In this post, we’re going to do something a little different. Instead of reviewing a specific Emergency Medicine topic, we’re going to discuss Leadership – How to lead your team and make things happen during a high-stakes resuscitation. As the Leadership principles are transferable between medical and trauma resuscitations, forRead More →
Methodology Score: 4.5/5 Usefulness Score: 3.5/5 Lemkes JS, et al. N Engl J Med. 2019 Apr 11;380(15):1397-1407. Editorial: Coronary Angiography after Cardiac Arrest – The Right Timing or the Right Patients? Question and Methods: Patients with out-of-hospital cardiac arrest (OHCA) and shockable rhythm, but without STEMI on ECG following ROSCRead More →
In today’s post, we seek to: Understand what artificial intelligence (AI) is Generate a basic understanding of how AI works Review applications of AI in the Emergency Department (ED): Patient care Predictive Analytics ED Operations Intelligence Intelligence represents the ability to perceive information, retain it as knowledge, and apply it towards adaptive behavioursRead More →
Methodology: 2/5 Usefulness: 2.5/5 Macri F, Greffier J, Khasanova E, Claret PG, Bastide S, Larbi A, Bobbia X, Pereira FR, de la Coussaye JE, Beregi JP. Ann Emerg Med. 2019 Jun;73(6):665-670. Question and Methods: This 160-patient pilot study prospectively compared ultra-low dose CT chest and CXR to routine CT chest in minor bluntRead More →
In the Emergency Department (ED) and Intensive Care Unit (ICU), we often encounter patients with brain injury. This includes patients with traumatic brain injury (TBI), subarachnoid hemorrhage (SAH), and intracerebral hemorrhage (ICH), among others [1]. In the ED and ICU, our management of these patients is namely focused upon theRead More →
Acute upper gastrointestinal bleeding (UGIB) is an all-too-frequent presentation that can scare the pants off of even the most seasoned Emergency Physician. Severity of presentation can vary greatly, from simple bleeds related to gastritis to exsanguinating variceal bleeds. Common etiologies of UGIB, with frequency in parentheses, include (1): Peptic ulcerRead More →
If you work at a trauma center, then you’re bound to see your fair share of abdominal stab wounds. Though civilian penetrating trauma has declined over recent decades and is less common than blunt trauma, penetrating trauma represents ~10% of all trauma evaluations in the U.S. and of those, ~50%Read More →
Patients with both burn and inhalation injuries have significantly increased morbidity and mortality compared to those with just burn injuries alone, as there are multiple toxic industrial chemicals that act on the respiratory tract. In this post, we review inhalational injuries and the most common Toxic Industrial Chemicals leading toRead More →
Blast injuries resulting from explosions have the capacity to cause life-threatening multisystem injuries in multiple victims simultaneously. The biggest potential challenge in managing blast injuries is the creation of large numbers of simultaneous critically ill casualties. Once notified of a possible bombing or explosion, Emergency Physicians should immediately consider activatingRead More →
Journal Club Summary Methodology Score: 4.5/5 Usefulness Score: 4.5 /5 van der Pol LM, et al. N Engl J Med. 2019 Mar 21;380(12):1139-1149 Question and Methods: Using a prospective cohort study of 510 pregnant women, the authors were trying to see whether an algorithm could safely diagnose PEs and avoidRead More →