This post is a continuation of a previous post about anorectal issues in the ED. Here, we will discuss anorectal abscess, surrounding complications, and necrotizing infections. Anorectal Abscess Anorectal abscesses are thought to occur from the plugging of anal glands, resulting in infection and purulent collection that spreads along oneRead More →
Dr. Krishan Yadav is an FRCPC Emergency Medicine Physician with a Masters in Clinical Epidemiology, and here he helps to provide some great insights and opinions into the recently published CRASH-3 trial. Tranexamic Acid (TXA) TXA is an inexpensive and readily available medication that is a synthetic analog of lysine.Read More →
Anorectal issues commonly present to the Emergency Department (ED), however, the evidence around many of these conditions is sparse and practice varies widely. ED providers should have a grasp on the management and disposition of common anorectal complaints. In part one of this two-part series we will be focusing onRead More →
Here we seek to provide a guide on when to consider awake intubation in the Emergency Department (ED), with an approach to the procedure! The Difficult Airway When assessing patients who may require any form of airway intervention, we should be assessing for two main entities: Difficult anatomy. Ask yourself:Read More →
In this post, we’re going to do something a little different. Instead of reviewing a specific Emergency Medicine topic, we’re going to discuss Leadership – How to lead your team and make things happen during a high-stakes resuscitation. As the Leadership principles are transferable between medical and trauma resuscitations, forRead More →
Methodology Score: 2.5/5 Usefulness Score: 2.5/5 Akkan S, et al. Ann Emerg Med. 2019 Jul;74(1):72-78 Question and Methods: Prospective RCT comparing compression with saline, compression with tranexamic acid, and nasal packing with merocel for anterior epistaxis. Findings: No difference in 15-minute bleeding cessation for TXA (91.1%) or packing (93.3%), v/s saline (71.1%). Lower 24hRead More →
Imagine you are working overnight in your local emergency department (ED), your next patient to see is a 52 year old man, with a chief complaint of “Ostomy Issues”. You stare blankly at the screen as you try to remember the basics of an ostomy. What’s normal for an ostomyRead More →
Methodology Score: 4.5/5 Usefulness Score: 3.5/5 Lemkes JS, et al. N Engl J Med. 2019 Apr 11;380(15):1397-1407. Editorial: Coronary Angiography after Cardiac Arrest – The Right Timing or the Right Patients? Question and Methods: Patients with out-of-hospital cardiac arrest (OHCA) and shockable rhythm, but without STEMI on ECG following ROSCRead More →
In today’s post, we seek to: Understand what artificial intelligence (AI) is Generate a basic understanding of how AI works Review applications of AI in the Emergency Department (ED): Patient care Predictive Analytics ED Operations Intelligence Intelligence represents the ability to perceive information, retain it as knowledge, and apply it towards adaptive behavioursRead More →
Methodology: 2/5 Usefulness: 2.5/5 Macri F, Greffier J, Khasanova E, Claret PG, Bastide S, Larbi A, Bobbia X, Pereira FR, de la Coussaye JE, Beregi JP. Ann Emerg Med. 2019 Jun;73(6):665-670. Question and Methods: This 160-patient pilot study prospectively compared ultra-low dose CT chest and CXR to routine CT chest in minor bluntRead More →