>ED Rounds – October 2015

This month ED Rounds were presented by Dr Mike Howlett  , Dr James French and Dr Wendy Alexander (Pediatrician SJRH).

 

Congestive Heart Failure – Dr Mike Howlett

Dr Howlett presented 4 cases that highlighted the differences in pathophysiology and approaches to treatment for CHF in the ED.

The definition of Congestive Heart Failure (ESC 2012 Guidelines)

a syndrome in which patients have typical symptoms (e.g. breathlessness, ankle swelling, and fatigue) and signs (e.g. elevated jugular venous pressure, pulmonary crackles, and displaced apex beat) resulting from an abnormality of cardiac structure or function

Diagnosis of CHF

The diagnosis of heart failure with reduced ejection fraction (Systolic) and Heart Failure with preserved ejection fraction (Diastolic) is summarised in the box below.

Diagnosis HF

The mortality of Diastolic and Systolic HF are similar

CHF_Oct_2015_pptx

Dr Howlett’s full presentation can be downloaded / viewed below:

Download (PDF, 7.3MB)

 

How to be Awesome at Simulation – Dr James French

Dr French presented an interactive session that highlighted the important steps to designing, running and debriefing a simulation.

See our Simulation Program page for more details

Presentation to be uploaded here soon…

 

Pediatric Asthma – Dr Wendy Alexander

Dr Alexander presented pediatric pearls accumulated over her 25 years of practice.

See the SJRHEM Pediatric Asthma Guidelines

 

 

 

 

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