by emottawa | Jun 27, 2024 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
For decades, “spinal immobilization”, or spinal motion restriction (SMR) using backboards and cervical collars has been a “cornerstone of EMS protocols, aimed at minimizing secondary spinal cord injuries during trauma patient management. Originating...
by Maria Doubova, Rory Connolly | Jun 20, 2024 | Featured, Infectious Disease, Radiology, Surgery, Ultrasound
This case report demonstrates the utility of point-of-care ultrasound (POCUS) to identify complicated gallbladder disease. In this case, the patient presented with abdominal pain and a known history of cholelithiasis. POCUS demonstrated signs of small bowel...
by Camille Dagenais, Hans Rosenberg, Ian Stiell | Jun 18, 2024 | Featured, Journal Club, Pre-Hospital, Prehospital and Transport Medicine, Trauma
Methodology: 3/5 Usefulness: 1.5/5 Le Cornec C, e al. JAMA Netw Open. 2024 Jan 2;7(1):e2352844. Question and Methods: This was a multicenter, single-blind, noninferiority RCT, to assess the noninferiority of intravenous ketamine vs intravenous morphine for pain...
by Patrick Fisk, Mathieu McKinnon | Jun 6, 2024 | Airway, Anesthesiology, Critical Care, emergency, Featured, Grand Round Summaries, Respirology, Resuscitation
Your patients need you to start rethinking what you know about pre-oxygenation. The peri-intubation period is a physiologically hazardous time; when we feel forced to act in critical situations, we often try to speed things up and cut corners. We hope to convince you,...
by Steven Sanders, Josee Malette | May 30, 2024 | Featured, Prehospital and Transport Medicine, PTM Journal Club
In this month’s PTM Journal Club, we explored the most recent literature on trauma care in the pre-hospital setting. If you missed last months PTM Journal Club, make sure to check-it out by clicking HERE. Ketamine vs Morphine for Out-Of-Hospital...
by Connor Inglis, Josee Malette | May 30, 2024 | Featured, Prehospital and Transport Medicine, PTM Journal Club
At this month’s PTM Journal Club, we explored the use of high-dose glucocorticoid on hemodynamics in the prehospital setting; in particular, the STEROHCA trial conducted in Denmark. Effect of prehospital high-dose glucocorticoid on hemodynamics in patients...
by Camille Dagenais | May 23, 2024 | Addictions, cardiac arrest, Chronic Pain, Featured, Toxicology
The North American opioid crisis is rapidly expanding, resulting in unprecedented levels of harm and strain on the healthcare system. The opioid epidemic is not new to ED providers across the country, but the true extent of harm is quite shocking. In Canada, there has...
by Mejbel Alazemi, Fiona Raymond | May 16, 2024 | Dermatology, Featured, Grand Round Summaries
Skin conditions affect approximately one-third of the world’s population and are the 4th most common cause of disease.1,2. As the largest organ in the human body, the skin frequently manifests early signs of various diseases, serving as a pivotal clue in the...
by Maria Berliant, Hans Rosenberg, Christian Vaillancourt | May 6, 2024 | Featured, Full Article, Journal Club, Neurology
Methodology: 4/5 Usefulness: 3/5 Zi W, et al. N Engl J Med. 2023 Jun 1;388(22):2025-2036. Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization. Question and Methods: This multi-centre, triple-blind, double dummy RCT in China aimed to...
by Dr. Stephanie Lim-Reinders, Stephanie Davenport | May 2, 2024 | cheo, Commentary, Critical Care, Featured, Grand Round Summaries, Pediatrics, Toxicology
In the pursuit of holistic health and wellness, individuals often turn to naturopathy as a beacon of alternative medicine, seeking relief and healing outside the realm of conventional treatments. Yet, amidst the allure of natural remedies and lifestyle adjustments,...