by Michael Wong, Richard Hoang, Shankar Sethuraman | Apr 11, 2019 | cardiac arrest, Critical Care, Grand Round Summaries, Patient Advocacy, Resuscitation
In this two-part series, Dr. Michael Wong begins by reviewing a rational and patient-centered approach to difficult discussions in the Emergency Department around goals of care and resuscitation. In part two, we discuss the process for obtaining consent for incapable...
by Justin Godbout, Richard Hoang, Shankar Sethuraman | Mar 14, 2019 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Mechanical CPR is a technology whereby a machine performs chest compressions in place of a human provider. These devices are becoming increasingly prevalent in the prehospital and in-hospital arenas, and it is inevitable that healthcare providers will interact with...
by Hans Rosenberg | Feb 18, 2019 | Airway, cardiac arrest, Full Article, Journal Club, Resuscitation
Journal Club Summary Methodology: 4/5 Usefulness: 3.5/5 Wang HE, et al. JAMA. 2018 Aug 28;320(8):769-778. Editorial: Pragmatic Airway Management in Out-of-Hospital Cardiac Arrest. Question and Methods: This multicenter pragmatic cluster-crossover randomized trial...
by Hans Rosenberg | Feb 11, 2019 | Airway, cardiac arrest, Critical Care, Featured, Full Article, Journal Club, Pre-Hospital
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2.5/5 Jabre P, et al. JAMA. 2018 Feb 27;319(8):779-787. Question and Methods: This was a multicenter randomized trial comparing bag valve mask ventilation with endotracheal intubation performed by...
by Hans Rosenberg | Jan 7, 2019 | cardiac arrest, Cardiology, Critical Care, Journal Club, Resuscitation, Ultrasound
Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2/5 Atkinson PR, et al. Ann Emerg Med. 2018 Oct;72(4):478-489 Question and Methods: This was the first multicenter, prospective, RCT examining the effect of POCUS on 30-day survival of undifferentiated...
by Hans Rosenberg | Oct 29, 2018 | cardiac arrest, Cardiology, Critical Care, Journal Club, Resuscitation
Journal Club Summary: A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest Methodology Score: 4/5 Usefulness Score: 3.5/5 Perkins GD, et al N Engl J Med. 2018 Jul 18. Editorial: Testing Epinephrine for Out-of-Hospital Cardiac Arrest. Callaway CW, et...
by Nick Costain, Robert Suttie | Apr 12, 2018 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Trauma
The management of traumatic cardiac arrest differs significantly from the management of medical cardiac arrest, however the management is often lumped together. In this weeks Grand Rounds summary Dr. Nicholas Costain takes us through some controversies in the...
by Robert Suttie, Matthew Lipinski | Feb 15, 2018 | cardiac arrest, Cardiology, Critical Care, Resuscitation, Thrombosis
There are a few specific arrhythmias that we encounter often in the ED that deserve a little bit more thought. Dr. Matthew Lipinski takes us through a few updates in the area beyond the routine basics. For other Grand Rounds Summaries please see our archives. Chronic...
by Lauren Lacroix, Richard Hoang | Dec 21, 2017 | cardiac arrest, Featured, Grand Round Summaries, Most Viewed
According to the AHA guidelines, in 2016 the annual incidence of out-of-hospital cardiac arrest (OHCA) in the US was roughly 360,000 and was 209,000 for in-hospital cardiac arrest. In Canada, we see 40,000 OHCA per year (Mozaffarian 2016). Data from the ROC Epistry...
by Simeon Mitchell, Robert Suttie | Nov 9, 2017 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries
Many aspects of cardiac arrest care are likely to change in the not-so-distant future. Let’s take a system-level view of cardiac arrest care and see what we can do to conservatively start to move in the direction of more regionalized care. We’ll also take a...
