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...
by Daniel Beamish, Richard Hoang | Aug 2, 2018 | Cardiology, Featured, Grand Round Summaries, Quality Improvement
Chest pain is a common presenting complaint to Emergency Departments (ED) worldwide. Massive resource investment is required to differentiate benign from sinister causes of chest pain, and for the treatment, referral, and risk stratification of chest pain patients. A...
by Simeon Mitchell, Richard Hoang | Jul 26, 2018 | Grand Round Summaries, Uncategorized
In this post, we discuss the pharmacology, myths, and a myriad of roles for Ketamine in the ED; including analgesia, sedation, agitation, alcohol withdrawal, and suicidal ideation. Part I: Pharmacokinetics and pharmacodynamics of ketamine Produced in 1970s,...
by Ayesha Zia, Richard Hoang | Jun 28, 2018 | Grand Round Summaries, Pre-Hospital
In this post, we will review several recent updates related to pre-hospital medicine. Specifically, we will: Review the role of tranexamic acid (TXA) in pre-hospital trauma Discuss the use of ketamine in Excited Delirium Examine the new Ottawa ROSC bypass protocol and...
by Ariel Hendin, Richard Hoang | Jun 21, 2018 | Critical Care, Featured, Grand Round Summaries
Patients who receive solid organ or stem cell transplants are complex, but we see them frequently in the Emergency Department! This review summarizes the physiology of transplant and a few of the key issues to be aware of in these patients. Transplant by the numbers...
