by Jillian Ritsma, Richard Hoang | Nov 23, 2017 | Featured, Grand Round Summaries, Orthopedics
With the protocols and time constraints of our ED environment, it is fairly easy to fall into the trap of imaging prior to examining our orthopedic patients. This may result in missed injuries, as we tend to base our diagnosis on the X-ray, rather than the patient...
by Ariel Hendin, Richard Hoang | Nov 16, 2017 | Featured, Grand Round Summaries, Patient Advocacy
The Canadian population is rapidly aging, and within the next 15 years, 1 in every 4 people will be 65 years or older 1. Elderly patients already make up 25% of Canadian Emergency Department (ED) visits, and this number is expected to increase 2. What should concern...
by Simeon Mitchell, Robert Suttie | Nov 9, 2017 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries
Many aspects of cardiac arrest care are likely to change in the not-so-distant future. Let’s take a system-level view of cardiac arrest care and see what we can do to conservatively start to move in the direction of more regionalized care. We’ll also take a...
by Samantha Calder-Sprackman, Richard Hoang | Nov 2, 2017 | Featured, Grand Round Summaries, Patient Advocacy, Physician Wellness
Patient experience and patient satisfaction during Emergency Department (ED) encounters has come to the forefront of ED quality improvement initiatives. To highlight the importance and evolution of patient experience during ED care, we seek to: Discuss the buzz around...
by Stephanie Barnes, Richard Hoang | Oct 26, 2017 | Critical Care, Featured, Grand Round Summaries, Uncategorized
The global vitamin and supplement industry is expected to be worth $278 billion by 2024. “Wellness” as a concept and industry, which often includes vitamin and supplement use, is heavily promoted by celebrities, athletes, and social media stars. IV therapy lounges are...
by Shannon McCarter, Robert Suttie | Oct 19, 2017 | Commentary, Critical Care, Featured, Grand Round Summaries, Neurology
Here we seek to review relatively common neurology presentations and some controversies surrounding their management. See our other ED-Neurology Reviews here including migraine therapies and stroke evidence. To include Myasthenia Gravis, Guillian Barre Syndrome, and...
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...
