by Lauren Lacroix, Richard Hoang | Dec 21, 2017 | cardiac arrest, Featured, Grand Round Summaries, Most Viewed
According to the AHA guidelines, in 2016 the annual incidence of out-of-hospital cardiac arrest (OHCA) in the US was roughly 360,000 and was 209,000 for in-hospital cardiac arrest. In Canada, we see 40,000 OHCA per year (Mozaffarian 2016). Data from the ROC Epistry...
by Brittany Ellis, Robert Suttie | Dec 14, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
The demographics in Canada are changing, with individuals becoming increasingly more obese. In 2014 over 40% of Canadians self-identified as being overweight or obese and this number is rising. Dr. Brittany Ellis brings us through a review of the differences in...
by Robert Suttie, Brandon Ritcey | Dec 7, 2017 | Cardiology, Featured, Ultrasound
For other ultrasound focused cases please see our Ultrasound Archives. A woman in her 60’s presents to the emergency department on her 7th post-operative day feeling nauseous, vomiting, weak and dizzy. She has just recently underwent a open left hemi-colectomy,...
by Rory Connolly, Richard Hoang | Nov 30, 2017 | Featured, Grand Round Summaries, Oncology
The management of cancer is drastically changing, with many novel medications and therapies emerging. As our approach to malignancy changes, there are a host of new complications that we need to be aware of in the Emergency Department (ED). Traditionally, cancer...
by Hans Rosenberg | Nov 27, 2017 | Cardiology, Critical Care, Featured, Journal Club, Resuscitation
Journal Club Summary Reference: Kirkegaard H, et al. JAMA. 2017 Jul 25;318(4):341-350 EDITORIAL: Targeted Temperature Management After Cardiac Arrest: Finding the Right Dose for Critical Care Interventions. Callaway CW. JAMA. 2017 Jul 25;318(4):334-336. Methodology...
by Jillian Ritsma, Richard Hoang | Nov 23, 2017 | Featured, Grand Round Summaries, Orthopedics
With the protocols and time constraints of our ED environment, it is fairly easy to fall into the trap of imaging prior to examining our orthopedic patients. This may result in missed injuries, as we tend to base our diagnosis on the X-ray, rather than the patient...
by Ariel Hendin, Richard Hoang | Nov 16, 2017 | Featured, Grand Round Summaries, Patient Advocacy
The Canadian population is rapidly aging, and within the next 15 years, 1 in every 4 people will be 65 years or older 1. Elderly patients already make up 25% of Canadian Emergency Department (ED) visits, and this number is expected to increase 2. What should concern...
by Jeff Perry, Shahbaz Syed | Nov 13, 2017 | Commentary, Featured, Infographics, Journal Club, landmark
Dr. Perry and Colleagues have previously derived and validated the Ottawa SAH rule for patients with suspected subarachnoid hemorrhage, here we present the multicenter prospective validation of the rule1, with some insight on the rule from Dr. Perry himself! Note that...
by Simeon Mitchell, Robert Suttie | Nov 9, 2017 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries
Many aspects of cardiac arrest care are likely to change in the not-so-distant future. Let’s take a system-level view of cardiac arrest care and see what we can do to conservatively start to move in the direction of more regionalized care. We’ll also take a...
by Samantha Calder-Sprackman, Richard Hoang | Nov 2, 2017 | Featured, Grand Round Summaries, Patient Advocacy, Physician Wellness
Patient experience and patient satisfaction during Emergency Department (ED) encounters has come to the forefront of ED quality improvement initiatives. To highlight the importance and evolution of patient experience during ED care, we seek to: Discuss the buzz around...