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...
by Stephanie Barnes, Richard Hoang | Oct 26, 2017 | Critical Care, Featured, Grand Round Summaries, Uncategorized
The global vitamin and supplement industry is expected to be worth $278 billion by 2024. “Wellness” as a concept and industry, which often includes vitamin and supplement use, is heavily promoted by celebrities, athletes, and social media stars. IV therapy lounges are...
by Shannon McCarter, Robert Suttie | Oct 19, 2017 | Commentary, Critical Care, Featured, Grand Round Summaries, Neurology
Here we seek to review relatively common neurology presentations and some controversies surrounding their management. See our other ED-Neurology Reviews here including migraine therapies and stroke evidence. To include Myasthenia Gravis, Guillian Barre Syndrome, and...
by Hans Rosenberg | Oct 16, 2017 | Featured, Journal Club, Urology
Journal Club Summary Reference: Gágyor I, et al. BMJ. 2015 Dec 23;351:h6544 Methodology Score: 4/5 Usefulness Score: 2.5/5 This multicenter, double blinded, randomized controlled trial assessed the use of ibuprofen versus fosfomycin in uncomplicated UTIs in women aged...
by Miguel Cortel-LeBlanc, Richard Hoang | Oct 12, 2017 | Featured, Grand Round Summaries, Infectious Disease
Part 1: Concerns with Antibiotic Overuse Three of the most common antibiotic-related unwanted effects seen the ED include: Their toxic effects Selection of pathogenic bacteria Increasing antibiotic resistance The Magnitude of Antibiotic-Related Toxic Effects A...
by Peter Reardon, Richard Hoang | Oct 5, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation
Airway management in the Emergency Department (ED) is challenging. Given the critically ill and physiologically unstable patients, complicated by c-spine collars, distorted anatomy, and airway contamination – the stakes are high. Recent evidence draws...
by Rajiv Thavanathan, Richard Hoang | Sep 28, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Ultrasound
We know that management of the patient in cardiac arrest can be difficult. As emergency providers, we often rely on an algorithmic approach because of limited information. Point of Care Ultrasound (POCUS) has offered an unprecedented ability to diagnose and monitor...
by Michael Wong, Brandon Ritcey, Shahbaz Syed | Sep 21, 2017 | Featured, Ultrasound
A female in her 70s from a nursing home with a past medical history of dementia, obesity, COPD, and CHF presents to the emergency department with a decreased level of consciousness and shortness of breath. Seven days ago she was assessed in the ER with a diagnosis of...
