by Patrick Fisk, Mathieu McKinnon | Jun 6, 2024 | Airway, Anesthesiology, Critical Care, emergency, Featured, Grand Round Summaries, Respirology, Resuscitation
Your patients need you to start rethinking what you know about pre-oxygenation. The peri-intubation period is a physiologically hazardous time; when we feel forced to act in critical situations, we often try to speed things up and cut corners. We hope to convince you,...
by Sam Wilson, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | May 13, 2024 | Airway, Anesthesiology, Full Article, Journal Club
Methodology: 4/5 Usefulness: 3/5 von Hellmann R, et al. Ann Emerg Med. 2024 Feb;83(2):132-144. Question and Methods: Systematic review of 18 studies (12 RCT) of adult patients comparing bougie use vs standard of care in tracheal intubations to evaluate first-attempt...
by Isabella Menchetti, Hans Rosenberg, Christian Vaillancourt | Mar 25, 2024 | Airway, Anesthesiology, Critical Care, Journal Club, Trauma
Methodology: 3/5 Usefulness: 3/5 Bandyopadhyay A, et al. Anesth Analg. 2023 May 1;136(5):913-919. Question and Methods: This is the first RCT looking at DSI vs RSI in adult trauma patients with no difficult airway features. All intubations performed by an anesthesia...
by Brenton Wong, Hans Rosenberg, Krishan Yadav | Feb 26, 2024 | Airway, Critical Care, Featured, Journal Club, Toxicology
Methodology: 3.5/5 Usefulness: 3/5 Freund Y, et al. JAMA. 2023 Dec 19;330(23):2267-2274. Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation...
by Isabella Menchetti | Feb 15, 2024 | Airway, Anesthesiology, cardiac arrest, Featured, Grand Round Summaries
We’re increasingly cognizant of the physiological importance of maintaining specific hemodynamics during resuscitation. Practice patterns vary broadly, so we’ve done a deep dive into the various evidence around the use of ketamine and etomidate in specific...
by Cameron Leafloor | Jan 25, 2024 | Airway, Anesthesiology, cardiac arrest, Critical Care, Featured, Respirology
Mechanical ventilation has a lot of nuance associated with it, but a lot of reference guides focus on care in the ICU. There is certainly a need for more practical application for the ED doc or initial setup of patients on the vent. With both ER and ICU experience,...
by Kate O'Connell, Hans Rosenberg, Jeff Perry | Oct 30, 2023 | Airway, Anesthesiology, Journal Club
Methodology: 4/5 Usefulness: 3.5/5 Prekker ME et al. N Engl J Med. 2023 Aug 3;389(5):418-429. Question and Methods: Authors aimed to determine if video laryngoscopy improves rates of first pass success compared to direct laryngoscopy. They performed a pragmatic,...
by Alie Wudwud | Mar 30, 2023 | Airway, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Respirology, Resuscitation
Right here, Right now! Pumping up our Knowledge on Right Ventricular Failure and Acute Pulmonary Embolism The treatment of patients with right ventricular failure from pulmonary embolism follows some key principles that differ from our typical...
by Nicholas Choi | Dec 1, 2022 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Resuscitation
Awake intubations are an uncommon procedure, so cognitively practicing the nuances can be critically important to success. Here, we present an updated practical guide on awake intubations in the ED intended to supplement a previously posted topic. You can see the...
by Nathaniel Murray, Talal Alkhaldi | Nov 24, 2022 | Airway, Critical Care, Featured, Grand Round Summaries, Resuscitation
When encountering patients with angioedema, we have historically used a similar approach to anaphylaxis, mostly out of a lack of evidence supporting a particular practice. Here, we take a deep dive into ACE inhibitor-induced angioedema to provide the most up to date...
