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...
by Julie Kim, Richard Hoang | Jan 4, 2018 | Critical Care, Featured, Grand Round Summaries, Most Viewed, Resuscitation, Trauma
Unstable pelvic fractures have high mortality rates, particularly with patients who are hemodynamically unstable, due to difficulty in achieving hemostasis and other associated injuries. At present, there is no standard guideline that has been published and...
by Hans Rosenberg | Dec 18, 2017 | Critical Care, Journal Club, Resuscitation
Journal Club Summary Khanna A, et al. N Engl J Med. 2017 Aug 3;377(5):419-430. Abstract Link EDITORIAL: Angiotensin II for the Treatment of Vasodilatory Shock – Promise and Caution. Dellinger RP, et al. N Engl J Med. 2017 Aug 3;377(5):486-487. Methodology Score:...
by Brittany Ellis, Robert Suttie | Dec 14, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
The demographics in Canada are changing, with individuals becoming increasingly more obese. In 2014 over 40% of Canadians self-identified as being overweight or obese and this number is rising. Dr. Brittany Ellis brings us through a review of the differences in...
by Hans Rosenberg | Nov 27, 2017 | Cardiology, Critical Care, Featured, Journal Club, Resuscitation
Journal Club Summary Reference: Kirkegaard H, et al. JAMA. 2017 Jul 25;318(4):341-350 EDITORIAL: Targeted Temperature Management After Cardiac Arrest: Finding the Right Dose for Critical Care Interventions. Callaway CW. JAMA. 2017 Jul 25;318(4):334-336. Methodology...
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...
by Stephanie Barnes, Richard Hoang | Oct 26, 2017 | Critical Care, Featured, Grand Round Summaries, Uncategorized
The global vitamin and supplement industry is expected to be worth $278 billion by 2024. “Wellness” as a concept and industry, which often includes vitamin and supplement use, is heavily promoted by celebrities, athletes, and social media stars. IV therapy lounges are...