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The ENT Tool Kit: Practical Pearls for Emergency Physicians

The ENT Tool Kit: Practical Pearls for Emergency Physicians

by Hailey Newton | Sep 25, 2025 | Airway, Anesthesiology, ENT, Featured, Grand Round Summaries, Infectious Disease

As an emergency medicine physician, whether you are working in the resuscitation bay or in urgent care, ENT complaints are common and will be encountered in both areas. The goal of this post is to provide you with a practical framework and highlight tips and tricks...
Blakemore Tube Insertion

Blakemore Tube Insertion

by Isabella Menchetti | Sep 18, 2025 | Airway, Anesthesiology, emergency, Gastroenterology

A 60-year-old male with a history of cirrhosis arrives in your ED in extremis; no vital signs, massive hematemesis en route, and a presumptive diagnosis of ruptured esophageal varices. Your team initiates the massive transfusion protocol, secures the airway, and...
Fascia’s Back: The Supra-Inguinal Fascia Iliaca (SIFI) Block

Fascia’s Back: The Supra-Inguinal Fascia Iliaca (SIFI) Block

by James Gilbertson, Michael Woo, Sarah Tierney, Reva Ramlogan | May 8, 2025 | Anesthesiology, Featured, Orthopedics, Ultrasound

Do you like Sci-Fi? You’ll love the SIFI! Since we’re in May, Star Wars fans get to celebrate with “May the 4th be with you”, but we’re here to introduce you to an even better type of SIFI: The Supra-Inguinal Fascia Iliaca (SIFI) Block. (…we’re well...
Practical Management of Acute Hemoptysis

Practical Management of Acute Hemoptysis

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...
Noninvasive Ventilation for Preoxygenation during Emergency Intubation

Noninvasive Ventilation for Preoxygenation during Emergency Intubation

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...
Snooze Control: Procedural Sedation 101

Snooze Control: Procedural Sedation 101

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...
Quantitative End-Tidal CO2 – the New Scoop

Quantitative End-Tidal CO2 – the New Scoop

by Nicholas Choi | Dec 5, 2024 | Anesthesiology, cardiac arrest, Grand Round Summaries, Respirology, Resuscitation

Quantitative End-Tidal CO2 (ETCO2) was in vogue for a while, and seemingly some centres adopted it as standard of care, while others found that it did not make a significant clinical impact so it fell out of style and left to ‘practitioner preference’....
Inhalation Injuries: The Answers You’ve Been LUNGing For

Inhalation Injuries: The Answers You’ve Been LUNGing For

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...
Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants

Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants

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...
Is there a Precedence for Precedex in the ED?

Is there a Precedence for Precedex in the ED?

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...
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