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Noninvasive Ventilation for Preoxygenation during Emergency Intubation

Noninvasive Ventilation for Preoxygenation during Emergency Intubation

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...
Snooze Control: Procedural Sedation 101

Snooze Control: Procedural Sedation 101

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...
Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest

Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest

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...
These are the ‘Roids you are looking for – Steroids in the ED

These are the ‘Roids you are looking for – Steroids in the ED

by Naman Arora | Jan 9, 2025 | Critical Care, Endocrinology, Featured, Grand Round Summaries, Infectious Disease, Recently Featured

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of...
A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest

A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest

by Hailey Newton, Hans Rosenberg, Christian Vaillancourt | Jan 6, 2025 | cardiac arrest, Cardiology, Critical Care, Journal Club, Resuscitation

Methodology: 4/5 Usefulness: 3/5 Couper K, et al. N Engl J Med. 2024 Oct 31:10.1056/NEJMoa2407780. Question and Methods: This multi-center, open label randomized control trial aimed to assess 30-day survival in patients with out of hospital cardiac arrest (OOHCA) who...
Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants

Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants

by Min Joon Lee, Hans Rosenberg, Jeff Perry | Oct 28, 2024 | Airway, Anesthesiology, Critical Care, Journal Club, Pediatrics

Methodology: 4/5 Usefulness: 4/5 Geraghty LE, et al. N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785.  Question and Methods: Study aimed to determine if video laryngoscopy improves first-attempt intubation success in neonates compared to direct...
Is there a Precedence for Precedex in the ED?

Is there a Precedence for Precedex in the ED?

by Shahbaz Syed | Oct 24, 2024 | Airway, Anesthesiology, Commentary, Critical Care, Featured, Resuscitation

Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical...
S’now Problem: Keep your Cool when Stimulants turn up the Speed

S’now Problem: Keep your Cool when Stimulants turn up the Speed

by Rebecca Seliga | Oct 17, 2024 | Critical Care, Featured, Grand Round Summaries, pharmacology, Resuscitation, Toxicology

We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from stimulant and other substance use. In 2023 there were 3479 apparent...
Acetylcholine vs Dopamine “It’s Not You, It’s Me”

Acetylcholine vs Dopamine “It’s Not You, It’s Me”

by Eusang Ahn | Sep 26, 2024 | Commentary, Critical Care, Featured, Neurology, pharmacology, Resuscitation

I wrote this piece because understanding diseases by framing them as high or low levels of dopamine, acetylcholine, glutamate, or GABA has significantly improved my grasp of their pathophysiology and treatment strategies. Too often, medicine is taught as isolated...
By the Hammer of Thora: Pleural Effusions in the ED (Part 2)

By the Hammer of Thora: Pleural Effusions in the ED (Part 2)

by Alie Wudwud | Aug 22, 2024 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Radiology, Respirology, Resuscitation

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic...
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