcomes of that Data were discussed in Detail.

The Teams from The All India Institute of Medical Sciences, Bhopal presented their analysis in great detail followed by a very proactive discussion on importance of N/L Ratio in Emergency Medicine and Trauma. 4th September 2021.

The Discussion was led by Prof. Amit Agrawal Chief of Trauma at AIIMS, Bhopal. 

Some of the Latest Articles worth a read:

Djordjevic D, Rondovic G, Surbatovic M, et al. Neutrophil-to-Lymphocyte Ratio, Monocyte-to-Lymphocyte Ratio, Platelet-to-Lymphocyte Ratio, and Mean Platelet Volume-to-Platelet Count Ratio as Biomarkers in Critically Ill and Injured Patients: Which Ratio to Choose to Predict Outcome and Nature of Bacteremia?. Mediators Inflamm. 2018;2018:3758068. Published 2018 Jul 15. doi:10.1155/2018/3758068

Park JM. Neutrophil-to-lymphocyte ratio in trauma patients. J Trauma Acute Care Surg. 2017;82(1):225-226. doi:10.1097/TA.0000000000001266