by Josh Karram, Richard Hoang | Jun 14, 2018 | Grand Round Summaries, Social Media
There is no denying that the evolution of technology will continue to alter our practice of Emergency Medicine; a prime example of this has come with the transition to electronic health information within our clinical environments. In seeking to better understand the...
by Erica Lee, Richard Hoang | Jun 7, 2018 | Airway, Critical Care, Featured, Grand Round Summaries, Most Viewed
In this post, we will review the anatomy, essential history, and common presentations of tracheostomy patients in the ED, including obstruction, decannulation, bleeding, tracheal stenosis, and infection. Anatomy of a tracheostomy tube Outer cannula Sits directly in...
by Lauren Fruchter, Robert Suttie | May 31, 2018 | Featured, Grand Round Summaries
Urgent care presents a specific set of challenging clinical questions for the emergency physician. Often, seemingly mundane presentations will leave us questioning whether or not we have managed a case appropriately. Our decision-making can be highly influenced by the...
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...
