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ED Crowding: Is it Getting Cramped in Here?

ED Crowding: Is it Getting Cramped in Here?

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...
Diagnosis and Management of Acute Renal Colic: An Evidence Based Update

Diagnosis and Management of Acute Renal Colic: An Evidence Based Update

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....
Code Silver: Sanctuary Under Fire

Code Silver: Sanctuary Under Fire

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...
Industrial Engineering & Emergency Department Flow

Industrial Engineering & Emergency Department Flow

by Scott Odorizzi, Richard Hoang | Jan 25, 2018 | Featured, Grand Round Summaries

In this post, we’ll explore the many exciting applications that concepts borrowed from industrial engineering can have on ED efficiency and workflow. To help build a framework for further discussion, we will define industrial engineering, describe the ED as a...
Where is the Love? Intimate Partner Violence in the Emergency Department

Where is the Love? Intimate Partner Violence in the Emergency Department

by Nour Khatib, Richard Hoang | Jan 18, 2018 | Featured, Grand Round Summaries, Patient Advocacy

Intimate partner violence is prevalent worldwide and has a significant economic impact on our healthcare system. This post will discuss: Intimate Partner Violence statistics globally, in Canada, and in Ontario The economic impact of intimate partner violence cases in...
Fun with Bubbles: Dysbarism and Hyperbaric Oxygen Therapy

Fun with Bubbles: Dysbarism and Hyperbaric Oxygen Therapy

by Marie-Andre Lavoie, Richard Hoang | Jan 11, 2018 | Featured, Grand Round Summaries

Recreational scuba diving is becoming more and more popular with the number of scuba divers approaching 9 million in the USA alone. With this interest comes an increasing number of diving related incidents. What is Decompression sickness? Even though it was first...
Opening the Book: Pelvic Trauma in the ED

Opening the Book: Pelvic Trauma in the ED

by Julie Kim, Richard Hoang | Jan 4, 2018 | Critical Care, Featured, Grand Round Summaries, Most Viewed, 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...
Beyond the guidelines: an approach to cardiac arrest in the Emergency Department

Beyond the guidelines: an approach to cardiac arrest in the Emergency Department

by Lauren Lacroix, Richard Hoang | Dec 21, 2017 | cardiac arrest, Featured, Grand Round Summaries, Most Viewed

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...
Resuscitation of the Bariatric Trauma Patient

Resuscitation of the Bariatric Trauma Patient

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...
The New and Old of Cancer Emergencies

The New and Old of Cancer Emergencies

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...
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