Trauma Conference – Amanda Corzine

• Domestic violence underreported in Louisville and nationally
• SANE and CWF are important resources to use here
• Have increased concern for women that present intoxicated on alcohol with no prior history of intoxications – be informed about domestic violence; Dr. Coleman has done research looking at the coincidence of domestic violence in this patient population

MICU Case Review – Royalty

• Patient with AMS, seizure-like activity. PMH of COPD on home O2, HFpEF, HTN, T2DM, Afib on AC, intubated prior to ICU
  • Subsequently COVID+ on floor transfer; sent back to MICU
  • Intubated again. Started on Remdesivir, Dexamethasone. Code during intubation.
  • Ultimately complicated course of Afib management and thrombocytopenia
  • +trop in trending labs q48h in COVID patient; cards consulted.

DED/72H Returns – Staben

• Remember to get labs in hypothermic patients who have arrested – it can lead to more appropriate prognostication and cessation of futile codes. K>12 means further resuscitative efforts are futile.
• Reviewed Brain Trauma Foundation guidelines regarding surgical management of acute SDH
• Remember to do indicated procedures like bilateral chest tubes or finger thoracostomy in blunt traumatic arrest even in seemingly futile cardiac arrest as these patients can have occult injury.