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 Shahbaz Syed | Dec 10, 2020 | Airway, COVID-19, Critical Care, Featured, Grand Round Summaries, Infographics, Resuscitation, Trauma
I think we’re all pretty much ready for the end of 2020, what a year it has been. It seems fitting that our most viewed article here at EMOttawa this year was on the management of hemorrhoids. Taking a walk down memory lane, we present our 10 most popular posts...
by Hans Rosenberg | Dec 7, 2020 | Critical Care, Featured, Infectious Disease, Journal Club
Methodology: 3.5/5 Usefulness: 3.5/5 Ann Intern Med. 2019 Oct 15;171(8):547-554. Cheng MP, et al. Question and Methods: Multi-center diagnostic study that investigated the sensitivity of post-antimicrobial blood cultures compared to pre-antimicrobial blood cultures in...
by Jim Yang | Nov 19, 2020 | All Posts, Critical Care, Featured, Grand Round Summaries, Medical Education, Thrombosis
Pulmonary embolism is often a nebulous diagnosis with various nuances. COMMON: They affect 25-100 people per 100,000, or approximately 30,000 Canadians every year Potentially FATAL: 3rd most deadly cardiovascular disease, after Heart Attack and Stroke Associated with...
by Hans Rosenberg | Nov 16, 2020 | Critical Care, Journal Club, Resuscitation, Thrombosis, Trauma
Methodology: 4/5 Usefulness: 3.5/5 Baksaas-Aasen K, et al. Intensive Care Med. 2020 Oct 13. doi: 10.1007/s00134-020-06266-1. Question and Methods: Pragmatic, European, multi-center RCT comparing outcomes in trauma patients who received empiric massive transfusion...
by Simon Wells | Oct 22, 2020 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries
A 65-year-old male self-presents to the Emergency Department (ED) with sudden-onset severe chest pain. The pain was sharp, lasted 30 minutes, and has now resolved. His vitals and ECG are normal, and his high-sensitivity troponin testing is negative. He has a normal...
by Richard Hoang | Sep 24, 2020 | Critical Care, Featured, Grand Round Summaries, Trauma
In this post, we’ll discuss viscoelastic hemostatic assays (VHAs), namely ROTEM (Rotational Thromboelastometry), and how we can use this tool to enhance the care of traumatically injured patients. This is the first in a two-part series. This part reviews the Evidence...
by Michael Wong | Aug 20, 2020 | Addictions, Critical Care, Featured, mental health, psychiatry
In part 1 of this 2-part series, we discussed diagnosis and initial management of alcohol withdrawal. In part 2, we discuss the role of the benzodiazepines on discharge, how to use gabapentin, naltrexone, and communication strategies to optimize discharge to help your...
by Michael Wong | Aug 13, 2020 | All Posts, Critical Care, Featured, psychiatry, Toxicology
In Ontario, Canada, alcohol-related ED visits have increased 4.4x faster than the overall increase in visits from 2003-2016, and was responsible for more admissions than heart attacks in 2016. In part 1 of this 2-part series, we will discuss tips for the diagnosis and...
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...