by Lauren Lacroix, Robert Suttie | Sep 7, 2017 | Featured, Grand Round Summaries, Most Viewed, Resuscitation
Physiologically difficult airway: airway management in the critically ill patient, whose underlying physiology puts them at higher risk of cardiovascular collapse with intubation and conversion to positive pressure ventilation. This is important for in the Emergency...
by emottawa | Aug 10, 2017 | Featured, Grand Round Summaries, Respirology
Describe the pathophysiology of Pulmonary Hypertension (PH), and how it can be dangerous Who to suspect and workup for PH in the ED Describe the POCUS findings in PH Describe the management of these patients and how to avoid causing harm Physiology Definition...
by emottawa | Jul 14, 2017 | Grand Round Summaries, Neurology
Objectives: Explore the data for safety and efficacy of urgent blood pressure lowering in hemorrhagic stroke. Is there any benefit from management of elevated blood pressure in acute ischemic stroke that is not a candidate for tPA? What is the data for blood pressure...
by emottawa | May 11, 2017 | Grand Round Summaries, Infectious Disease
The Zika Virus exploded onto the international health scene in the last several months. It was first discovered in humans in 1951 and remained limited to Africa and Asia until the first major outbreak in Micronesia in 2007. Since then the virus has continued to evolve...
by emottawa | Apr 25, 2017 | Grand Round Summaries, Resuscitation
Pediatric endotracheal intubation is an uncommon procedure in the Emergency Department (ED); even in high volume tertiary pediatric centres the incidence has been reported at 8-10/10,000 patients. While infrequent, pediatric airway management is...
by emottawa | Mar 2, 2017 | Grand Round Summaries, Resuscitation
Use of the term “sepsis” continues to be controversial. We understand that patients with infection can manifest an immune-mediated systemic response, and are at risk of deterioration, organ dysfunction, and death. At what point in that cascade the patient is termed...
by emottawa | Feb 23, 2017 | Grand Round Summaries, Resuscitation
The use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has become a topic of considerable interest as of late, primarily to treat non-compressible truncal hemorrhage (NCTH). However, it is beginning to expand into other causes...
by emottawa | Jan 12, 2017 | Grand Round Summaries, Physician Wellness
For many of us in Emergency Medicine, PTSD is something we don’t really think about. We might pause before using ketamine for sedation in a war veteran, or seek psychological support for victims of sexual assault, but it is not a topic that we usually discuss or...
by emottawa | Dec 2, 2016 | Grand Round Summaries, Trauma
There were some notable papers published in trauma over the past 12 months or so. Here’s a look at three of them, which might help answer a few key questions in trauma management: When should you order a CT chest? What blood products should we be giving to trauma...
by emottawa | Nov 11, 2016 | Grand Round Summaries, Infectious Disease
Relative to its incidence and prevalence, Lyme disease has gathered a tremendous amount of attention, particularly in the last decade or so. This can be attributed, in part, to the perceived difficulty in properly diagnosing and treating the disease. However,...