by Julie Kim, Richard Hoang | Jan 4, 2018 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
Unstable pelvic fractures have high mortality rates, particularly with patients who are hemodynamically unstable, due to difficulty in achieving hemostasis and other associated injuries. At present, there is no standard guideline that has been published and...
by Lauren Lacroix, Richard Hoang | Dec 21, 2017 | cardiac arrest, Featured, Grand Round Summaries
According to the AHA guidelines, in 2016 the annual incidence of out-of-hospital cardiac arrest (OHCA) in the US was roughly 360,000 and was 209,000 for in-hospital cardiac arrest. In Canada, we see 40,000 OHCA per year (Mozaffarian 2016). Data from the ROC Epistry...
by Brittany Ellis, Robert Suttie | Dec 14, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
The demographics in Canada are changing, with individuals becoming increasingly more obese. In 2014 over 40% of Canadians self-identified as being overweight or obese and this number is rising. Dr. Brittany Ellis brings us through a review of the differences in...
by Rory Connolly, Richard Hoang | Nov 30, 2017 | Featured, Grand Round Summaries, Oncology
The management of cancer is drastically changing, with many novel medications and therapies emerging. As our approach to malignancy changes, there are a host of new complications that we need to be aware of in the Emergency Department (ED). Traditionally, cancer...
by Jillian Ritsma, Richard Hoang | Nov 23, 2017 | Featured, Grand Round Summaries, Orthopedics
With the protocols and time constraints of our ED environment, it is fairly easy to fall into the trap of imaging prior to examining our orthopedic patients. This may result in missed injuries, as we tend to base our diagnosis on the X-ray, rather than the patient...
by Ariel Hendin, Richard Hoang | Nov 16, 2017 | Featured, Grand Round Summaries, Patient Advocacy
The Canadian population is rapidly aging, and within the next 15 years, 1 in every 4 people will be 65 years or older 1. Elderly patients already make up 25% of Canadian Emergency Department (ED) visits, and this number is expected to increase 2. What should concern...
by Simeon Mitchell, Robert Suttie | Nov 9, 2017 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries
Many aspects of cardiac arrest care are likely to change in the not-so-distant future. Let’s take a system-level view of cardiac arrest care and see what we can do to conservatively start to move in the direction of more regionalized care. We’ll also take a...
by Samantha Calder-Sprackman, Richard Hoang | Nov 2, 2017 | Featured, Grand Round Summaries, Patient Advocacy, Physician Wellness
Patient experience and patient satisfaction during Emergency Department (ED) encounters has come to the forefront of ED quality improvement initiatives. To highlight the importance and evolution of patient experience during ED care, we seek to: Discuss the buzz around...
by Stephanie Barnes, Richard Hoang | Oct 26, 2017 | Critical Care, Featured, Grand Round Summaries, Uncategorized
The global vitamin and supplement industry is expected to be worth $278 billion by 2024. “Wellness” as a concept and industry, which often includes vitamin and supplement use, is heavily promoted by celebrities, athletes, and social media stars. IV therapy lounges are...
by Shannon McCarter, Robert Suttie | Oct 19, 2017 | Commentary, Critical Care, Featured, Grand Round Summaries, Neurology
Here we seek to review relatively common neurology presentations and some controversies surrounding their management. See our other ED-Neurology Reviews here including migraine therapies and stroke evidence. To include Myasthenia Gravis, Guillian Barre Syndrome, and...