by Simon Wells | Jan 21, 2021 | Airway, Featured, Grand Round Summaries, Procedural care, Respirology
In Part 1 of our 2-part series on Pneumothorax, Dr. Simon Wells walked us through the varying definitions, epidemiology, diagnostic criteria, and imaging findings of pneumothorax including on point of care ultrasound (POCUS). Click here to review Part 1. In...
by Simon Wells | Dec 17, 2020 | Airway, Featured, Grand Round Summaries, Procedural care, Respirology
Pneumothorax is a relatively rare emergency department presentation with a number of controversies existing regarding its management. Over the last decade, the standard of care has shifted from invasive strategies to more conservation management approaches. What...
by Shahbaz Syed | Dec 10, 2020 | Airway, COVID-19, Critical Care, Featured, Grand Round Summaries, Infographics, Resuscitation, Trauma
I think we’re all pretty much ready for the end of 2020, what a year it has been. It seems fitting that our most viewed article here at EMOttawa this year was on the management of hemorrhoids. Taking a walk down memory lane, we present our 10 most popular posts...
by Hans Rosenberg | Aug 10, 2020 | Airway, Anesthesiology, Journal Club
Methodology: 2/5 Usefulness: 4/5 Brown CA 3rd, et al. Acad Emerg Med. 2020 Feb;27(2):100-108. Question and Methods: This was one the largest prospective, observational, ED-only airway studies to date comparing first-pass success (FPS) rates in “augmented” DL (A-DL)...
by George Mastoras | Mar 26, 2020 | Airway, COVID-19, Infographics, Resuscitation
Guiding Principles Suspected SARS-COV-2 patients showing signs of hypoxemic respiratory failure should be intubated proactively, as early as possible. Signs may include FiO2 requirement > 50%, clinical signs of respiratory fatigue despite supplemental oxygen, or...
by Bo Zheng | Jan 16, 2020 | Airway, All Posts, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation
What is pulseless electric activity (PEA)? Pulseless electrical activity is diagnosed based on a patient having an organized, non-shockable rhythm and no palpable pulse. However, PEA is not always a cardiac arrest state. In many cases, patients with PEA have...
by Adam Parks | Oct 24, 2019 | Airway, Anesthesiology, Featured, Grand Round Summaries
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...
by Richard Hoang | Aug 29, 2019 | Airway, Featured, Toxicology, Trauma
Patients with both burn and inhalation injuries have significantly increased morbidity and mortality compared to those with just burn injuries alone, as there are multiple toxic industrial chemicals that act on the respiratory tract. In this post, we review...
by Hans Rosenberg | Jul 15, 2019 | Airway, Anesthesiology, Critical Care, Journal Club, Resuscitation
Journal Club Summary Casey JD, et al. N Engl J Med. 2019 Feb 28;380(9):811-821. Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Question and Methods: Multicenter, unblinded RCT in 7 ICUs comparing rates of hypoxia in patients undergoing BVM vs no ventilation during...
by Adam Parks | May 23, 2019 | Airway, Grand Round Summaries, Resuscitation
Securing definitive control of a threatened airway is a fundamental skill in the care of critically ill patients and remains an ever-popular topic of discussion in Emergency Medicine. As Emergency Medicine providers, we find few procedures as satisfying or potentially...