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DC & Maryland Suspected Zika Cases

6/21/2016

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For DC Residents and other states EXCEPT Maryland:
  1. The physician or provider should fill out completely the Zika Virus Reporting Form (below, or direct CDC link)
  2. NOTE: Symptoms, date of onset, pertinent travel history (location, dates of travel, departure and return to US) and immunization history for Yellow Fever, Japanese Encephalitis, or tick-borne diseases should be noted.
Fax completed form to:
  1. (202) 442-8060 District of Columbia Department of Health-Division of Epidemiology-  Disease Surveillance & Investigation
  2. (202) 715-4691 GWU Microbiology Laboratory
Draw two tigerstripe tubes:
  1. Send blood to lab labeled for Zika Virus Testing. The lab will appropriately store the sample until notified by the DC DOH to send samples. 

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Transfusion Lecture 

6/8/2016

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 A foundational discussion on evaluation and treatment of acute transfusion reactions. Adapted from a lecture by Dr. Scott.  
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Grand Rounds June 8th, 2016

6/8/2016

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  • Toxicology: Mushroom Update
  • M&M: ESRD, Renal Stones & Urosepsis
  • Global Medicine mini-fellowship
  • RSI Education mini-fellowship
  • Health Policy Update
  • Ultrasound Education mini-fellowship


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Sickle Cell Pain & Ketamine Use

6/1/2016

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Diagram Credit: S Rezaie
Adapted from Abdulla Alhmoudi's GR presentation May, 2016.

The management of sickle cell pain crises can be difficult due to our inability to rely on vital signs to lead our management, as well as the need for maintaining a broad differential in a patient with sickle cell disease. 


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Grand Rounds - June 1, 2016

6/1/2016

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Grand Rounds June 1st:
  • Intern Board Review with Marie-Eve
  • Sepsis Update with Alex
  • Nausea & Vomiting in Pregnancy by Jared
  • Evidence-Based Updates by Dr. Pourmand
  • The Pelvic Exam by Annabel
  • Specialty Conference: Ob/Gyn - by Michelle and Dr. Anna BuAbbud, chief Ob/Gyn resident

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qSOFA & The New Sepsis Definitions

6/1/2016

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qSOFA was introduced as part of the Sepsis-3 guidelines published in February 2016. SOFA is a well-known scoring system used in the ICU setting, and qSOFA is a simplified version that uses only 3 clinical criteria; altered mentation, tachypnea, and hypotension. 

Why the change; the current SIRS Criteria is less sensitive and specific than the SOFA score. Utilizing 2 or more SIRS criteria was felt to be unhelpful by the 2016 task force,

Instead, qSOFA utilizes the most important criteria for those at risk for poor outcomes from sepsis. 

Looking forward, remember that qSOFA is not a screening tool for sepsis, but a predictor of poor outcomes to help identify those patients who need additional providers and immediate interventions. 

To learn more about the new JAMA Third International Consensus Definitions for Sepsis and Septic Shock, read the article, or listen to the FOAMcast on Sepsis Redefined. 
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This site is independently owned and operated and not affiliated with the George Washington University, George Washington University Hospital, or Medical Faculty Associates. All information on this site is the opinion of the author alone and in no way should be seen to represent the views of the George Washington University, George Washington University Hospital, or Medical Faculty Associates. The information on this page is for personal use only and should not be see as medical advice or used directly for patient care. The author provides no guarantee of the accuracy of the information provided on this page. ​

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  • Clinical
    • Discharge Macros
    • Procedure Macros
    • Exam Macros
    • Pediatric Macros
    • Antibiogram
    • Follow Up
    • 2023 MDM
    • Heart Pathway
    • Jeromy's Macros
  • Education
    • EM Education
    • Critical Care
    • FOAM
  • Orientation
    • Dept Orientation
    • Cerner
    • Dragon
  • Links
    • Clinical Links
    • StatMacros
    • ICU Bootcamp
  • Private
    • MCS
    • GWU Contacts & Map