by Alie Wudwud | Aug 22, 2024 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Radiology, Respirology, Resuscitation
Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic...
by Alie Wudwud | Aug 15, 2024 | Anesthesiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries, Infectious Disease, Respirology, Resuscitation
Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. In this post, I’ve tried to highlight some key information about an approach to...
by Patrick Fisk, Mathieu McKinnon | Jun 6, 2024 | Airway, Anesthesiology, Critical Care, emergency, Featured, Grand Round Summaries, Respirology, Resuscitation
Your patients need you to start rethinking what you know about pre-oxygenation. The peri-intubation period is a physiologically hazardous time; when we feel forced to act in critical situations, we often try to speed things up and cut corners. We hope to convince you,...
by Cameron Leafloor | Feb 1, 2024 | Anesthesiology, cardiac arrest, Critical Care, Featured, Respirology
In our first part, we talked about the basics of mechanical ventilation and how to set up the ventilator for the busy ED doc! In part two, we discuss lung protective ventilation and go through a few cases to help solidify what we’ve learned. If you haven’t...
by Cameron Leafloor | Jan 25, 2024 | Airway, Anesthesiology, cardiac arrest, Critical Care, Featured, Respirology
Mechanical ventilation has a lot of nuance associated with it, but a lot of reference guides focus on care in the ICU. There is certainly a need for more practical application for the ED doc or initial setup of patients on the vent. With both ER and ICU experience,...
by Alie Wudwud | Mar 30, 2023 | Airway, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Respirology, Resuscitation
Right here, Right now! Pumping up our Knowledge on Right Ventricular Failure and Acute Pulmonary Embolism The treatment of patients with right ventricular failure from pulmonary embolism follows some key principles that differ from our typical...
by Hans Rosenberg | Oct 11, 2021 | Critical Care, Journal Club, Respirology
Methodology: 4/5 Usefulness: 3/5 Schjørring OL, et al. N Engl J Med. 2021 Apr 8;384(14):1301-1311. doi: 10.1056/NEJMoa2032510. Question and Methods: Can a lower PaO2 target (i.e., 60mmHg) compared to higher PaO2 target (i.e., 90mmHg) decrease all cause 90...
by Hans Rosenberg | Sep 27, 2021 | Journal Club, Respirology
Methodology: 4/5 Usefulness: 4.5/5 Dobler CC, et al. Ann Intern Med. 2020 Mar 17;172(6):413-422. Questions & Methods: Systematic review of 68 English language RCTs of outpatient/non ICU inpatients with COPDE comparing pharmacologic therapy with placebo/...
by Hans Rosenberg | Jun 14, 2021 | COVID-19, Infectious Disease, Journal Club, Respirology
Methodology: 2.5/5 Usefulness: 2/5 Ramakrishnan S, et al. Lancet Respir Med. 2021 Apr 9:S2213-2600(21)00160-0. Question and Methods: Is inhaled budesonide an effective treatment for patients with mild early symptoms of COVID-19? A randomized, open-label clinical trial...
by Darren Wong, Josee Malette | Jun 3, 2021 | Grand Round Summaries, Respirology, Resuscitation
Extra Corporeal Membrane Oxygenation (ECMO) has significantly progressed over the past decades. It has become an invaluable tool in the care of adults with severe cardiac and pulmonary disease refractory to conventional management. The implementation of ECMO has even...