In this post, we’re going to do something a little different. Instead of reviewing a specific Emergency Medicine topic, we’re going to discuss Leadership – How to lead your team and make things happen during a high-stakes resuscitation. As the Leadership principles are transferable between medical and trauma resuscitations, forRead More →
Imagine you are working overnight in your local emergency department (ED), your next patient to see is a 52 year old man, with a chief complaint of “Ostomy Issues”. You stare blankly at the screen as you try to remember the basics of an ostomy. What’s normal for an ostomyRead More →
In today’s post, we seek to: Understand what artificial intelligence (AI) is Generate a basic understanding of how AI works Review applications of AI in the Emergency Department (ED): Patient care Predictive Analytics ED Operations Intelligence Intelligence represents the ability to perceive information, retain it as knowledge, and apply it towards adaptive behavioursRead More →
In the Emergency Department (ED) and Intensive Care Unit (ICU), we often encounter patients with brain injury. This includes patients with traumatic brain injury (TBI), subarachnoid hemorrhage (SAH), and intracerebral hemorrhage (ICH), among others [1]. In the ED and ICU, our management of these patients is namely focused upon theRead More →
If you work at a trauma center, then you’re bound to see your fair share of abdominal stab wounds. Though civilian penetrating trauma has declined over recent decades and is less common than blunt trauma, penetrating trauma represents ~10% of all trauma evaluations in the U.S. and of those, ~50%Read More →
Dr. Reardon and colleagues identify key management priorities in optimizing the early resuscitation in patients after out of hospital cardiac arrest. Read More →
Patients with both burn and inhalation injuries have significantly increased morbidity and mortality compared to those with just burn injuries alone, as there are multiple toxic industrial chemicals that act on the respiratory tract. In this post, we review inhalational injuries and the most common Toxic Industrial Chemicals leading toRead More →
Sudden cardiac arrest represents a significant cause of morbidity and mortality worldwide. Over 356,000 out-of-hospital cardiac arrests (OHCA) occur annually in the United States, with resuscitative efforts extending into the Emergency Department (ED) for many of these patients. Prognosis remains dismal, with death occurring in 92%. Background WhileRead More →
Journal Club Summary Methodology: 3/5 Usefulness: 3.5/5 Annane D, et al. N Engl J Med. 2018 Mar 1;378(9):809-818. Editorial: A Role for Hydrocortisone Therapy in Septic Shock? Question and Methods: Large multi-center, double-blinded, randomized-controlled trial comparing effects of steroids (fludrocortisone + hydrocortisone) to placebo on 90-day mortality of ICU patientsRead More →
Mechanical CPR is a technology whereby a machine performs chest compressions in place of a human provider. These devices are becoming increasingly prevalent in the prehospital and in-hospital arenas, and it is inevitable that healthcare providers will interact with them in some capacity. Given the variable evidence in the literature,Read More →