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.
The mortality of Diastolic and Systolic HF are similar
Dr Howlett’s full presentation can be downloaded / viewed below:
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