by Rebecca Seliga, Hans Rosenberg, Christian Vaillancourt | Jan 13, 2025 | cardiac arrest, Cardiology, Critical Care, Journal Club, Resuscitation
Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in...
by Hailey Newton, Hans Rosenberg, Christian Vaillancourt | Jan 6, 2025 | cardiac arrest, Cardiology, Critical Care, Journal Club, Resuscitation
Methodology: 4/5 Usefulness: 3/5 Couper K, et al. N Engl J Med. 2024 Oct 31:10.1056/NEJMoa2407780. Question and Methods: This multi-center, open label randomized control trial aimed to assess 30-day survival in patients with out of hospital cardiac arrest (OOHCA) who...
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’....
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 Max Zworth | Jul 11, 2024 | cardiac arrest, Critical Care, Dermatology, Grand Round Summaries, Infectious Disease, Recently Featured
In Fall 2023, I was working an evening shift at a community hospital when we got a patch. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. CPR was ongoing, and their ETA was 10 minutes. We prepared the ED for the patient’s arrival....
by Camille Dagenais | May 23, 2024 | Addictions, cardiac arrest, Chronic Pain, Featured, Toxicology
The North American opioid crisis is rapidly expanding, resulting in unprecedented levels of harm and strain on the healthcare system. The opioid epidemic is not new to ED providers across the country, but the true extent of harm is quite shocking. In Canada, there has...
by Steven Sanders | May 9, 2024 | cardiac arrest, Critical Care, Grand Round Summaries, Mass Casualty / Disaster, Pre-Hospital, Prehospital and Transport Medicine, Resuscitation
Please refer to Dr. Mark McKinney’s Grand Round Summary from March 2020 (Parts 1 and 2) for a comprehensive literature review on the topic of resuscitating hypothermic patients. In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and...
by Nate Murray, Mathieu McKinnon | Apr 4, 2024 | cardiac arrest, Cardiology, emergency, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Radiology, Surgery, Thrombosis, Trauma, Ultrasound
Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In...
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 | Feb 1, 2024 | Anesthesiology, cardiac arrest, Critical Care, Featured, Recently Featured, Respirology
In our first part, we talked about the basics of mechanical ventilation and how to set up the ventilator for the busy ED doc! In part two, we discuss lung protective ventilation and go through a few cases to help solidify what we’ve learned. If you haven’t...
