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...
by Shahbaz Syed | Sep 13, 2017 | Commentary, Featured, Infographics, Journal Club
Recently, Dr. Venkatesh Thiruganasambandamoorthy et al published the Canadian Syncope Risk Score, for the assessment of adult patients with syncope. He has previously helped provide some insight into the decision rule, and we now present an infographic and memory aid...
by Lauren Lacroix, Robert Suttie | Sep 7, 2017 | Featured, Grand Round Summaries, Most Viewed, Resuscitation
Physiologically difficult airway: airway management in the critically ill patient, whose underlying physiology puts them at higher risk of cardiovascular collapse with intubation and conversion to positive pressure ventilation. This is important for in the Emergency...
by emottawa | Aug 10, 2017 | Featured, Grand Round Summaries, Respirology
Describe the pathophysiology of Pulmonary Hypertension (PH), and how it can be dangerous Who to suspect and workup for PH in the ED Describe the POCUS findings in PH Describe the management of these patients and how to avoid causing harm Physiology Definition...
