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Lung Protective Ventilation

Lung Protective Ventilation

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...
Mechanical Ventilation Basics

Mechanical Ventilation Basics

by Cameron Leafloor | Jan 25, 2024 | Airway, Anesthesiology, cardiac arrest, Critical Care, Featured, Recently 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,...
Pediatric Traumatic Cardiac Arrest

Pediatric Traumatic Cardiac Arrest

by Joshua Emery | Dec 28, 2023 | cardiac arrest, Critical Care, Pediatrics, Resuscitation

Trauma is the leading cause of child and youth mortality globally (1). Pediatric trauma is a high acuity but low frequency event (2). Trauma is children is 7 times less frequent in comparison to the adult population (2). There is a well-documented correlation amongst...
BHP Corner: Decision Points in Cardiac Arrest

BHP Corner: Decision Points in Cardiac Arrest

by Mark Froats, Josee Malette | Aug 3, 2023 | BHP Corner, cardiac arrest, Featured, Prehospital and Transport Medicine

Case You and your partner arrive at a scene where a 67-year-old male had a witnessed collapse 5 minutes ago and CPR is in progress; he is in cardiac arrest. The initial rhythm is ventricular fibrillation. You continue CPR with a King LT and provide 3 shocks, along...
A Dive into Drowning – Part One

A Dive into Drowning – Part One

by James Gilbertson, Amanda Mattice, Doran Drew | Apr 27, 2023 | cardiac arrest, Grand Round Summaries, Resuscitation

Drowning accounts for over 360,000 worldwide deaths annually, including the deaths of hundreds of Canadians.[1],[2] Despite this, accurate drowning statistics remain obscured by significant under-reporting.[1] As an emergency physician you will see drowning patients...
Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest

Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest

by Graham Wilson, Hans Rosenberg, Ian Stiell | Apr 3, 2023 | cardiac arrest, Cardiology, emergency, Journal Club, Resuscitation

Methodology: 4/5 Usefulness: 2.5/5 Suverein MM, et al. N Engl J Med. 2023 Jan 26;388(4):299-309. doi: 10.1056/NEJMoa2204511. Question and Methods: Does eCPR increase survival at 30 days with good neurologic outcome in refractory OHCA caused by an initial cardiac...
RV Failure and Acute Pulmonary Embolism

RV Failure and Acute Pulmonary Embolism

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...
Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest

Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest

by Alie Wudwud, Hans Rosenberg, Jeff Perry | Dec 11, 2022 | cardiac arrest, Cardiology, Critical Care, Journal Club

Methodology: 4/5 Usefulness: 4/5 Kjaergaard J, et al. N Engl J Med. 2022 Oct 20;387(16):1456-1466. Question and Methods: This was a double-blind, randomized trial assessing whether a higher or lower arterial blood-pressure target would be superior in preventing death...
Pediatric Resuscitation: AHA PALS Updates

Pediatric Resuscitation: AHA PALS Updates

by Sheena Nandalal | May 26, 2022 | Airway, cardiac arrest, Featured, Grand Round Summaries, Pediatrics

Pediatric cardiac arrests are rare occurrences in Canada Due to the infrequency, pediatric cardiac arrest and resuscitation are challenging areas to study so the data we have is limited in scope and quality. This is an area for future research and improvement...
Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation

by Chirag Bhat, Hans Rosenberg | Nov 2, 2021 | cardiac arrest, Cardiology, Critical Care, Journal Club

Methodology: 4/5 Usefulness: 4/5 Desch S, et al. N Engl J Med. 2021 Aug 29. doi: 10.1056/NEJMoa2101909. Question and Methods: This multi-center, open label RCT of 558 patients with OHCA without ST elevation on their ECG compared 30-day all-cause mortality...
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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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