Journal Club Summary Methodology: 3.5/5 Usefulness: 2.5/5 Ma H, et al N Engl J Med. 2019 May 9;380(19):1795-1803 Editorial: Image-Guided Intravenous Alteplase for Stroke – Shattering a Time Window. Question and Methods: This was an international, multicenter, randomized, placebo-controlled trial of intravenous tPA in patients with stroke who presented 4.5-9 hours afterRead More →
There was a significant amount of pre-hospital research published in 2018; many trials were that will no doubt inform future guidelines and change practice. This post seeks to look at some of the historical features of prehospital research and give us a road map for how we got here. Pre-HospitalRead More →
Journal Club Summary Pellatt R, et al. Ann Emerg Med. 2019 Mar 7. pii: S0196-0644(19)30059-9. Methodology Score: 3/5 Usefulness Score: 3.5/5 Question and Methods: Randomized control trial of 97 adult emergency department patients comparing buddy taping vs. ulnar gutter splinting, in acute, uncomplicated neck of 5th metacarpal (Boxer) fractures. Findings: At 12 weeksRead More →
In the final post of this 3-part series on concussions, Dr. Erica Lee discusses how to recognize and manage post-concussion complications, and hopes to raise awareness on the legislation and public health burden around concussions. If you haven’t already, please refer to our previous posts for an up-to-date definition ofRead More →
Journal Club Summary Casey JD, et al. N Engl J Med. 2019 Feb 28;380(9):811-821. Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Question and Methods: Multicenter, unblinded RCT in 7 ICUs comparing rates of hypoxia in patients undergoing BVM vs no ventilation during the period between induction and laryngoscopy. Findings: Compared to no ventilationRead More →
Welcome to Part 2 of our series on concussions. In this post, Dr. Erica Lee reviews how to make the diagnosis of concussion and manage these patients in the ED. You can review Part 1 of the series for an up-to-date definition of a concussion and Part 3 for aRead More →
Head injuries are commonly seen in the emergency department and a large group of these patients will subsequently be diagnosed with a concussion. In this three-part series, we will summarize the most up to date definition of a concussion (Part 1), review how to make the diagnosis and provide concussionRead More →
Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 Pluymaekers NAHA, et al. N Engl J Med. 2019 Mar 18. Editorial: The RACE to Treat Atrial Fibrillation in the Emergency Department. Question and Methods: This multicenter, randomized, open-label, non-inferiority trial compared delayed vs early cardioversion for emergency department patients withRead More →
Even without an interest in military or high treat medicine, the science from military conflicts can have a significant influence on the medicine you practice. In fact, a lot can be learned in times of stress and conflict, and every Emergency Physician should have at least an awareness as to whatRead More →
Ischemic stroke is one of Canada’s leading causes of morbidity and mortality. Over the last 30 years, we have observed rapid advances concerning how we identify, respond to, and treat patients with acute ischemic stroke. Because this topic is so vast, the focus of this blog post will be: ToRead More →