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 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...
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...
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...
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...
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 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...
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...
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...
by Omar Anjum, Alex Coutin | Sep 2, 2021 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries
Cardiogenic shock (CS) is considered the most severe form of acute heart failure. It is an important and often under-recognized clinical entity in the emergency department (ED). The difficulty in diagnosis lies in its diverse presentations, overlap with other shock...
