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,...
by Justin Godbout, Richard Hoang, Shankar Sethuraman | Mar 14, 2019 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Mechanical CPR is a technology whereby a machine performs chest compressions in place of a human provider. These devices are becoming increasingly prevalent in the prehospital and in-hospital arenas, and it is inevitable that healthcare providers will interact with...
by Jillian Coleby, Richard Hoang, Shankar Sethuraman | Feb 28, 2019 | Grand Round Summaries, Mass Casualty / Disaster, Pre-Hospital
Mass gathering medicine (MGM) is an exciting niche field of emergency medicine focused on providing emergency medical care at large events. Mass gatherings, as the name implies, are events in which “large numbers of people assemble in public or private spaces to...
by Katherine Soucie, Richard Hoang, Shankar Sethuraman | Feb 14, 2019 | Featured, Grand Round Summaries
In this post, we will aim to review the literature looking at identifying clinical and historical features that can help differentiate stroke mimics from strokes. We will also discuss the safety of the administration of IV tPA to misdiagnosed stroke mimics. This post...
