by Miguel Cortel-LeBlanc, Richard Hoang | Oct 12, 2017 | Featured, Grand Round Summaries, Infectious Disease
Part 1: Concerns with Antibiotic Overuse Three of the most common antibiotic-related unwanted effects seen the ED include: Their toxic effects Selection of pathogenic bacteria Increasing antibiotic resistance The Magnitude of Antibiotic-Related Toxic Effects A...
by Peter Reardon, Richard Hoang | Oct 5, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation
Airway management in the Emergency Department (ED) is challenging. Given the critically ill and physiologically unstable patients, complicated by c-spine collars, distorted anatomy, and airway contamination – the stakes are high. Recent evidence draws...
by Rajiv Thavanathan, Richard Hoang | Sep 28, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Ultrasound
We know that management of the patient in cardiac arrest can be difficult. As emergency providers, we often rely on an algorithmic approach because of limited information. Point of Care Ultrasound (POCUS) has offered an unprecedented ability to diagnose and monitor...
by Thara Kumar, Robert Suttie, Shahbaz Syed | Sep 14, 2017 | Grand Round Summaries, Toxicology
Opioid and narcotic abuse has been a problem in Canada for some time, but nothing compares to the rapid sweep of opioid-related deaths and hospitalizations that have occurred over the past 2-3 years. While at one time, this problem was limited to a few pockets on the...
by Lauren Lacroix, Robert Suttie | Sep 7, 2017 | Featured, Grand Round Summaries, Most Viewed, Resuscitation
Physiologically difficult airway: airway management in the critically ill patient, whose underlying physiology puts them at higher risk of cardiovascular collapse with intubation and conversion to positive pressure ventilation. This is important for in the Emergency...
by emottawa | Aug 10, 2017 | Featured, Grand Round Summaries, Respirology
Describe the pathophysiology of Pulmonary Hypertension (PH), and how it can be dangerous Who to suspect and workup for PH in the ED Describe the POCUS findings in PH Describe the management of these patients and how to avoid causing harm Physiology Definition...
by emottawa | Jul 14, 2017 | Grand Round Summaries, Neurology
Objectives: Explore the data for safety and efficacy of urgent blood pressure lowering in hemorrhagic stroke. Is there any benefit from management of elevated blood pressure in acute ischemic stroke that is not a candidate for tPA? What is the data for blood pressure...
by emottawa | May 11, 2017 | Grand Round Summaries, Infectious Disease
The Zika Virus exploded onto the international health scene in the last several months. It was first discovered in humans in 1951 and remained limited to Africa and Asia until the first major outbreak in Micronesia in 2007. Since then the virus has continued to evolve...
by emottawa | Apr 25, 2017 | Grand Round Summaries, Resuscitation
Pediatric endotracheal intubation is an uncommon procedure in the Emergency Department (ED); even in high volume tertiary pediatric centres the incidence has been reported at 8-10/10,000 patients. While infrequent, pediatric airway management is...
by emottawa | Mar 2, 2017 | Grand Round Summaries, Resuscitation
Use of the term “sepsis” continues to be controversial. We understand that patients with infection can manifest an immune-mediated systemic response, and are at risk of deterioration, organ dysfunction, and death. At what point in that cascade the patient is termed...
