Conference Notes 7/06/2022

Room 9 Introduction by Dr. Harmon

Interns- Expose patient. ABC handled by upper level this early in year. Don’t cut clothes if you don’t have to

EFAST- Save lots of clips. Ask for help. Diagnostic exams can be pulled into chart. Educational can’t.

Cardiac view first in penetrating trauma. RUQ in blunt trauma.

If you don’t know where stuff is in room 9, ask

PGY2- Do they need a man scan? Vital signs? Open fracture? All reasons to keep in room 9

Stroke- Get last known normal. 10min to get to CT. Expedite neuro exam. Stroke attending will want BP, glucose, hx of stroke, blood thinners.

EMS Introduction / Radio Calls by Dr. Orthober

Types of EMS/EMS providers. EMT (no procedures) vs Paramedic (procedures)

Taking calls – Get Vitals. Decide triage vs room 9 vs see in room 9 and decide

Answering helicopter calls, speaker vs phone call

Be professional on calls

3 types of “death” that must be transported. Hypothermia, Cold water drowning, Electrical

Transfer of Care by Dr. Platt

Happens all the time during a patient’s stay

Be professional

IPASS

When receiving, try to dictate ToC note yourself

Try to avoid doing ICU care to get patient to medical service

Sign out AMR patients

Be aware of patients coming from EPS. If you take call from EPS, you find patient on cerner and put your name on it

Healthcare Disparities by Dr. Eisenstat

Equality vs equity. Similar opportunities vs Similar outcomes.

People come from different walks of life and it affects your healthcare

Most people experiencing homelessness are temporary. 27% are “chronically homeless”

People experiencing homelessness have life expectancy 10-15 years less than their non-homeless counterparts

Tuskegee Experiments went on from the 1930’s until 1972. We knew penicillin could treat at the beginning.

Think about bias in triage patients

Be compassionate