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Sweating the Small Stuff: An Evidence-Based Urgent Care Potpourri

Sweating the Small Stuff: An Evidence-Based Urgent Care Potpourri

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...
Sickle Cell in the ED: An Update

Sickle Cell in the ED: An Update

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...
Back to Basics: Revisiting Common EM Controversies

Back to Basics: Revisiting Common EM Controversies

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...
Selected Imaging Controversies in ED Trauma

Selected Imaging Controversies in ED Trauma

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,...
An Analysis of Paralysis: Neuromuscular blocking agents in the Emergency Department

An Analysis of Paralysis: Neuromuscular blocking agents in the Emergency Department

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...
An Update: Rate Control in Atrial Fibrillation

An Update: Rate Control in Atrial Fibrillation

by Harrison Carmichael, Richard Hoang | Apr 26, 2018 | Cardiology, Featured, Grand Round Summaries

In this post, we will discuss updates and controversies surrounding rate control in Afib, specifically we will: Review the new 2017 CAEP Afib best practices guidelines Review Tachycardia Induced Cardiomyopathy Review Afib and Type 2 ACS Discuss the identification and...
Diagnosis of Necrotising Soft Tissue Infection

Diagnosis of Necrotising Soft Tissue Infection

by Shannon Fernando, Jeff Perry, Shahbaz Syed | Apr 23, 2018 | Featured, Infographics

Necrotising soft tissue infections are an significant cause of morbidity and mortality, so an timely diagnosis is critical for the Emergency Physician. Here we discuss the publication of a new systematic review and meta-analysis on this challenging diagnostic entity,...
Management Controversies in Traumatic Cardiac Arrest

Management Controversies in Traumatic Cardiac Arrest

by Nick Costain, Robert Suttie | Apr 12, 2018 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Trauma

The management of traumatic cardiac arrest differs significantly from the management of medical cardiac arrest, however the management is often lumped together. In this weeks Grand Rounds summary Dr. Nicholas Costain takes us through some controversies in the...
ED Crowding: Is it Getting Cramped in Here?

ED Crowding: Is it Getting Cramped in Here?

by Matthew Lipinski, Richard Hoang | Apr 5, 2018 | Featured, Grand Round Summaries, Patient Advocacy

In this post, we take a deep dive into the ever-present issue of ED crowding, going beyond the basic input-throughput-output model and focusing on institutional and provincial strategies for managing patient flow and overcrowding. We will cover the following...
Ottawa’s Clerkship Guide to Emergency Medicine

Ottawa’s Clerkship Guide to Emergency Medicine

by Shahbaz Syed | Mar 29, 2018 | Featured

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