by Jessica McCallum, Pascale King | Feb 20, 2020 | Featured, Geriatrics, Grand Round Summaries, Medical Education, Pre-Hospital, Quality Improvement
What is Community Paramedicine? The international round table on community paramedicine provides the following definition: “…a model of care whereby paramedics apply their training and skills in non-traditional community-based environments outside of the usual...
by Shannon Fernando, Kate O'Connell | Jan 30, 2020 | Critical Care, Grand Round Summaries, Resuscitation
In September 2018, Dr. Bram Rochwerg and I wrote a blog post on the treatment of patients with sepsis and septic shock. Much of this was based on the 2016 Surviving Sepsis Campaign (SSc) Clinical Practice Guidelines [1]. However, in a little over a year, significant...
by Bo Zheng, Alex Coutin | Jan 16, 2020 | Airway, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation
What is pulseless electric activity (PEA)? Pulseless electrical activity is diagnosed based on a patient having an organized, non-shockable rhythm and no palpable pulse. However, PEA is not always a cardiac arrest state. In many cases, patients with PEA have...
by Daniel Beamish, Pascale King | Dec 19, 2019 | Featured, Grand Round Summaries, mental health, psychiatry
This post is a continuation of Borderline Personality Disorder – Part 1. In this second post, Dr. Beamish discusses the management of BPD in the emergency department and shares some valuable resources. Borderline Personality Disorder – Part 2 Case 2 A 22...
by Daniel Beamish, Pascale King | Dec 12, 2019 | Grand Round Summaries, mental health, psychiatry
Borderline Personality Disorder (BPD) is a personality disorder that describes the emotional dysregulation, impulsivity, recurrent self-harm and suicidal behaviour experienced by many individuals. People suffering from this personality disorder frequently live chaotic...
by Harrison Carmichael, Pascale King | Nov 28, 2019 | Featured, Grand Round Summaries, Respirology, Toxicology
You may have seen the headlines; E-cigarette and Vaping Associated Lung Injury (EVALI) represent a new disease process that is potentially life-threatening. Emergency Physicians will inevitably be exposed to EVALI as front line health care providers. Here, we will...
by Erica Lee, Kate O'Connell | Nov 21, 2019 | Featured, Grand Round Summaries, Patient Advocacy
During your medical training, how many times did someone watch you talk to a real patient? What about explaining their diagnosis? Or how to take their medications? Have you had a conversation with a patient and felt that you weren’t “speaking the same language”? Good...
by Chris Mong, Alex Coutin | Nov 14, 2019 | Featured, Gastroenterology, Grand Round Summaries
This post is a continuation of a previous post about anorectal issues in the ED. Here, we will discuss anorectal abscess, surrounding complications, and necrotizing infections. Anorectal Abscess Anorectal abscesses are thought to occur from the plugging of anal...
by Chris Mong, Alex Coutin, Richard Hoang | Oct 31, 2019 | Featured, Gastroenterology, Grand Round Summaries, Most Viewed
Anorectal issues commonly present to the Emergency Department (ED), however, the evidence around many of these conditions is sparse and practice varies widely. ED providers should have a grasp on the management and disposition of common anorectal complaints. In part...
by Adam Parks, Kate O'Connell, Richard Hoang | Oct 24, 2019 | Airway, Anesthesiology, Featured, Grand Round Summaries
Here we seek to provide a guide on when to consider awake intubation in the Emergency Department (ED), with an approach to the procedure! The Difficult Airway When assessing patients who may require any form of airway intervention, we should be assessing for two main...
