by Nicholas Choi | May 1, 2025 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Respirology
Disclaimer: there is little high-quality evidence on the ED management of hemoptysis, particularly non-massive hemoptysis. The recommendations made below are heavily influenced by published case reports and expert opinion, as well as discussions with local specialty...
by Nicholas Choi, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Apr 28, 2025 | Airway, Critical Care, Full Article, Journal Club, Respirology
Methodology: 3/5 Usefulness: 3/5 Luo Z, et al. JAMA. 2024;332(20):1709–1722. doi:10.1001/jama.2024.15815 Question and Methods: Multi-centre, randomized control trial to determine whether a high-intensity NIPPV strategy reduces the need for intubation in AECOPD...
by Naman Arora, Hans Rosenberg, Christian Vaillancourt | Mar 10, 2025 | Airway, Anesthesiology, Critical Care, Full Article, Journal Club
Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods: The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for...
by Shane Baistrocchi | Feb 13, 2025 | Airway, Anesthesiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
Procedural sedation (PS) is a cornerstone of Emergency Medicine, frequently employed in the Emergency Department (ED) to facilitate painful or anxiety-provoking procedures while ensuring patient comfort. The goal is to achieve optimal sedation while allowing for rapid...
by Kaitlin Endres | Nov 7, 2024 | Airway, Anesthesiology, cardiac arrest, Featured, Grand Round Summaries, Infectious Disease, Radiology, Respirology, Toxicology
Inhalational injuries are a critical yet often overlooked aspect of trauma care, with far-reaching consequences in emergency medicine. These injuries can arise from various sources, including thermal injuries from fires, recreational activities such as smoke exposure...
by Min Joon Lee, Hans Rosenberg, Jeff Perry | Oct 28, 2024 | Airway, Anesthesiology, Critical Care, Journal Club, Pediatrics
Methodology: 4/5 Usefulness: 4/5 Geraghty LE, et al. N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Question and Methods: Study aimed to determine if video laryngoscopy improves first-attempt intubation success in neonates compared to direct...
by Shahbaz Syed | Oct 24, 2024 | Airway, Anesthesiology, Commentary, Critical Care, Featured, Resuscitation
Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical...
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...
