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The Bottom Line 2: Anorectal abscess & Fournier’s Gangrene

The Bottom Line 2: Anorectal abscess & Fournier’s Gangrene

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...
The Bottom Line: Hemorrhoids and Anal Fissures in the ED

The Bottom Line: Hemorrhoids and Anal Fissures in the ED

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...
Wake Up! Awake Intubation in the ED

Wake Up! Awake Intubation in the ED

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...
Artificial Intelligence & Big Data in the ED

Artificial Intelligence & Big Data in the ED

by Scott Odorizzi, Alex Coutin | Oct 3, 2019 | Featured, Grand Round Summaries, Quality Improvement

In today’s post, we seek to: Understand what artificial intelligence (AI) is Generate a basic understanding of how AI works Review applications of AI in the Emergency Department (ED): Patient care Predictive Analytics ED Operations Intelligence Intelligence...
A Bloody Mess: an Update on UGIB Management in the ED

A Bloody Mess: an Update on UGIB Management in the ED

by Simon Wells, Richard Hoang, Shankar Sethuraman | Sep 19, 2019 | Gastroenterology, Grand Round Summaries

Acute upper gastrointestinal bleeding (UGIB) is an all-too-frequent presentation that can scare the pants off of even the most seasoned Emergency Physician.  Severity of presentation can vary greatly, from simple bleeds related to gastritis to exsanguinating variceal...
Updates in Prehospital and Transport Medicine

Updates in Prehospital and Transport Medicine

by Daniel Beamish, Richard Hoang, Shankar Sethuraman | Jul 25, 2019 | Grand Round Summaries, Pre-Hospital, Resuscitation, Trauma

There was a significant amount of pre-hospital research published in 2018; many trials were that will no doubt inform future guidelines and change practice. This post seeks to look at some of the historical features of prehospital research and give us a road map for...
Concussion: Complications and Public Safety (Part 3)

Concussion: Complications and Public Safety (Part 3)

by Erica Lee, Richard Hoang, Shankar Sethuraman | Jul 18, 2019 | Grand Round Summaries, Neurology, Trauma

In the final post of this 3-part series on concussions, Dr. Erica Lee discusses how to recognize and manage post-concussion complications, and hopes to raise awareness on the legislation and public health burden around concussions. If you haven’t already, please...
Concussion: Complications and Public Safety (Part 3)

Concussion: Inside the Emergency Department (Part 2)

by Erica Lee, Richard Hoang, Shankar Sethuraman | Jul 11, 2019 | Grand Round Summaries, Neurology, Trauma

Welcome to Part 2 of our series on concussions. In this post, Dr. Erica Lee reviews how to make the diagnosis of concussion and manage these patients in the ED. You can review Part 1 of the series for an up-to-date definition of a concussion and Part 3 for a...
Concussion: Inside the Head (Part 1)

Concussion: Inside the Head (Part 1)

by Erica Lee, Richard Hoang, Shankar Sethuraman | Jun 27, 2019 | Grand Round Summaries, Neurology, Trauma

Head injuries are commonly seen in the emergency department and a large group of these patients will subsequently be diagnosed with a concussion. In this three-part series, we will summarize the most up to date definition of a concussion (Part 1), review how to make...
Prolonged Field Care: Lessons from the Battlefield to the home front

Prolonged Field Care: Lessons from the Battlefield to the home front

by Richard Hoang | Jun 20, 2019 | Critical Care, Grand Round Summaries, Resuscitation, Trauma

Even without an interest in military or high treat medicine, the science from military conflicts can have a significant influence on the medicine you practice. In fact, a lot can be learned in times of stress and conflict, and every Emergency Physician should have at...
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