by Max Zworth, Rebecca Seliga | Mar 9, 2023 | Addictions, Critical Care, Featured, Grand Round Summaries, Infectious Disease, Most Viewed, Resuscitation, Toxicology
The opioid epidemic is not new to ED providers, but many will be shocked to learn about the true extent of the harm caused by opioids in Canada. In the first half of 2022, there were 3556 recorded deaths due to opioid toxicity in Canada. This amounts to 19 deaths...
by Darren Wong | Feb 23, 2023 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
I read around pacemakers SO often throughout my residency, but it was a topic that I found was often a struggle to absorb. So, here we’re going to tackle what the ED Physician should know about managing patients with pacemaker and ICDs: Pacemaker Basics...
by Jessica Tat | Feb 16, 2023 | Critical Care, Featured, Grand Round Summaries, psychiatry, Resuscitation
The Emergency Department is no stranger to the acutely agitated patient. Agitation remains a broad and multifactorial syndrome with a high potential for significant morbidity or mortality if not recognized and managed appropriately. This can be tricky at times when...
by Chirag Bhat, Hans Rosenberg, Krishan Yadav | Feb 6, 2023 | Cardiology, Critical Care, Featured, Journal Club, Prehospital and Transport Medicine
Methodology: 4.5/5 Usefulness: 4.5/5 Cheskes S, et al. N Engl J Med. 2022 Nov 6. Question and Methods: A cluster-randomized open-label trial evaluating survival in adult patients with refractory ventricular fibrillation during OHCA treated by paramedics with standard...
by Kate Holden-Boyd, Hans Rosenberg, Krishan Yadav | Jan 30, 2023 | Critical Care, Featured, Gastroenterology, Journal Club
Methodology: 4/5 Usefulness: 4/5 de-Madaria E, et al. N Engl J Med. 2022 Sep 15;387(11):989-1000. Question and Methods: A multicenter, open-label, randomized control trial assessing the use of aggressive versus moderate fluid resuscitation in acute pancreatitis and...
by Patrick Fisk | Jan 19, 2023 | Critical Care, Grand Round Summaries, Mass Casualty / Disaster, Resuscitation
This post seeks to provide some insights and discussion around CBRNE events (Chemical, Biological, Radioactive, Nuclear and Explosive). We want to review procedures within a mass casualty CBRNE event, principles related to decontamination, PEE, and review the...
by Zach MacDonald, Hans Rosenberg, Christian Vaillancourt | Dec 26, 2022 | Critical Care, Journal Club
Methodology: 4/5 Usefulness: 3/5 Meyhoff TS, et al. N Engl J Med. 2022 Jun 30;386(26):2459-2470. Question and Methods: International, stratified, parallel group, open-label, randomized clinical trial where ICU patients were randomized to restrictive or standard fluid...
by Alie Wudwud, Hans Rosenberg, Jeff Perry | Dec 11, 2022 | cardiac arrest, Cardiology, Critical Care, Journal Club
Methodology: 4/5 Usefulness: 4/5 Kjaergaard J, et al. N Engl J Med. 2022 Oct 20;387(16):1456-1466. Question and Methods: This was a double-blind, randomized trial assessing whether a higher or lower arterial blood-pressure target would be superior in preventing death...
by Nicholas Choi | Dec 1, 2022 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Resuscitation
Awake intubations are an uncommon procedure, so cognitively practicing the nuances can be critically important to success. Here, we present an updated practical guide on awake intubations in the ED intended to supplement a previously posted topic. You can see the...
by Nate Murray, Talal Alkhaldi | Nov 24, 2022 | Airway, Critical Care, Featured, Grand Round Summaries, Resuscitation
When encountering patients with angioedema, we have historically used a similar approach to anaphylaxis, mostly out of a lack of evidence supporting a particular practice. Here, we take a deep dive into ACE inhibitor-induced angioedema to provide the most up to date...
