by Camille Dagenais, Hans Rosenberg, Ian Stiell | Jun 18, 2024 | Featured, Journal Club, Pre-Hospital, Prehospital and Transport Medicine, Trauma
Methodology: 3/5 Usefulness: 1.5/5 Le Cornec C, e al. JAMA Netw Open. 2024 Jan 2;7(1):e2352844. Question and Methods: This was a multicenter, single-blind, noninferiority RCT, to assess the noninferiority of intravenous ketamine vs intravenous morphine for pain...
by Steven Sanders | May 9, 2024 | cardiac arrest, Critical Care, Grand Round Summaries, Mass Casualty / Disaster, Pre-Hospital, Prehospital and Transport Medicine, Resuscitation
Please refer to Dr. Mark McKinney’s Grand Round Summary from March 2020 (Parts 1 and 2) for a comprehensive literature review on the topic of resuscitating hypothermic patients. In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and...
by Amanda Mattice | Mar 7, 2024 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Prehospital and Transport Medicine, Resuscitation, Toxicology
In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be...
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...
by Steven Sanders | Jul 6, 2023 | Critical Care, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation, Toxicology
Global temperatures are increasing and are projected to continue warming. The rates of warming across out planet are not uniform. In Canada, the loss of snow and sea ice reduces the reflectivity of the surface leading to increased absorption of solar radiation and a...
by James Gilbertson, Amanda Mattice, Doran Drew | May 4, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Previously in Part One, we reviewed the pathophysiology and pre-hospital management of patients who experienced non-fatal and fatal drownings. Now, in Part Two, let’s take a deeper dive into the resuscitation of these patients in the Emergency Department as well...
by Stephen Andrews, Hans Rosenberg, Christian Vaillancourt | Jan 9, 2023 | Featured, Full Article, Journal Club, Pre-Hospital
Methodology: 4/5 Usefulness: 3/5 Crombie N, et al. Lancet Haematol. 2022 Apr;9(4):e250-e261. Question and Methods: Multicenter RCT investigating prehospital resuscitation using PRBC and plasma vs normal saline to improve tissue perfusion or mortality in adult trauma...
by Justin Godbout, James Gilbertson | Nov 26, 2020 | Featured, Grand Round Summaries, Medical Education, Pre-Hospital, Trauma
“The differences between expert performers and normal adults are not immutable, that is, due to genetically prescribed talent. Instead, these differences reflect a life-long period of deliberate effort to improve performance.” – K. Anders Ericsson What defines...
by Jessica McCallum, Kate O'Connell | Apr 9, 2020 | Critical Care, Featured, Pre-Hospital
In this post, we aim to highlight the perspectives of family, physicians, the emergency department and pre-hospital medicine in regards to organ donation. Types of Organ Tissue Donation There are 2 main types of deceased organ donation including neurologic...
by Jessica McCallum, Pascale King | Feb 20, 2020 | Featured, Geriatrics, Grand Round Summaries, Medical Education, Pre-Hospital, Quality Improvement
What is Community Paramedicine? The international round table on community paramedicine provides the following definition: “…a model of care whereby paramedics apply their training and skills in non-traditional community-based environments outside of the usual...
