Part II: COVID-19, making sense of the numbers

In the current age of the COVID pandemic, we find ourselves inundated with headlines and millions of daily social media posts on COVID-19. For the frontline healthcare worker, the massive amount of online information can be overwhelming, and for the general public, it often feels as though they are being plunged into anxiety and panic. The goal of these articles […]

Nurse-Led ACLS

What is nurse-led ACLS (Advanced Cardiac Life Support)? A resuscitation model where a nurse takes on a leadership role coordinating and running the ACLS algorithm as part of the overall resuscitation effort. Nursing leadership has always played an integral role in hospital resuscitations, however, it has traditionally been in an unofficial capacity. Nurse-led ACLS is a concept that has been […]

COVID-19. Part I: Virus, Virology and Vaccines

In the current age of the COVID-19 pandemic, we find ourselves inundated with headline articles and millions of daily social media posts on the novel coronavirus. For the frontline healthcare worker, the massive amount of online information can be overwhelming, and for the general public, it often feels as though they are being plunged into anxiety and panic. The goal […]

Oseltamivir plus usual care versus usual care for influenza-like illness in primary care: an open-label, pragmatic, randomised controlled trial.

Methodology: 3/5 Usefulness: 3/5 Butler CC, et al. Lancet. 2020 Jan 4;395(10217):42-52. Editorial: Neuraminidase inhibitors for influenza-like illness in primary care. Question and Methods: This was a pragmatic randomised controlled trial of 3266 patients, where patients were randomised to either usual care or usual care with oseltamivir. Findings: Symptom duration decreased by 1.02 days; in older patients, more severe illness, […]

Conservative versus Interventional Treatment for Spontaneous Pneumothorax

Methodology: 2/5 Usefulness: 3/5 Brown SGA, et al. N Engl J Med. 2020 Jan 30;382(5):405-415. Question and Methods: Is conservative/observational treatment of moderate-large spontaneous pneumothorax non-inferior to chest tube insertion? Multicentre RCT at 39 hospitals in Australia and New Zealand. Findings: Total of 316 patients. Re-expansion <8 weeks occurred in 129/131 (98.5%) of interventional vs. 118/125 (94.4%) of conservative group. […]

Solid Organ Donation from the Emergency Department – Missed Donor Opportunities

In this post, we aim to highlight the perspectives of family, physicians, the emergency department and pre-hospital medicine in regards to organ donation. Types of Organ Tissue Donation There are 2 main types of deceased organ donation including neurologic determination of death and donation after circulatory determination of death. Neurologic determination of death includes a very strict set of criteria […]