by Richard Hoang | Aug 12, 2021 | Featured
Stories are captivating and they’re the best way to convey … well anything really. Through this blogpost, we’ll see that the current formats of delivering talks, medical talks especially, are at best a tad outdated and at worst borderline ineffective, and I hope that...
by Richard Hoang | Sep 24, 2020 | Featured
In Part 2 of ROTEM for Trauma: Blood is Thicker with Wine – we will review the approach to interpreting ROTEM and how it can guide massive transfusion in the injured and bleeding patient. We will also touch on the practical considerations for starting a ROTEM program...
by Richard Hoang | Sep 24, 2020 | Critical Care, Featured, Grand Round Summaries, Trauma
In this post, we’ll discuss viscoelastic hemostatic assays (VHAs), namely ROTEM (Rotational Thromboelastometry), and how we can use this tool to enhance the care of traumatically injured patients. This is the first in a two-part series. This part reviews the Evidence...
by Richard Hoang | Oct 17, 2019 | Featured, Trauma, Uncategorized
In this post, we’re going to do something a little different. Instead of reviewing a specific Emergency Medicine topic, we’re going to discuss Leadership – How to lead your team and make things happen during a high-stakes resuscitation. As the Leadership principles...
by Richard Hoang | Sep 12, 2019 | Featured, Trauma
If you work at a trauma center, then you’re bound to see your fair share of abdominal stab wounds. Though civilian penetrating trauma has declined over recent decades and is less common than blunt trauma, penetrating trauma represents ~10% of all trauma...
by Richard Hoang | Aug 29, 2019 | Airway, Featured, Toxicology, Trauma
Patients with both burn and inhalation injuries have significantly increased morbidity and mortality compared to those with just burn injuries alone, as there are multiple toxic industrial chemicals that act on the respiratory tract. In this post, we review...
by Richard Hoang | Aug 22, 2019 | Critical Care, Mass Casualty / Disaster, Pre-Hospital, Trauma
Blast injuries resulting from explosions have the capacity to cause life-threatening multisystem injuries in multiple victims simultaneously. The biggest potential challenge in managing blast injuries is the creation of large numbers of simultaneous critically ill...
by Richard Hoang | Aug 8, 2019 | cardiac arrest, Critical Care, Procedural care, Trauma
Emergency Resuscitative Thoracotomy (ERT) is a potentially lifesaving intervention. It is a true salvage procedure, without which survival is essentially zero, even in indicated scenarios. After reading this post, you’ll be slightly more comfortable should you...
by Richard Hoang | Jun 20, 2019 | Critical Care, Grand Round Summaries, Resuscitation, Trauma
Even without an interest in military or high treat medicine, the science from military conflicts can have a significant influence on the medicine you practice. In fact, a lot can be learned in times of stress and conflict, and every Emergency Physician should have at...
by Richard Hoang | Apr 4, 2019 | Critical Care, Pre-Hospital, Trauma
The Tactical Combat Casualty Care (TCCC) Guidelines are the standard of care for the modern battlefield. TCCC offers operational guidelines for a range of combat personnel – from recommendations for all combatants to combat paramedics and SOF medics. Though these...
