by Nate Murray, Mathieu McKinnon | Apr 4, 2024 | cardiac arrest, Cardiology, emergency, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Radiology, Surgery, Thrombosis, Trauma, Ultrasound
Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In...
by Mark Froats, Josee Malette | Mar 28, 2024 | BHP Corner, Featured, Prehospital and Transport Medicine
Opioid use disorder is a terrible disease that takes over people’s lives and leaves them overwhelmed, consumed by compulsions and cravings, and often alone. Over the past 10 years, opioid overdoses and deaths have continued to climb in Ontario, now surpassing...
by Kathleen O'Connell | Mar 14, 2024 | Critical Care, Featured, Grand Round Summaries, Neurology, Recently Featured, Resuscitation
Posterior circulation ischemia accounts for approximately 20-25% of all ischemic strokes and is a significant cause of patient disability. The diagnosis can be extremely challenging as findings are often not typically focal. Posterior strokes are misdiagnosed more...
by Amanda Mattice | Mar 7, 2024 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Prehospital and Transport Medicine, Resuscitation, Toxicology
In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be...
by Brenton Wong, Hans Rosenberg, Krishan Yadav | Feb 26, 2024 | Airway, Critical Care, Featured, Journal Club, Toxicology
Methodology: 3.5/5 Usefulness: 3/5 Freund Y, et al. JAMA. 2023 Dec 19;330(23):2267-2274. Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation...
by Maria Doubova | Feb 22, 2024 | Chronic Pain, Featured, Grand Round Summaries, Procedural care, Surgery
Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1). Let’s review some of the evidence (or lack...
by Isabella Menchetti | Feb 15, 2024 | Airway, Anesthesiology, cardiac arrest, Featured, Grand Round Summaries
We’re increasingly cognizant of the physiological importance of maintaining specific hemodynamics during resuscitation. Practice patterns vary broadly, so we’ve done a deep dive into the various evidence around the use of ketamine and etomidate in specific...
by Pascale King, Samara Adler | Feb 8, 2024 | Featured, Grand Round Summaries, OBGYN, Patient Advocacy
Abortion history in Canada is Complex. Countless hardships were overcome on the long journey to the legalization of medical induced abortion (IA). This blog post will focus on what you need to know as an acute care provider. Context: Unsafe abortions are the leading...
by Cameron Leafloor | Feb 1, 2024 | Anesthesiology, cardiac arrest, Critical Care, Featured, Recently Featured, Respirology
In our first part, we talked about the basics of mechanical ventilation and how to set up the ventilator for the busy ED doc! In part two, we discuss lung protective ventilation and go through a few cases to help solidify what we’ve learned. If you haven’t...
by Sara El Jaouhari, Hans Rosenberg, Jeff Perry | Jan 29, 2024 | Cardiology, Critical Care, Featured, Journal Club
Methodology: 4/5 Usefulness: 3.5/5 Thiele H, et al. N Engl J Med. 2023 Oct 5;389(14):1286-1297. Editorial: Routine Early ECLS in Infarct-Related Cardiogenic Shock? Question: Does early ECLS therapy confer a mortality benefit in patients with MI complicated by...
