by Hans Rosenberg, Erin Rosenberg | Sep 12, 2018 | Critical Care, Featured
As we were preparing for our “Critical Care Week” here at the EM Ottawa Blog, I was thinking I should definitely tap into the knowledge of an ICU physician whom I know very well. That physician is also my awesome wife, Dr. Erin Rosenberg. She’s been a staff...
by Mike Hickey, Peter Reardon | Sep 11, 2018 | Critical Care, Featured
Systemic fibrinolysis (SF) in acute pulmonary embolism (PE) remains a hot topic in acute care medicine. This post will examine the available literature regarding the use of SF in different subtypes of PE. Before examining the literature, we first must review the...
by EMOttawa | Sep 10, 2018 | Critical Care, Featured, Most Viewed
To open up Critical Care week, resuscitation and trauma expert Dr. George Mastoras provides us with some tips to improve your (and your team’s) resuscitation and crisis resource management skills. 1. Make teamwork everyone’s business ‘Team...
by Hans Rosenberg | Jul 16, 2018 | Airway, Anesthesiology, Critical Care, Journal Club
Journal Club Summary Methodology Score: 4/5 Usefulness Score: 3/5 Driver BE, et al. JAMA. 2018 May 16. doi: 10.1001/jama.2018.6496. Question/Methods: This single-centre, randomized clinical trial enrolled 757 patients to compare first-attempt intubation success...
by Nick Schouela, Richard Hoang | Jul 5, 2018 | Critical Care, Featured, Infographics, Most Viewed, Neurology, Slider, Trauma
Most clinicians are familiar with and utilize the Glasgow Coma Scale (GCS) on a daily basis, but many are not aware of the updates and additions to the score that were made in 2014 and 2018, respectively. Clarifications in the wording of the scale attempt to increase...
by Ariel Hendin, Richard Hoang | Jun 21, 2018 | Critical Care, Featured, Grand Round Summaries
Patients who receive solid organ or stem cell transplants are complex, but we see them frequently in the Emergency Department! This review summarizes the physiology of transplant and a few of the key issues to be aware of in these patients. Transplant by the numbers...
by Hans Rosenberg | Jun 11, 2018 | Critical Care, Endocrinology, Journal Club, Resuscitation
Methodology Score: 4/5 Usefulness Score: 3/5 Venkatesh B, et al. N Engl J Med. 2018 Jan 19. Journal Club Bottom Line Question/Methods: This was a international, pragmatic, double-blind, randomized, controlled trial comparing hydrocortisone as continuous infusion to...
by Erica Lee, Richard Hoang | Jun 7, 2018 | Airway, Critical Care, Featured, Grand Round Summaries, Most Viewed
In this post, we will review the anatomy, essential history, and common presentations of tracheostomy patients in the ED, including obstruction, decannulation, bleeding, tracheal stenosis, and infection. Anatomy of a tracheostomy tube Outer cannula Sits directly in...
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...
