by James Gilbertson, Paul Pageau | Oct 10, 2024 | Anesthesiology, Commentary, Procedural care, Radiology, Ultrasound
Ever tried injecting local anesthetic into the bottom of someone’s foot? If you have, you’ll understand the incredible pain and difficulty in trying to anesthetize this region. Fortunately, there’s a better way to anesthetize the plantar foot, and avoid getting kicked...
by Maria Doubova | Feb 22, 2024 | Chronic Pain, Featured, Grand Round Summaries, Procedural care, Surgery
Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1). Let’s review some of the evidence (or lack...
by Alexandra Hamelin, Elyssia Adamo | Feb 3, 2022 | Critical Care, Featured, Grand Round Summaries, OBGYN, Procedural care, Resuscitation
We are back with Part-2 of our blog series on Emergency Department Deliveries. If you haven’t already, check-out Part 1 HERE. In this post, we will explore postpartum hemorrhage and resuscitative hysterotomy: Managing postpartum hemorrhage Running a maternal...
by Simon Wells, James Gilbertson | Jan 21, 2021 | Airway, Featured, Grand Round Summaries, Procedural care, Respirology
In Part 1 of our 2-part series on Pneumothorax, Dr. Simon Wells walked us through the varying definitions, epidemiology, diagnostic criteria, and imaging findings of pneumothorax including on point of care ultrasound (POCUS). Click here to review Part 1. In...
by Simon Wells, James Gilbertson | Dec 17, 2020 | Airway, Featured, Grand Round Summaries, Procedural care, Respirology
Pneumothorax is a relatively rare emergency department presentation with a number of controversies existing regarding its management. Over the last decade, the standard of care has shifted from invasive strategies to more conservation management approaches. What...
by Richard Hoang | Aug 8, 2019 | cardiac arrest, Critical Care, Procedural care, Trauma
Emergency Resuscitative Thoracotomy (ERT) is a potentially lifesaving intervention. It is a true salvage procedure, without which survival is essentially zero, even in indicated scenarios. After reading this post, you’ll be slightly more comfortable should you...
by Robert Suttie, Richard Hoang, Shankar Sethuraman | Mar 21, 2019 | Grand Round Summaries, Procedural care, Ultrasound
Point of Care Ultrasound (POCUS) is becoming increasingly prevalent in Emergency Departments (EDs) for diagnostic, procedural, and management purposes. In this post, we will examine some less known, but extremely useful, indications for POCUS. For further information,...
by Jim Yang, Richard Hoang | Nov 1, 2018 | Airway, Anesthesiology, Featured, Grand Round Summaries, Procedural care
In this two part series, we are delving into a few of the many controversies regarding procedural sedation and explore how to reduce resource utilization and ED length of stay. In PART 1, we discussed preprocedural fasting and concluded that adherence to fasting...
by emottawa | Oct 25, 2016 | Grand Round Summaries, Procedural care
The ability to administer peripheral nerve blocks in the ED has the potential to provide fast and direct analgesia with less systemic side effects compared to parenteral medications. When administered by an experienced provider, studies have shown that peripheral...
