by Jim Yang, Richard Hoang | Nov 1, 2018 | Airway, Anesthesiology, Featured, Grand Round Summaries, Procedural care
In this two part series, we are delving into a few of the many controversies regarding procedural sedation and explore how to reduce resource utilization and ED length of stay. In PART 1, we discussed preprocedural fasting and concluded that adherence to fasting...
by Ariel Hendin, Richard Hoang | Oct 25, 2018 | Critical Care, Grand Round Summaries, Resuscitation
When we are caring for a septic patient in the ED, we know that aggressive care with early antibiotics and ensuring adequate preload saves lives. But what do we do when we aren’t sure if more fluid will help any longer? How can we finesse our fluid...
by Jim Yang, Richard Hoang | Oct 18, 2018 | Airway, Anesthesiology, Grand Round Summaries, Pediatrics
Procedural sedation is commonly performed in the Emergency Department. It is a critical tool that helps facilitate unpleasant but often necessary procedures that our patients would otherwise not tolerate. However, procedural sedation is also an extraordinarily...
by Miguel Cortel-LeBlanc, Richard Hoang | Oct 11, 2018 | Grand Round Summaries, Neurology
Conversion Disorder Functional Neurological Disorder is not a diagnosis of exclusion. It is a diagnosis based on positive clinical features. Definitions: Medically Unexplained Physical Symptoms (MUPS) Patient complaints and symptoms for which no medical etiology is...
by Rajiv Thavanathan, Richard Hoang | Sep 27, 2018 | Endocrinology, Grand Round Summaries
In the Emergency Department (ED) we’re always thinking about the “ABC’s”. You’ve also probably heard of “DEFG: Don’t Ever Forget Glucose”. This usually refers to hypoglycemia in our critically ill patients—those with decreased level of consciousness, new onset...
by Thara Kumar, Richard Hoang | Sep 20, 2018 | Featured, Grand Round Summaries, Patient Advocacy
Medical Assistance in Dying, or MAiD, was first legalized in Canada in 2016. At first glance, it may have seemed that this legislation, while an important step in Canadian medical care, would have fairly little impact on our practice in the Emergency Department (ED)....
by Robert Suttie, Richard Hoang | Sep 6, 2018 | Airway, Featured, Grand Round Summaries, Resuscitation, Trauma
Emergency medicine is a diverse specialty. We’ve all had the shift where you go from suturing an elderly woman’s scalp, to managing an anxious patient with chest pain, to running a cardiac arrest as EMS patches in with a trauma. We wear many hats throughout a single...
by Shahbaz Syed | Aug 30, 2018 | Cardiology, Featured, Grand Round Summaries
Let’s start off with a case: 29 year old male, HR: 140, BP: 70/40, Temperature of 39.1. Sounds like straight forward, bread-and-butter emergency medicine doesn’t it? That is, until you look at the past medical history: Single Ventricle Hypoplastic RV Left...
by Stephanie Barnes, Richard Hoang | Aug 16, 2018 | Featured, Grand Round Summaries, Resuscitation, Trauma
The vast majority of burns that present to the ED can be managed as outpatients1,2, usually by the patient’s family doctor, but many emergency physicians do not feel comfortable with burn management. Burn management often follows the preferences and experiences of...
by Jeff Landerville, Richard Hoang | Aug 9, 2018 | Featured, Grand Round Summaries, Medical Education
Consider world champion tennis player Roger Federer. He represents one of the most successful professional athletes of our time. To what does he owe his success? While he undoubtedly possesses a remarkable amount of motivation, dedication, and athleticism, there is...
