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The Bottom Line 2: Anorectal abscess & Fournier’s Gangrene

The Bottom Line 2: Anorectal abscess & Fournier’s Gangrene

by Chris Mong, Alex Coutin | Nov 14, 2019 | Featured, Gastroenterology, Grand Round Summaries

This post is a continuation of a previous post about anorectal issues in the ED. Here, we will discuss anorectal abscess, surrounding complications, and necrotizing infections. Anorectal Abscess Anorectal abscesses are thought to occur from the plugging of anal...
Crashing through the snow, reviewing the CRASH-3 trial

Crashing through the snow, reviewing the CRASH-3 trial

by Krishan Yadav | Nov 7, 2019 | Featured, Journal Club, Trauma

Dr. Krishan Yadav is an FRCPC Emergency Medicine Physician with a Masters in Clinical Epidemiology, and here he helps to provide some great insights and opinions into the recently published CRASH-3 trial. Tranexamic Acid (TXA) TXA is an inexpensive and readily...
The Bottom Line: Hemorrhoids and Anal Fissures in the ED

The Bottom Line: Hemorrhoids and Anal Fissures in the ED

by Chris Mong, Alex Coutin, Richard Hoang | Oct 31, 2019 | Featured, Gastroenterology, Grand Round Summaries, Most Viewed

Anorectal issues commonly present to the Emergency Department (ED), however, the evidence around many of these conditions is sparse and practice varies widely. ED providers should have a grasp on the management and disposition of common anorectal complaints. In part...
Wake Up! Awake Intubation in the ED

Wake Up! Awake Intubation in the ED

by Adam Parks, Kate O'Connell, Richard Hoang | Oct 24, 2019 | Airway, Anesthesiology, Featured, Grand Round Summaries

Here we seek to provide a guide on when to consider awake intubation in the Emergency Department (ED), with an approach to the procedure! The Difficult Airway When assessing patients who may require any form of airway intervention, we should be assessing for two main...
Extreme Ownership: How to Own the Trauma Bay and Lead High-Stakes Resuscitations

Extreme Ownership: How to Own the Trauma Bay and Lead High-Stakes Resuscitations

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...
Ostomy Issues: Common Presentations in the Emergency Department

Ostomy Issues: Common Presentations in the Emergency Department

by Chirag Bhat, Kevin Durr, Julia Younan | Oct 10, 2019 | Featured, Gastroenterology

Imagine you are working overnight in your local emergency department (ED), your next patient to see is a 52 year old man, with a chief complaint of “Ostomy Issues”. You stare blankly at the screen as you try to remember the basics of an ostomy. What’s normal for an...
Artificial Intelligence & Big Data in the ED

Artificial Intelligence & Big Data in the ED

by Scott Odorizzi, Alex Coutin | Oct 3, 2019 | Featured, Grand Round Summaries, Quality Improvement

In today’s post, we seek to: Understand what artificial intelligence (AI) is Generate a basic understanding of how AI works Review applications of AI in the Emergency Department (ED): Patient care Predictive Analytics ED Operations Intelligence Intelligence...
Diagnosis of Elevated Intracranial Pressure in Critically Ill Patients

Diagnosis of Elevated Intracranial Pressure in Critically Ill Patients

by Shannon Fernando | Sep 26, 2019 | Featured, Neurology

In the Emergency Department (ED) and Intensive Care Unit (ICU), we often encounter patients with brain injury. This includes patients with traumatic brain injury (TBI), subarachnoid hemorrhage (SAH), and intracerebral hemorrhage (ICH), among others [1]. In the ED and...
Abdominal Stab Wounds: A Decision Algorithm

Abdominal Stab Wounds: A Decision Algorithm

by Richard Hoang | Sep 12, 2019 | Featured, Most Viewed, 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...
Optimizing the Early Resuscitation After Out of Hospital Cardiac Arrest

Optimizing the Early Resuscitation After Out of Hospital Cardiac Arrest

by Peter Reardon, Shahbaz Syed | Sep 11, 2019 | Critical Care, Featured, Infographics

The dust has just settled, you’ve achieved Return of Spontaneous Circulation (ROSC) in a cardiac arrest patient – now what? Post cardiac arrest syndrome has the potential for significant morbidity and mortality that persists long after ROSC. There are many...
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