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An Update on the ED Management of Acute Ischemic Stroke and TIA

An Update on the ED Management of Acute Ischemic Stroke and TIA

by Michael Hale, Richard Hoang, Shankar Sethuraman | Jun 13, 2019 | Grand Round Summaries, Neurology

Ischemic stroke is one of Canada’s leading causes of morbidity and mortality. Over the last 30 years, we have observed rapid advances concerning how we identify, respond to, and treat patients with acute ischemic stroke. Because this topic is so vast, the focus of...
Code Orange: Lessons Learned from the Westboro Bus Collision

Code Orange: Lessons Learned from the Westboro Bus Collision

by Harrison Carmichael, Richard Hoang, Shankar Sethuraman | Jun 6, 2019 | Grand Round Summaries, Mass Casualty / Disaster, Quality Improvement, Resuscitation, Trauma

A Code Orange is a hospital-scale response to any event or group of events that results in a patient influx that outstrips available hospital resources. It realigns the way the hospital functions to support the emergency department and rapidly increases the number of...
Assessing and Finessing: An Airway Update

Assessing and Finessing: An Airway Update

by Adam Parks, Richard Hoang, Shankar Sethuraman | May 23, 2019 | Airway, Grand Round Summaries, Resuscitation

Securing definitive control of a threatened airway is a fundamental skill in the care of critically ill patients and remains an ever-popular topic of discussion in Emergency Medicine. As Emergency Medicine providers, we find few procedures as satisfying or potentially...
Early Pregnancy Loss: A Patient-Centered Care Model

Early Pregnancy Loss: A Patient-Centered Care Model

by Leo Carroll, Richard Hoang, Shankar Sethuraman | May 9, 2019 | Grand Round Summaries, OBGYN, Patient Advocacy

This article discusses the patient perspective of early pregnancy loss in the ED. We will define the quality gap as it pertains to ED care for patients with early pregnancy loss. We will then look at patient-centered communication strategies for counseling and...
Life in the balance: Why fluid choice matters in the Emergency Department

Life in the balance: Why fluid choice matters in the Emergency Department

by Bo Zheng, Richard Hoang, Shankar Sethuraman | May 2, 2019 | Grand Round Summaries

IV fluid is a drug Intravenous fluid administration is the second most common medical intervention next to supplemental oxygen.1  Over 200 million liters of normal saline (NS) is used in the United States annually.2 Intravenous fluids, like any other drug, should be...
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