by Stephen Andrews, Hans Rosenberg, Christian Vaillancourt | Jan 9, 2023 | Featured, Full Article, Journal Club, Pre-Hospital
Methodology: 4/5 Usefulness: 3/5 Crombie N, et al. Lancet Haematol. 2022 Apr;9(4):e250-e261. Question and Methods: Multicenter RCT investigating prehospital resuscitation using PRBC and plasma vs normal saline to improve tissue perfusion or mortality in adult trauma...
by Emma Ferguson, Courtney Price | Jan 5, 2023 | Featured, Grand Round Summaries, Neurology
While most strokes we see are ischemic in nature, 10% of stroke presentations are intracerebral hemorrhages (ICH) 1. However, unlike ischemic strokes that have clear and evolving pathways for treatments, novel treatments for spontaneous intracerebral hemorrhages...
by Tetyana Maniuk, Hans Rosenberg, Christian Vaillancourt | Jan 2, 2023 | Featured, Full Article, Infectious Disease, Journal Club
Methodology: 4/5 Usefulness: 3.5/5 Zwaans JJM, et al. Emerg Med J. 2022 Sep;39(9):650-654. Question and Methods: This study assessed non-inferiority between sterile and non-sterile technique for traumatic lacerations requiring EM-physician suture repair using a 2%...
by Michael Austin, Josee Malette | Nov 29, 2022 | BHP Corner, Featured, Prehospital and Transport Medicine
Pain – To Treat or Not to Treat, that is NOT the question! Every day, paramedics respond to patients in pain. Pain is responsible for approximately 40% of ambulance calls (1), making pain and analgesia a hot topic in prehospital medicine. Effective and...
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 Julie Ingratta | Nov 10, 2022 | Featured, Grand Round Summaries, Orthopedics, Trauma
The acutely injured knee can often be challenging to assess when there is no associated fracture. Identifying the possible non-bony acute pathology is important to help discern the most appropriate approach to treatment for the patient. Assessment History Mechanism...
by Shahbaz Syed | Nov 3, 2022 | CME, Commentary, Featured, Medical Education
In many specialities, it is common to have more than one learner working with you at any given time. These are very challenging days/shifts, because you have to juggle so many cognitive priorities. Personally, I find these to be the most exhausting shifts that I work,...
by Mark Froats, Josee Malette | Nov 1, 2022 | BHP Corner, Featured, Prehospital and Transport Medicine
Traumatic Cardiac Arrest Paramedics often respond to patients who have no vital signs after being involved in a traumatic event. These cases are especially notable for the tragic and violent means by which persons suddenly meet their end. Most patients who do...
by Shahbaz Syed | Oct 27, 2022 | Commentary, Featured
I understand. I’ve been there. 6th shift in a row, department is overcrowded, patients are upset, consultants are being rude, you’re cognitive and emotionally fatigued – it becomes easy for empathy and compassion to fade. The problem is that because...
by Cameron Leafloor, Courtney Price, Sam Wilson | Oct 13, 2022 | Featured, Grand Round Summaries
How many times on shift do you see a patient that is on an anticoagulant or antiplatelet agent? The answer is probably almost always. The use of these agents and their complications are extremely common. And in particular cases, such intra-cerebral hemorrhage...
