by Richard Hoang | Jul 19, 2018 | Featured, Mass Casualty / Disaster, Pre-Hospital
TCCC (Tactical combat casualty care) outlines the priorities of care for casualties in combat applications Nearly 90% of combat fatalities occur before reaching a medical treatment facility Prehospital phase is the focus of efforts to reduce deaths in combat TCCC...
by Nick Schouela, Richard Hoang | Jul 5, 2018 | Critical Care, Featured, Infographics, Most Viewed, Neurology, Slider, Trauma
Most clinicians are familiar with and utilize the Glasgow Coma Scale (GCS) on a daily basis, but many are not aware of the updates and additions to the score that were made in 2014 and 2018, respectively. Clarifications in the wording of the scale attempt to increase...
by Ariel Hendin, Richard Hoang | Jun 21, 2018 | Critical Care, Featured, Grand Round Summaries
Patients who receive solid organ or stem cell transplants are complex, but we see them frequently in the Emergency Department! This review summarizes the physiology of transplant and a few of the key issues to be aware of in these patients. Transplant by the numbers...
by Erica Lee, Richard Hoang | Jun 7, 2018 | Airway, Critical Care, Featured, Grand Round Summaries, Most Viewed
In this post, we will review the anatomy, essential history, and common presentations of tracheostomy patients in the ED, including obstruction, decannulation, bleeding, tracheal stenosis, and infection. Anatomy of a tracheostomy tube Outer cannula Sits directly in...
by Hans Rosenberg | Jun 4, 2018 | Featured, Journal Club, landmark, Neurology
Methodology: 3.5/5 Usefulness: 4/5 Albers GW, et al. N Engl J Med. 2018 Jan 24. Journal Club Bottom Line Question/Methods: This was a multicentre, prospective, randomized, open label, blinded outcome trial comparing thrombectomy + medical therapy vs medical therapy...
by Lauren Fruchter, Robert Suttie | May 31, 2018 | Featured, Grand Round Summaries
Urgent care presents a specific set of challenging clinical questions for the emergency physician. Often, seemingly mundane presentations will leave us questioning whether or not we have managed a case appropriately. Our decision-making can be highly influenced by the...
by Adam Parks, Robert Suttie | May 24, 2018 | Featured, Grand Round Summaries, Hematology, Infectious Disease
Sickle Cell Disease (SCD) is a complex medical entity, associated with significant morbidity and mortality. Patients with SCD suffer from acute and chronic pain, along with a seemingly endless list of additional complications (from hemolysis and sequestration, to...
by Maren Jazi, Richard Hoang | May 16, 2018 | Featured, Grand Round Summaries, Infectious Disease
In this post, we will explore the current literature regarding common EM controversies, covering the nature and prevalence of penicillin allergies, the management of skin and soft tissue infections, and the role of NSAIDs for acute pain. Penicillin allergies in the ED...
by Miguel Cortel-LeBlanc, Richard Hoang | May 10, 2018 | Featured, Grand Round Summaries, Trauma
Traumatic injuries are amongst the most common presentations for all emergency departments (ED). In 2010, there were over 1 million patients in Canada who visited the ED for trauma, result in an cost of almost 9 billion dollars.1 Yet, in spite of their frequency,...
by Bo Zheng, Richard Hoang | May 3, 2018 | Anesthesiology, Featured, Grand Round Summaries, Resuscitation
In this post, we will discuss the use of neuromuscular blocking agents (NMBAs) for intubation in the Emergency Department; we will focus on considerations in predicted difficult airways (RSI vs. awake intubation), Rocuronium vs. Succinylcholine, and the indications...
