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...
by Doran Drew, Amanda Mattice | Jun 23, 2022 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
A review of some of the most relevant elements of the 2021 surviving sepsis campaign for the emergency physician. Definitions Our operative definition of sepsis & septic shock are the sepsis-3 definitions [1]. Sepsis: “Sepsis is a life threatening organ...
by Renee Bradley, Hans Rosenberg, Jeff Perry | May 2, 2022 | Critical Care, Journal Club, Neurology, Neurosurgery
Methodology: 4.5/5 Usefulness: 4/5 Post R, et al. Lancet. 2021 Jan 9;397(10269):112-118. doi: 10.1016/S0140-6736(20)32518-6. Question and Methods: This prospective, multicentre, randomized, controlled, open-label trial investigated whether administering TXA...
by Vivian Tam, Ian Stiell, Hans Rosenberg | Mar 21, 2022 | Airway, Anesthesiology, Critical Care, Journal Club
Methodology: 4/5 Usefulness: 3/5 Driver BE, et al. JAMA. 2021 Dec 28;326(24):2488-2497. Question and Methods: Multicentre unblinded pragmatic trial comparing first pass success with the bougie compared to stylet in endotracheal intubation of critically ill patients ...
by Alexandra Hamelin, Elyssia Adamo | Feb 3, 2022 | Critical Care, Featured, Grand Round Summaries, OBGYN, Procedural care, Resuscitation
We are back with Part-2 of our blog series on Emergency Department Deliveries. If you haven’t already, check-out Part 1 HERE. In this post, we will explore postpartum hemorrhage and resuscitative hysterotomy: Managing postpartum hemorrhage Running a maternal...
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...
