by Alex Mungham, Richard Hoang, Shankar Sethuraman | Jan 17, 2019 | Grand Round Summaries, Respirology
In this post, we review an approach to antibiotics, bronchodilators, and corticosteroids in the outpatient management for acute exacerbations of COPD. COPD – The Basics What is it? An incompletely reversible obstructive lung disease due to airway and/or alveolar...
by Brittany Ellis, Richard Hoang | Jan 10, 2019 | Featured, Grand Round Summaries, Patient Advocacy, Uncategorized
Care of the Elderly is an ever-growing, important, and prevalent part of an Emergency Physician’s repertoire of skills. With increasing numbers of elderly patients presenting to EDs across Canada, we look to discuss the issue of polypharmacy, prescribing, and...
by Sarah Bencharif, Richard Hoang | Nov 15, 2018 | Grand Round Summaries, Uncategorized
Why Should You Care About Health Journalism? Patients receive health information from many sources—and it’s often not from you, their doctor. The accuracy of the health information available varies widely. Critical health journalism can help set records straight, as...
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...
