by Lisa Fischer, Roderick Lim, Louise Rang, Sara Gray | Jan 27, 2019 | Featured, Physician Wellness
We’re back! Move aside John Snow, winter has arrived. The ED’s are crowded, influenza droplets permeate the air, and many of us are still recovering from the working blitz that is required of us during the holiday season (24/7/365 after all). We are feeling the...
by Brittany Ellis, Richard Hoang | Jan 10, 2019 | Featured, Grand Round Summaries, Patient Advocacy, Uncategorized
Care of the Elderly is an ever-growing, important, and prevalent part of an Emergency Physician’s repertoire of skills. With increasing numbers of elderly patients presenting to EDs across Canada, we look to discuss the issue of polypharmacy, prescribing, and...
by Shahbaz Syed | Dec 20, 2018 | Featured, Infectious Disease, Infectious Disease
Spinal epidural abscess (SEA) is a challenging diagnosis to make in the Emergency Department (ED), with a diagnostic delay occurring in about 75% of patients.[1] To ultimately make a diagnosis of SEA, patients typically require an MRI, and so physicians may often have...
by Hans Rosenberg | Dec 17, 2018 | Featured, Journal Club, Thrombosis
Journal Club Summary Methodology: 4/5 Usefulness: 4/5 Kent AP, et al. J Am Coll Cardiol. 2018 Jul 17;72(3):255-267 Question and Methods: This was a post hoc analysis of the RE-LY trial examining the risk of NSAID use in patients receiving oral anticoagulation (OAC)...
by Robert Suttie | Dec 6, 2018 | Featured, Infectious Disease, Medical Education, Ultrasound, Urology
For other ultrasound cases see our POCUS archives Case Vignette 63-year-old male presents with a two-day history of groin pain and swelling. He has a history of hypertension and smoking. He takes an anti-hypertensive medication and an atypical antipsychotic for...
by Shahbaz Syed | Nov 29, 2018 | Commentary, Featured
I’ve recently spent some time thinking about what it means to be a mentor. We’re often thrust into this role – with very little training on how to actually do this. I’ve been fortunate enough to be surrounded by a plethora of excellent mentors...
by Adam Parks, Robert Suttie | Nov 8, 2018 | Featured, Ultrasound
For other POCUS focused cases please see our ultrasound archives Case The next chart you pick up is for an 87 year-old female brought in by EMS from her nursing home for agitation and vomiting. She is afebrile and her vital signs are normal. She has a past medical...
by Jim Yang, Richard Hoang | Nov 1, 2018 | Airway, Anesthesiology, Featured, Grand Round Summaries, Procedural care
In this two part series, we are delving into a few of the many controversies regarding procedural sedation and explore how to reduce resource utilization and ED length of stay. In PART 1, we discussed preprocedural fasting and concluded that adherence to fasting...
by Matthew Lipinski, Richard Hoang | Oct 4, 2018 | Featured
In this post, we cover the often seen, but poorly understood entity of Interstitial Lung Disease (ILD). We will focus our discussion on the key features and approaches that the front-line provider needs to know to feel confident managing the newly diagnosed ILD...
by Thara Kumar, Richard Hoang | Sep 20, 2018 | Featured, Grand Round Summaries, Patient Advocacy
Medical Assistance in Dying, or MAiD, was first legalized in Canada in 2016. At first glance, it may have seemed that this legislation, while an important step in Canadian medical care, would have fairly little impact on our practice in the Emergency Department (ED)....
