by Richard Hoang | Apr 4, 2019 | Critical Care, Pre-Hospital, Trauma
The Tactical Combat Casualty Care (TCCC) Guidelines are the standard of care for the modern battlefield. TCCC offers operational guidelines for a range of combat personnel – from recommendations for all combatants to combat paramedics and SOF medics. Though these...
by Richard Hoang | Mar 7, 2019 | Critical Care, Featured, Pre-Hospital, Resuscitation, Trauma
Hemorrhage is the leading cause of preventable death on the battlefield. Damage Control Resuscitation (DCR) works synergistically with Damage Control Surgery (DCS) and prioritizes non-surgical interventions that reduce morbidity and mortality due to trauma and...
by Hans Rosenberg | Feb 25, 2019 | Full Article, Journal Club, Pre-Hospital, Trauma
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2.5 /5 Sperry JL, et al. N Engl J Med. 2018 Jul 26;379(4):315-326. Question and Methods: Determine the efficacy of prehospital plasma compared with standard-care resuscitation in injured patients at risk...
by Hans Rosenberg | Oct 22, 2018 | Journal Club, Resuscitation, Trauma
Journal Club Summary Methodology: 3.5/5 Usefulness: 3.5/5 Moore HB, et al. Lancet. 2018 Jul 28;392(10144):283-291. Editorial: No gains with plasma-first resuscitation in urban settings? Question and Methods: Use of prehospital plasma in patients with...
by Robert Suttie, Richard Hoang | Sep 6, 2018 | Airway, Featured, Grand Round Summaries, Resuscitation, Trauma
Emergency medicine is a diverse specialty. We’ve all had the shift where you go from suturing an elderly woman’s scalp, to managing an anxious patient with chest pain, to running a cardiac arrest as EMS patches in with a trauma. We wear many hats throughout a single...
by Stephanie Barnes, Richard Hoang | Aug 16, 2018 | Featured, Grand Round Summaries, Resuscitation, Trauma
The vast majority of burns that present to the ED can be managed as outpatients1,2, usually by the patient’s family doctor, but many emergency physicians do not feel comfortable with burn management. Burn management often follows the preferences and experiences of...
by Ariel Hendin | Jul 12, 2018 | Trauma
Do you often get the components of scapholunate instability mixed up? Do you find this a tough one to teach to residents? Dr. Hendin has you covered – here she provides an great graphic to fully explain the Mayfield classification (scapholunate...
by Hans Rosenberg | Jul 9, 2018 | Journal Club, Pediatrics, Trauma
Methodology Score: 3.5/5 Usefulness Score: 4/5 Babl FE, et al. Lancet. 2017 Jun 17;389(10087):2393-2402. Question and Methods: This prospective observational study sought to externally validate and subsequently compare the relative performance of the PECARN, CATCH,...
by Nick Schouela, Richard Hoang | Jul 5, 2018 | Critical Care, Featured, Infographics, Most Viewed, Neurology, Slider, Trauma
Most clinicians are familiar with and utilize the Glasgow Coma Scale (GCS) on a daily basis, but many are not aware of the updates and additions to the score that were made in 2014 and 2018, respectively. Clarifications in the wording of the scale attempt to increase...
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,...
