Epidemiology of pulmonary embolism in pregnancy The rate of pulmonary embolism (PE) in pregnancy is 5.4 per 10 000 pregnancies. This is 5x the risk of the general non-pregnant female population The rates of venous thromboembolism change throughout pregnancy: Antepartum: 5.4 per 10 000 Peripartum: 7.2 per 10 000 Postpartum: 4.3 per 10 000 This leads to 0.96 deaths per 100 […]
This post takes a deep dive into the pathophysiology, presentation and management of electrical storm in the emergency department. The management focuses on patients with implantable cardioverter-defibrillators receiving multiple shocks, patients with polymorphic ventricular tachycardia and refractory ventricular fibrillation. Electrical storm (ES) has varying definitions in the literature depending on whether or not the patient has an ICD (an implantable […]
This article published in CJEM 2020 by Dr. Eddy Lang and colleagues is freely accessible online and features tips for Emergency Department leadership during a pandemic.
During the COVID-19 pandemic, one of the challenges facing residents is continuing to receive high-quality learning during their training. Difficulties such as transitioning to a virtual platform, protecting residents from certain aerosol-generating procedures, and decreased patient volumes make it challenging for learners compared to the pre-COVID era. Here, we explore some strategies to help ensure that residents are progressing along […]
The Surviving Sepsis Guidelines define sepsis as a “life-threatening organ dysfunction caused by a dysregulated host response to an infection”. Septic shock is further defined as sepsis with hypotension (MAP ≤65) and/or lactate ≥2.0 despite adequate fluid resuscitation(1,2). This definition of septic shock highlights the importance of factoring in both macrocirculatory (blood pressure) and microcirculatory markers (lactate) when treating patients. […]
This article published in CJEM 2020 by Dr. Jason Buick and colleagues is freely accessible online and features a summary of the key areas that make COVID-19 a unique challenge for Paramedics.