by Bo Zheng, Richard Hoang | May 3, 2018 | Anesthesiology, Featured, Grand Round Summaries, Resuscitation
In this post, we will discuss the use of neuromuscular blocking agents (NMBAs) for intubation in the Emergency Department; we will focus on considerations in predicted difficult airways (RSI vs. awake intubation), Rocuronium vs. Succinylcholine, and the indications...
by Harrison Carmichael, Richard Hoang | Apr 26, 2018 | Cardiology, Featured, Grand Round Summaries
In this post, we will discuss updates and controversies surrounding rate control in Afib, specifically we will: Review the new 2017 CAEP Afib best practices guidelines Review Tachycardia Induced Cardiomyopathy Review Afib and Type 2 ACS Discuss the identification and...
by Nick Prudhomme, Richard Hoang | Apr 19, 2018 | Grand Round Summaries, Infectious Disease
Meningitis is defined as the inflammation of the membranes of the brain and/or spinal cord. The incidence of bacterial meningitis is in the range of 5-10 cases per 100,000 patients per year1. Despite modern medical therapy, it is associated with a case fatality rate...
by Nick Costain, Robert Suttie | Apr 12, 2018 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Trauma
The management of traumatic cardiac arrest differs significantly from the management of medical cardiac arrest, however the management is often lumped together. In this weeks Grand Rounds summary Dr. Nicholas Costain takes us through some controversies in the...
by Matthew Lipinski, Richard Hoang | Apr 5, 2018 | Featured, Grand Round Summaries, Patient Advocacy
In this post, we take a deep dive into the ever-present issue of ED crowding, going beyond the basic input-throughput-output model and focusing on institutional and provincial strategies for managing patient flow and overcrowding. We will cover the following...
by Jeff Landerville, Robert Suttie | Mar 1, 2018 | Featured, Grand Round Summaries, Radiology, Urology
Renal colic is an diagnostic entity emergency providers see almost every shift, often cited as the “worst pain imaginable”. Here, Dr. Landreville takes use through an evidence based update so that we can provide the best possible care to these patients....
by Julie Kim, Richard Hoang | Feb 22, 2018 | Featured, Grand Round Summaries, Mass Casualty / Disaster
A Code Silver represents the planned response for a person with a weapon within the hospital. The Ontario Hospital Association has recommended the addition of Code Silver to separate the response of a person who is actively killing from that of a hostage situation...
by Scott Odorizzi, Richard Hoang | Jan 25, 2018 | Featured, Grand Round Summaries
In this post, we’ll explore the many exciting applications that concepts borrowed from industrial engineering can have on ED efficiency and workflow. To help build a framework for further discussion, we will define industrial engineering, describe the ED as a...
by Nour Khatib, Richard Hoang | Jan 18, 2018 | Featured, Grand Round Summaries, Patient Advocacy
Intimate partner violence is prevalent worldwide and has a significant economic impact on our healthcare system. This post will discuss: Intimate Partner Violence statistics globally, in Canada, and in Ontario The economic impact of intimate partner violence cases in...
by Marie-Andre Lavoie, Richard Hoang | Jan 11, 2018 | Featured, Grand Round Summaries
Recreational scuba diving is becoming more and more popular with the number of scuba divers approaching 9 million in the USA alone. With this interest comes an increasing number of diving related incidents. What is Decompression sickness? Even though it was first...