by Michael Hale, Richard Hoang, Shankar Sethuraman | Jun 13, 2019 | Grand Round Summaries, Neurology
Ischemic stroke is one of Canada’s leading causes of morbidity and mortality. Over the last 30 years, we have observed rapid advances concerning how we identify, respond to, and treat patients with acute ischemic stroke. Because this topic is so vast, the focus of...
by Harrison Carmichael, Richard Hoang, Shankar Sethuraman | Jun 6, 2019 | Grand Round Summaries, Mass Casualty / Disaster, Quality Improvement, Resuscitation, Trauma
A Code Orange is a hospital-scale response to any event or group of events that results in a patient influx that outstrips available hospital resources. It realigns the way the hospital functions to support the emergency department and rapidly increases the number of...
by Adam Parks, Richard Hoang, Shankar Sethuraman | May 23, 2019 | Airway, Grand Round Summaries, Resuscitation
Securing definitive control of a threatened airway is a fundamental skill in the care of critically ill patients and remains an ever-popular topic of discussion in Emergency Medicine. As Emergency Medicine providers, we find few procedures as satisfying or potentially...
by Leo Carroll, Richard Hoang, Shankar Sethuraman | May 9, 2019 | Grand Round Summaries, OBGYN, Patient Advocacy
This article discusses the patient perspective of early pregnancy loss in the ED. We will define the quality gap as it pertains to ED care for patients with early pregnancy loss. We will then look at patient-centered communication strategies for counseling and...
by Bo Zheng, Richard Hoang, Shankar Sethuraman | May 2, 2019 | Grand Round Summaries
IV fluid is a drug Intravenous fluid administration is the second most common medical intervention next to supplemental oxygen.1 Over 200 million liters of normal saline (NS) is used in the United States annually.2 Intravenous fluids, like any other drug, should be...
by Nick Schouela, Richard Hoang, Shankar Sethuraman | Apr 25, 2019 | Airway, Grand Round Summaries, Quality Improvement, Resuscitation
A checklist is a physical, cognitive aid that lists essential actions required for a task to compensate for limitations in human memory. While checklists have been around forever, the concept of checklists in medicine is much newer. Medical checklists have been...
by Michael Wong, Richard Hoang, Shankar Sethuraman | Apr 18, 2019 | cardiac arrest, Critical Care, Grand Round Summaries, Patient Advocacy, Resuscitation
In the second part of this two-part series, Dr. Michael Wong discusses the process for obtaining consent for incapable persons in the Emergency Department. For a review of a rational and patient-centered approach to difficult discussions in the Emergency Department...
by Michael Wong, Richard Hoang, Shankar Sethuraman | Apr 11, 2019 | cardiac arrest, Critical Care, Grand Round Summaries, Patient Advocacy, Resuscitation
In this two-part series, Dr. Michael Wong begins by reviewing a rational and patient-centered approach to difficult discussions in the Emergency Department around goals of care and resuscitation. In part two, we discuss the process for obtaining consent for incapable...
by Haroun Zayed, Richard Hoang, Shankar Sethuraman | Mar 28, 2019 | Gastroenterology, Grand Round Summaries
Gallstone diseases are common and can lead to various intraabdominal emergencies. Gallstones are found in approximately 6% of men and 9% of women in the United States [1]. Epidemiological studies in Scandinavia reported even higher prevalence, finding 13-18% of men...
by Robert Suttie, Richard Hoang, Shankar Sethuraman | Mar 21, 2019 | Grand Round Summaries, Procedural care, Ultrasound
Point of Care Ultrasound (POCUS) is becoming increasingly prevalent in Emergency Departments (EDs) for diagnostic, procedural, and management purposes. In this post, we will examine some less known, but extremely useful, indications for POCUS. For further information,...
