Marc Li Chuan Yang

The Chinese University of Hong Kong Medical Centre · Emergency Medicine Centre

Introduction Critical care in low-income and low-middle income countries (LLMICs) is an underdeveloped component of the healthcare system. Given the increasing growth in demand for critical care services in LLMICs, understanding the current capacity to provide critical care is imperative to inform policy on service expansion. Thus, our aim is to de...

Background Due to the ageing population in Hong Kong, the importance and need of palliative care and end-of-life (EOL) care are coming under the spotlight. The objectives of this study were to evaluate the attitudes of emergency doctors in providing palliative and EOL care in Hong Kong, and to investigate the educational needs of emergency doctors...

Introduction: Ultrasound guidance is commonly used during central venous cannulation. Subclavian vein is a commonly chosen site, but previous studies found varying results in the ideal positioning of the shoulder for subclavian vein cannulation. The objective of this study is to determine which shoulder position results in the greatest cross-sectio...

Objectives: In some trauma centres, anaesthesiologists have the primary responsibility of managing airway in trauma resuscitation. However, as emergency physicians establish a separate specialty with airway management and endotracheal intubation being one of the core skills, role delineation within trauma members may vary. In this cohort study, we...

Background: With the aging population in Hong Kong, the importance and need of palliative care and end-of-life (EOL) care are brought into the spotlight. The Accident and Emergency Department (AED) is often the first medical contact for the public. The objectives of this study were to evaluate the attitude of emergency doctors in providing palliati...

Objectives: (1) To study the dimensions of cricothyroid membranes (CTMs) in healthy Chinese adults in two neck positions, one with rigid neck collar (RNC) and neck extended by ultrasonography (USG). (2) To evaluate how body habitus and neck positions may affect the access time of CTMs, and thus the feasibility for ultrasound-guided cricothyroidoto...

Background: This study describes the characteristics and outcomes of patients referred to an emergency department (ED)-based end-of-life (EOL) service in a tertiary acute hospital in Hong Kong. We examine how emergency physicians (EPs) perform in recognizing and managing dying patients. Methods: From September 2010 to April 2018, patients referred...

Introduction: In view of the growth of the aging population in Hong Kong, the importance and need of palliative care and end-of-life (EOL) care were brought into the spotlight. The Department of Accident and Emergency (AED) was one of first medical contacts for the public. Despite the urge to investigate this issue, there were no related studies in...

Background: While there are intrinsic differences in the pros and cons between plain radiographs and computer tomography, the role of pelvic radiographs in polytrauma management is diminishing as computer tomography scans are becoming more accessible. Previous studies found varying results in the inter-observer agreement in pelvic radiograph interp...

Objectives and Background Pelvic fracture causes significant mortality and morbidities. The purpose of this study is to identify the characteristics of patients with pelvic fracture in Hong Kong and to determine the factors predicting mortality. The result could help to identify high-risk patients who might benefit from more intensive evaluation an...

Introduction: Emergency departments (EDs) play an important role in the early identification and management of sepsis. Little is known about local EDs' processes of care for sepsis, adoption of international recommendations, and the impact of the new Sepsis-3 definitions. Methods: Structured telephone interviews based on the United Kingdom Sepsi...

With Hong Kong’s ageing population, advancement of medical technologies and hospital congestion, it is not uncommon for emergency physicians to encounter complicated critically ill patients in daily practice. It becomes a fundamental role of emergency physicians to initiate timely diagnostic and therapeutic interventions to save a patient’s life an...

Introduction Internationally, standard care of patients with severe sepsis consists of early detection, early antimicrobial therapy, and aggressive intravenous fluid therapy to maintain tissue oxygenation and perfusion. In this retrospective study, we aimed to examine the management of patients with severe sepsis in a local university hospital emer...