by Alie Wudwud | Jun 19, 2025 | Critical Care, Featured, Grand Round Summaries, Surgery, Trauma
Blunt cerebrovascular injury (BCVI) involves vessel injuries that occur from trauma mechanisms commonly seen in the emergency department: falls down stairs, motor vehicle collisions, and facial trauma. By identifying high-risk patients early, we can decrease the risk...
by Prince Asare-Agbo, Hans Rosenberg, Ian Stiell | Jun 17, 2025 | Cardiology, Critical Care, Journal Club
Methodology: 4/5 Usefulness: 1/5 Thiele H, et al. Lancet. 2024 Sep 14;404(10457):1019-1028. doi: 10.1016/S0140-6736(24)01448-X Question and Methods: Does routine early use of mechanical circulatory support (MCS) reduce mortality in acute myocardial infarction...
by Alie Wudwud | Jun 12, 2025 | Critical Care, Featured, Grand Round Summaries, Neurosurgery, Surgery, Trauma
Blunt cerebrovascular injury (BCVI) involves vessel injuries that occur from trauma mechanisms commonly seen in the emergency department: falls down stairs, motor vehicle collisions, and facial trauma. By identifying high-risk patients early, we can decrease the risk...
by Caitlin Hutchings, Hans Rosenberg, Ian Stiell | Jun 2, 2025 | Critical Care, Full Article, Respirology
Methodology: 3.5/5 Usefulness: 3/5 RENOVATE Investigators and the BRICNet Authors; et al. JAMA. 2025 Mar 11;333(10):875-890. doi: 10.1001/jama.2024.26244. Question and methods: This multicentre, adaptive, RCT aimed to demonstrate noninferiority of HFNO vs NIV in...
by Megan Brenkel, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | May 5, 2025 | Critical Care, Featured, Journal Club, Neurosurgery
Methodology: 4/5 Usefulness: 3/5 English SW, et al. N Engl J Med. 2025 Mar 13;392(11):1079-1088. doi: 10.1056/NEJMoa2410962. Question and Methods: This multicenter RCT assessed whether a liberal (Hgb≤100 g/L) versus restrictive (Hgb≤80 g/L) transfusion strategy...
by Nicholas Choi | May 1, 2025 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Respirology
Disclaimer: there is little high-quality evidence on the ED management of hemoptysis, particularly non-massive hemoptysis. The recommendations made below are heavily influenced by published case reports and expert opinion, as well as discussions with local specialty...
by Nicholas Choi, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Apr 28, 2025 | Airway, Critical Care, Full Article, Journal Club, Respirology
Methodology: 3/5 Usefulness: 3/5 Luo Z, et al. JAMA. 2024;332(20):1709–1722. doi:10.1001/jama.2024.15815 Question and Methods: Multi-centre, randomized control trial to determine whether a high-intensity NIPPV strategy reduces the need for intubation in AECOPD...
by Naman Arora, Hans Rosenberg, Christian Vaillancourt | Mar 10, 2025 | Airway, Anesthesiology, Critical Care, Full Article, Journal Club
Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods: The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for...
by Shane Baistrocchi | Feb 13, 2025 | Airway, Anesthesiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
Procedural sedation (PS) is a cornerstone of Emergency Medicine, frequently employed in the Emergency Department (ED) to facilitate painful or anxiety-provoking procedures while ensuring patient comfort. The goal is to achieve optimal sedation while allowing for rapid...
by Rebecca Seliga, Hans Rosenberg, Christian Vaillancourt | Jan 13, 2025 | cardiac arrest, Cardiology, Critical Care, Journal Club, Resuscitation
Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in...
