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Ketamine and Etomidate: Into the Void

Ketamine and Etomidate: Into the Void

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...
Abortion Care in the Emergency Department

Abortion Care in the Emergency Department

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...
Lung Protective Ventilation

Lung Protective Ventilation

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...
Extracorporeal Life Support in Infarct-Related Cardiogenic Shock

Extracorporeal Life Support in Infarct-Related Cardiogenic Shock

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...
Mechanical Ventilation Basics

Mechanical Ventilation Basics

by Cameron Leafloor | Jan 25, 2024 | Airway, Anesthesiology, cardiac arrest, Critical Care, Featured, Recently Featured, Respirology

Mechanical ventilation has a lot of nuance associated with it, but a lot of reference guides focus on care in the ICU. There is certainly a need for more practical application for the ED doc or initial setup of patients on the vent. With both ER and ICU experience,...
Liver Let Die? Approach to Splanchnic Vein Thrombosis & Shock Liver

Liver Let Die? Approach to Splanchnic Vein Thrombosis & Shock Liver

by Kaitlin Endres, Mathieu McKinnon | Jan 18, 2024 | Critical Care, emergency, Featured, Gastroenterology, Grand Round Summaries, Surgery, Thrombosis

When working up your patient, how often do you think of problems related to the hepatic venous system? Have you suppressed those memories of time spent over your cadaver in medical school learning the anatomy? By the end of this, you will all be newly discovered...
Factors Affecting the EPA Experience

Factors Affecting the EPA Experience

by Eusang Ahn | Jan 4, 2024 | Commentary, Featured, Medical Education

What exactly is an EPA, really?   EPAs, or Entrustable Professional Activities, are the basic building blocks of assessment within many models of Competency-Based Medical Education, such as Competency By Design. In theory, EPA assessments are supposed to serve as...
BHP Corner: Acute Behavioural Disturbances

BHP Corner: Acute Behavioural Disturbances

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...
PTM Journal Club Recap: Hypoglycemia and NSTEMI Care

PTM Journal Club Recap: Hypoglycemia and NSTEMI Care

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...
The Way is Shut: Aortic Stenosis Part 2

The Way is Shut: Aortic Stenosis Part 2

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...
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