by Hans Rosenberg | Dec 13, 2021 | Cardiology, Critical Care, Journal Club, landmark, Resuscitation
Methodology: 5/5 Usefulness: 5/5 Dankiewicz J, et al. N Engl J Med. 2021 Jun 17;384(24):2283-2294. Question and Methods: Open-label multicentre randomized controlled trial to determine whether targeted hypothermia reduces mortality compared to targeted normothermia in...
by Kate O'Connell, Hans Rosenberg | Dec 6, 2021 | Cardiology, Critical Care, Journal Club
Methodology: 3.5/5 Usefulness: 3.5/5 Mathew R, et al. N Engl J Med. 2021 Aug 5;385(6):516-525. Question and Methods: The authors performed a double-blinded RCT to determine if milrinone was superior to dobutamine for the treatment of cardiogenic shock in the ICU. ...
by Shahbaz Syed | Nov 4, 2021 | Cardiology, Critical Care, Featured, Resuscitation
You’re working a night shift when you are handed the following ECG from triage in a 50 year old male, with no past medical history, presenting with chest pain: What abnormalities do you notice? What is your approach? Interpretation...
by Chirag Bhat, Hans Rosenberg | Nov 2, 2021 | cardiac arrest, Cardiology, Critical Care, Journal Club
Methodology: 4/5 Usefulness: 4/5 Desch S, et al. N Engl J Med. 2021 Aug 29. doi: 10.1056/NEJMoa2101909. Question and Methods: This multi-center, open label RCT of 558 patients with OHCA without ST elevation on their ECG compared 30-day all-cause mortality...
by Hans Rosenberg | Oct 11, 2021 | Critical Care, Journal Club, Respirology
Methodology: 4/5 Usefulness: 3/5 Schjørring OL, et al. N Engl J Med. 2021 Apr 8;384(14):1301-1311. doi: 10.1056/NEJMoa2032510. Question and Methods: Can a lower PaO2 target (i.e., 60mmHg) compared to higher PaO2 target (i.e., 90mmHg) decrease all cause 90...
by Omar Anjum, Alex Coutin | Sep 2, 2021 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries
Cardiogenic shock (CS) is considered the most severe form of acute heart failure. It is an important and often under-recognized clinical entity in the emergency department (ED). The difficulty in diagnosis lies in its diverse presentations, overlap with other shock...
by Alexandra Hamelin, Alie Wudwud | Jul 15, 2021 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Social Media, Toxicology
In this blog post, Dr. Alexandra Hamelin weighs in on many of the controversies surrounding activated charcoal (AC), and provides a practical approach for its use in overdose patients in the emergency department. Specifically: The dosing of AC The time window...
by Darren Wong, Josee Malette | Jun 10, 2021 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation
In the first part of this series, we looked at the basics of Extra Corporeal Membrane Oxygenation (ECMO) and its primary indications. In this section, we will discuss the factors that are needed to implement an ED ECMO program and what happens when a code ECPR is...
by Doran Drew | Jun 8, 2021 | Commentary, Critical Care, Grand Round Summaries, Journal Club, Resuscitation
Hey everyone! Buckle up. This is a long one. To provide context, I recently presented a 2-part blog post regarding thrombolytics in acute ischemic stroke. In these posts I explored the foundational literature for this tPA, as well as some of the common controversies I...
by Hashim Kareemi, Alie Wudwud | Apr 29, 2021 | Critical Care, Featured, Grand Round Summaries, Resuscitation
In Part 1 of our 2-series on Elevated ICP in the ED, Dr. Hashim Kareemi described the pathophysiology of elevated ICP and compared the options for diagnosis. Click here to review Part 1. In this Part 2 post, Dr. Kareemi takes us through a phased approach to managing...
