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Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial

2019-02-18
By: Hans Rosenberg
On: February 18, 2019
In: Airway, cardiac arrest, Full Article, Journal Club, Resuscitation

Journal Club Summary Methodology: 4/5 Usefulness: 3.5/5 Wang HE, et al. JAMA. 2018 Aug 28;320(8):769-778. Editorial: Pragmatic Airway Management in Out-of-Hospital Cardiac Arrest. Question and Methods: This multicenter pragmatic cluster-crossover randomized trial compared initial advanced airway strategy effectiveness between laryngeal tube (LT) and endotracheal intubation (ETI) in adults with OHCA. Findings: The LTRead More →

stroke mimics

Identifying stroke mimics in the ED

2019-02-14
By: Katherine Soucie
On: February 14, 2019
In: Featured, Grand Round Summaries, Neurology

In this post, we will aim to review the literature looking at identifying clinical and historical features that can help differentiate stroke mimics from strokes. We will also discuss the safety of the administration of IV tPA to misdiagnosed stroke mimics. This post will not focus on the recent developmentsRead More →

Effect of Bag-Mask Ventilation vs Endotracheal Intubation During Cardiopulmonary Resuscitation on Neurological Outcome After Out-of-Hospital Cardiorespiratory Arrest: A Randomized Clinical Trial

2019-02-11
By: Hans Rosenberg
On: February 11, 2019
In: Airway, cardiac arrest, Critical Care, Featured, Full Article, Journal Club, Pre-Hospital

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2.5/5 Jabre P, et al. JAMA. 2018 Feb 27;319(8):779-787. Question and Methods: This was a multicenter randomized trial comparing bag valve mask ventilation with endotracheal intubation performed by emergency physicians in 2043 patients with out-of-hospital cardiac arrest in France and Belgium Findings: Their primary outcome ofRead More →

Factors associated with treatment failure in non-purulent skin and soft tissue infections

2019-02-07
By: Krishan Yadav
On: February 7, 2019
In: Featured, Infectious Disease

Non-purulent skin and soft tissue infections (SSTIs; i.e. cellulitis or erysipelas) account for up to 3% of all emergency department (ED) visits. Once the diagnosis of a non-purulent SSTI is made, the emergency physician must select the appropriate antibiotic agent, dose, duration and route (oral or intravenous (IV)). Current guidelinesRead More →

Canadian Syncope Risk Score – Duration of Cardiac Monitoring

2019-02-06
By: Venkatesh Thiruganasambandamoorthy
On: February 6, 2019
In: Cardiology, Featured

Syncope constitutes 1% of Emergency Department (ED) visits, and approximately 10% of these patients will have serious underlying conditions causing syncope (arrhythmia, MI, serious structural heart disease, pulmonary embolism, subarachnoid or severe hemorrhage). Alarmingly, half to one-third of these serious conditions will not be identified during ED evaluation. We previously derived theRead More →

Ketamine Bottles

A Systematic Review and Meta-analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department

2019-02-04
By: Hans Rosenberg
On: February 4, 2019
In: Anesthesiology, Full Article, Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 Karlow N, et al. Acad Emerg Med. 2018 Oct;25(10):1086-1097. Question and Methods: This was a systematic review and meta-analysis of low dose ketamine (LDK 0.3 – 0.5mg/kg) vs opioids for acute pain management in the ED. Findings: 3 studies were included suggesting LDKRead More →

Wellness Week – closing thoughts

2019-02-01
By: Lisa Fischer
On: February 1, 2019
In: Featured, Physician Wellness

In 2018, CAEP endorsed the creation of a Wellness Committee, led by Drs. Roderick Lim (chair), Sara Gray (vice-chair), Louise Rang (communications), Lisa Fischer (secretary), Jada Fitzpatrick (resident representative). To conclude the Canadian EM Wellness Week, the executive of the committee has put together some reflections on the importance ofRead More →

Wellness in Emergency Medicine: A letter to my younger self – Dr. Hazel Park

2019-01-31
By: Hazel Park
On: January 31, 2019
In: Featured, Physician Wellness

Dr. Park is an Emergency physician and trauma team leader at Lions Gate Hospital, North Vancouver. She is also the Medical Director of the Regional Trauma Program at Vancouver Coastal Health,  and a simulation instructor/enthusiast. Additionally, Hazel, a University of Toronto graduate in 1987,  is a volunteer physician for theRead More →

Sandwich Generation – an interview with Ken Milne and nutritional advice

2019-01-30
By: Ken Milne
On: January 30, 2019
In: Featured, Physician Wellness

Today, we’re fortunate enough to be joined by Dr. Ken Milne, also known as BATDOC, from the Skeptics Guide to Emergency Medicine Ken has an impressive social media reach, and has managed to become a successful emergency medicine clinician, researcher, an internationally known podcaster and champion of evidence based medicine,Read More →

You’ve got a friend in me: the Importance of Social Wellness & being a new parent

2019-01-29
By: Samantha Calder-Sprakman
On: January 29, 2019
In: Featured, Physician Wellness

Despite what you might think when you initially hear the term, there is more to social wellness than having an active social life. Social wellness is the positive effect that friends and loved ones have on your mental and physical health.(1,2) Sure, spending time with people has the ability toRead More →

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Recent Posts

  • Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial
  • Identifying stroke mimics in the ED
  • Effect of Bag-Mask Ventilation vs Endotracheal Intubation During Cardiopulmonary Resuscitation on Neurological Outcome After Out-of-Hospital Cardiorespiratory Arrest: A Randomized Clinical Trial
  • Factors associated with treatment failure in non-purulent skin and soft tissue infections
  • Canadian Syncope Risk Score – Duration of Cardiac Monitoring

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