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...
by Darren Wong, Josee Malette | Jun 10, 2021 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation
In the first part of this series, we looked at the basics of Extra Corporeal Membrane Oxygenation (ECMO) and its primary indications. In this section, we will discuss the factors that are needed to implement an ED ECMO program and what happens when a code ECPR is...
by Hans Rosenberg | Feb 22, 2021 | cardiac arrest, Cardiology, Critical Care, Featured, Journal Club, Resuscitation
Methodology: 3.5/5 Usefulness: 3.5/5 Yannopoulos D, et al. Lancet. 2020 Dec 5;396(10265):1807-1816. Question and Methods: The ARREST trial was a phase 2, single centre, open-label, RCT comparing early ECMO facilitated resuscitation to ED-based standard ACLS care for...
by Hans Rosenberg | Jul 6, 2020 | cardiac arrest, Critical Care, Journal Club, Radiology, Resuscitation, Ultrasound
Methodology: 2.5/5 Usefulness: 3/5 Daley JI, et al. Acad Emerg Med 26 (11), 1211-1220 Nov 2019 Questions and methods: In patients with abnormal vital signs, what is the sensitivity of FOCUS for the diagnosis of PE? Prospective, multicenter, observational...
by Lindsay Cheskes, Kate O'Connell | May 21, 2020 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
This post takes a deep dive into the pathophysiology, presentation and management of electrical storm in the emergency department. The management focuses on patients with implantable cardioverter-defibrillators receiving multiple shocks, patients with polymorphic...
by Ariel Hendin, Lisa Fischer, Shahbaz Syed | Mar 27, 2020 | cardiac arrest, COVID-19, Featured, Infographics, Resuscitation, Slider
Hot off the press from CJEM; End-of-life care in the Emergency Department for the patient imminently dying of a highly transmissible acute respiratory infection (such as COVID-19).
by Bo Zheng, Alex Coutin | Jan 16, 2020 | Airway, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation
What is pulseless electric activity (PEA)? Pulseless electrical activity is diagnosed based on a patient having an organized, non-shockable rhythm and no palpable pulse. However, PEA is not always a cardiac arrest state. In many cases, patients with PEA have...
by Hans Rosenberg | Oct 7, 2019 | cardiac arrest, Cardiology, Journal Club, landmark, Resuscitation
Methodology Score: 4.5/5 Usefulness Score: 3.5/5 Lemkes JS, et al. N Engl J Med. 2019 Apr 11;380(15):1397-1407. Editorial: Coronary Angiography after Cardiac Arrest – The Right Timing or the Right Patients? Question and Methods: Patients with out-of-hospital...
