by Cameron Leafloor | Feb 1, 2024 | Anesthesiology, cardiac arrest, Critical Care, Featured, Recently Featured, Respirology
In our first part, we talked about the basics of mechanical ventilation and how to set up the ventilator for the busy ED doc! In part two, we discuss lung protective ventilation and go through a few cases to help solidify what we’ve learned. If you haven’t...
by Sara El Jaouhari, Hans Rosenberg, Jeff Perry | Jan 29, 2024 | Cardiology, Critical Care, Featured, Journal Club
Methodology: 4/5 Usefulness: 3.5/5 Thiele H, et al. N Engl J Med. 2023 Oct 5;389(14):1286-1297. Editorial: Routine Early ECLS in Infarct-Related Cardiogenic Shock? Question: Does early ECLS therapy confer a mortality benefit in patients with MI complicated by...
by Cameron Leafloor | Jan 25, 2024 | Airway, Anesthesiology, cardiac arrest, Critical Care, Featured, Recently Featured, Respirology
Mechanical ventilation has a lot of nuance associated with it, but a lot of reference guides focus on care in the ICU. There is certainly a need for more practical application for the ED doc or initial setup of patients on the vent. With both ER and ICU experience,...
by Kaitlin Endres, Mathieu McKinnon | Jan 18, 2024 | Critical Care, emergency, Featured, Gastroenterology, Grand Round Summaries, Surgery, Thrombosis
When working up your patient, how often do you think of problems related to the hepatic venous system? Have you suppressed those memories of time spent over your cadaver in medical school learning the anatomy? By the end of this, you will all be newly discovered...
by Pascale King, Hans Rosenberg, Christian Vaillancourt | Jan 2, 2024 | Critical Care, Full Article, Journal Club, Neurology
Methodology: 4/5 Usefulness: 2/5 Liu L, et al. BMJ. 2023 Oct 9;383:e076448. Question: Do early vs delayed blood pressure management in patients with mild-moderate acute ischemic strokes decrease death or dependency at 90 days? Methods: Randomization to early (24 hrs)...
by Joshua Emery | Dec 28, 2023 | cardiac arrest, Critical Care, Pediatrics, Resuscitation
Trauma is the leading cause of child and youth mortality globally (1). Pediatric trauma is a high acuity but low frequency event (2). Trauma is children is 7 times less frequent in comparison to the adult population (2). There is a well-documented correlation amongst...
by Caitlin Hutchings | Dec 14, 2023 | Cardiology, Critical Care, Featured, Grand Round Summaries, Most Viewed
In part 1 of this series, we focused on the physiologic and hemodynamic consequences of aortic stenosis, as well as management in atrial fibrillation and procedural sedation. In this part, we will focus on the management of decompensated aortic stenosis with heart...
by Lucy Karp | Nov 30, 2023 | Critical Care, Featured, Grand Round Summaries, Resuscitation
In general, the public perception of CPR is filled with inaccuracies, and recently the New Yorker wrote about the Hidden Harms of CPR. In the article, Dr. Sunita Puir, a palliative care doctor, talks about how it is an “open secret in medicine that CPR is brutal and...
by Sam Wilson, Hans Rosenberg, Jeff Perry | Nov 6, 2023 | Critical Care, Full Article, Journal Club, Neurology
Methodology: 4/5 Usefulness: 4/5 Ma L, et al. Lancet 2023 Jul 1;402(10395):27-40. Question and Methods: Do 6 month outcomes improve after implementation of a goal-directed care bundle that corrects prognostically poor physiological abnormalities (systolic...
by Kate O'Connell, Sam Wilson | Oct 5, 2023 | Critical Care, Featured, Grand Round Summaries, Pediatrics, Resuscitation
Do you remember when every newborn under 30 days with a fever needed an LP/admission/blood cultures? Well.. times are a little different but its nuanced. The goal of this update is to provide a practical update in pediatric emergency medicine to the average Canadian...
