by Michael Austin, Josee Malette | Dec 21, 2023 | BHP Corner, Featured, Prehospital and Transport Medicine
Introduction Emergency health care places paramedics and healthcare providers are at the intersection of complex ethical considerations and legal obligations when addressing acute behavioural disturbances. The need for immediate treatment or physical/chemical...
by Connor Inglis | Dec 18, 2023 | Featured, Journal Club, Prehospital and Transport Medicine, PTM Journal Club
At this month’s PTM Journal Club, two topics were covered; the use of intranasal (IN) glucagon for hypoglycemia and preshospital triage of chest pain patients. Haamid et al. (2023) conducted a retrospective chart review to determine if the use of intranasal glucagon...
by Caitlin Hutchings | Dec 14, 2023 | Cardiology, Critical Care, Featured, Grand Round Summaries, Most Viewed
In part 1 of this series, we focused on the physiologic and hemodynamic consequences of aortic stenosis, as well as management in atrial fibrillation and procedural sedation. In this part, we will focus on the management of decompensated aortic stenosis with heart...
by Caitlin Hutchings | Dec 7, 2023 | Featured, Most Viewed
Aortic Stenosis is the most common valvular heart disease in Canada. In fact, after hypertension and coronary artery disease, it is the third most common cardiovascular condition. The prevalence of valvular heart disease increases sharply with age. Approximately 1 in...
by Lucy Karp | Nov 30, 2023 | Critical Care, Featured, Grand Round Summaries, Resuscitation
In general, the public perception of CPR is filled with inaccuracies, and recently the New Yorker wrote about the Hidden Harms of CPR. In the article, Dr. Sunita Puir, a palliative care doctor, talks about how it is an “open secret in medicine that CPR is brutal and...
by Josee Malette | Nov 23, 2023 | Featured, Grand Round Summaries, Quality Improvement
As you’ve gleaned from the title of this blog post, today we are focusing our conversation on CHANGE; with a particular emphasis on its implications in healthcare. However, before we get deep in the weeds, it’s important that we acknowledge the elephant in...
by Mejbel Alazemi, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Nov 22, 2023 | Featured, Full Article, Hematology, Journal Club, Trauma
Methodology: 3.5/5 Usefulness: 4/5 Davenport R, et al. JAMA. 2023 Oct 12:e2321019. Editorial: Contemporary Adjuncts to Hemorrhage Control. Question and Methods: In trauma patients with major hemorrhage, does early cryoprecipitate (6g fibrinogen) administration...
by Nicolas Chagnon | Nov 16, 2023 | Commentary, Featured
With our shorter, milder winters (no skating on the Rideau Canal this past year), and our warmer, drier summers (thick wildfire smoke blanketing Ottawa in June), along with accelerating extreme weather events; derechos, ice storms and tornados – it is clear that...
by Steven Sanders, Josee Malette | Nov 13, 2023 | Featured, Journal Club, Prehospital and Transport Medicine, PTM Journal Club
Two articles pertaining to the prehospital care of trauma patients were reviewed at this month’s Prehospital and Transport Medicine Journal Club: Bossers et al. (2023) conducted a retrospective trauma registry analysis seeking to determine the relationship between...
by Maria Doubova, Amanda Mattice | Nov 2, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Introduction Frostbite is a frequent presenting complaint to emergency departments (EDs) in cold climates. It is more common among those without housing, those with mental health disorders as well as those who work or engage in outdoor activities.(1) These injuries...
