by Adam Parks, Robert Suttie | May 24, 2018 | Featured, Grand Round Summaries, Hematology, Infectious Disease
Sickle Cell Disease (SCD) is a complex medical entity, associated with significant morbidity and mortality. Patients with SCD suffer from acute and chronic pain, along with a seemingly endless list of additional complications (from hemolysis and sequestration, to...
by Maren Jazi, Richard Hoang | May 16, 2018 | Featured, Grand Round Summaries, Infectious Disease
In this post, we will explore the current literature regarding common EM controversies, covering the nature and prevalence of penicillin allergies, the management of skin and soft tissue infections, and the role of NSAIDs for acute pain. Penicillin allergies in the ED...
by Miguel Cortel-LeBlanc, Richard Hoang | May 10, 2018 | Featured, Grand Round Summaries, Trauma
Traumatic injuries are amongst the most common presentations for all emergency departments (ED). In 2010, there were over 1 million patients in Canada who visited the ED for trauma, result in an cost of almost 9 billion dollars.1 Yet, in spite of their frequency,...
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...
