by Rebecca Seliga, Alex Coutin | Sep 29, 2022 | Cardiology, EDI, Endocrinology
Clinical case: You are working an urgent care shift and your next patient to see is Jessica, a 35 yo female with an upper extremity injury. The one-liner on the EMR reads: ‘Jesse’. When you go to speak with them, you see a young masculine-presenting patient who...
by Rebecca Seliga, Alex Coutin, Michael Kruse | Jun 29, 2022 | Cardiology, Featured, Grand Round Summaries, Thrombosis
You are working an urgent care shift and you access your ED electronic track-board to pick up the next patient waiting to be seen: You assign yourself to patient Smith, and notice a helpful comment from your triage nurse stating the patient’s name is Angela. You...
by Alexandra Hamelin, Hans Rosenberg, Jeff Perry | May 17, 2022 | Cardiology, Journal Club
Methodology: 4/5 Usefulness: 5/5 Stiell IG, et al. Can J Cardiol. 2021 Oct;37(10):1569-1577. Question and Methods: Using a stepped wedge cluster randomized trial, does implementation of the CAEP Best Practice Checklist for acute atrial fibrillation and atrial flutter...
by Maria Doubova, Lucy Karp | Apr 28, 2022 | Cardiology, COVID-19, emergency, Featured, Grand Round Summaries
Chest pain is one of the most common presentations to the emergency department (ED) and includes a wide differential diagnosis. In today’s post, we will review a less common cause of chest pain seen in the ED: pericarditis and myocarditis. We will also review...
by Graham Mazereeuw, Hans Rosenberg | Apr 25, 2022 | Cardiology, Journal Club
Methodology: 3/5 Usefulness: 2/5 Soares WE 3rd, et al. Ann Emerg Med. 2021 Aug;78(2):231-241. Questions and Methods: This study compared agreement in HEART scores derived by ED physicians and those derived by researchers using a prospective cohort study of adults with...
by Pascale King, Amanda Mattice | Apr 14, 2022 | Cardiology, Featured, Grand Round Summaries
Atrial fibrillation (AF) is encountered with significant frequency in the Emergency Department (ED). In fact, atrial fibrillation is the single most common arrhythmia seen in the ED. As per the 2020 CCS review, AF resulted in 8815 same-day procedures, 76 964 ED...
by Alexandre Pelletier, Ian Stiell, Hans Rosenberg | Feb 28, 2022 | Cardiology, Featured, Journal Club
Methodology: 3.5/5 Usefulness: 2.5/5 O’Rielly CM, et al. CJEM. 2021 Jul 17. doi: 10.1007/s43678-021-00159-y. Question and Methods: Secondary analysis validation study that sought to validate proposed HEAR score’ ability to identify low risk patients for acute...
by Hans Rosenberg | Dec 13, 2021 | Cardiology, Critical Care, Journal Club, landmark, Resuscitation
Methodology: 5/5 Usefulness: 5/5 Dankiewicz J, et al. N Engl J Med. 2021 Jun 17;384(24):2283-2294. Question and Methods: Open-label multicentre randomized controlled trial to determine whether targeted hypothermia reduces mortality compared to targeted normothermia in...
by Kate O'Connell, Hans Rosenberg | Dec 6, 2021 | Cardiology, Critical Care, Journal Club
Methodology: 3.5/5 Usefulness: 3.5/5 Mathew R, et al. N Engl J Med. 2021 Aug 5;385(6):516-525. Question and Methods: The authors performed a double-blinded RCT to determine if milrinone was superior to dobutamine for the treatment of cardiogenic shock in the ICU. ...
by Shahbaz Syed | Nov 4, 2021 | Cardiology, Critical Care, Featured, Resuscitation
You’re working a night shift when you are handed the following ECG from triage in a 50 year old male, with no past medical history, presenting with chest pain: What abnormalities do you notice? What is your approach? Interpretation...
