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Surviving Sepsis: The 2021 Review

Surviving Sepsis: The 2021 Review

by Doran Drew, Amanda Mattice | Jun 23, 2022 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation

A review of some of the most relevant elements of the 2021 surviving sepsis campaign for the emergency physician. Definitions Our operative definition of sepsis & septic shock are the sepsis-3 definitions [1]. Sepsis: “Sepsis is a life threatening organ...
Managing the Pediatric Patient with Acute Agitation in the ED

Managing the Pediatric Patient with Acute Agitation in the ED

by Michael Schlegelmilch, Sam Wilson | Mar 10, 2022 | Featured, Pediatrics, psychiatry, Resuscitation

Pediatric mental health complaints are common presentations to the emergency department. Many providers are comfortable managing symptoms of depression, anxiety, suicidality. But what about pediatric patients with severe agitation and aggression? Between 6 and 10% of...
Emergency Department Deliveries  – Part 2

Emergency Department Deliveries – Part 2

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...
Emergency Department Deliveries  – Part 2

Clamp the Cord: Emergency Department Deliveries – Part 1

by Alexandra Hamelin, Elyssia Adamo | Jan 27, 2022 | Featured, Grand Round Summaries, OBGYN, Resuscitation

Emergency department (ED) deliveries can be among the most stressful events an emergency physician can encounter. We must assess both mother and fetus simultaneously and be prepared to manage both maternal and neonatal resuscitations and any complications within the...
Intravenous Lipid Emulsion: The New Fad Diet

Intravenous Lipid Emulsion: The New Fad Diet

by Kevin Durr, Sam Wilson, Josee Malette | Jan 20, 2022 | Featured, Grand Round Summaries, Resident Insights, Resuscitation, Toxicology

Much uncertainty still exists surrounding intravenous lipid emulsion (ILE) therapy. The precise mechanism of action remains unknown, no definitive consensus exists regarding its clinical indications, and there are no high quality studies evaluating its potential...
Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest

Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest

by Hans Rosenberg | Dec 13, 2021 | Cardiology, Critical Care, Journal Club, landmark, Resuscitation

Methodology: 5/5 Usefulness: 5/5 Dankiewicz J, et al. N Engl J Med. 2021 Jun 17;384(24):2283-2294. Question and Methods: Open-label multicentre randomized controlled trial to determine whether targeted hypothermia reduces mortality compared to targeted normothermia in...
Dynamic ECG Changes…

Dynamic ECG Changes…

by Shahbaz Syed | Nov 4, 2021 | Cardiology, Critical Care, Featured, Resuscitation

You’re working a night shift when you are handed the following ECG from triage in a 50 year old male, with no past medical history, presenting with chest pain:     What abnormalities do you notice? What is your approach?   Interpretation...
Advancing Resuscitation Care: Controversial Guidelines

Advancing Resuscitation Care: Controversial Guidelines

by Renee Bradley, Josee Malette | Aug 26, 2021 | Featured, Grand Round Summaries, Resuscitation, Ultrasound

There are 35,000 out-of-hospital cardiac arrests (OHCA) annually in Canada6. Patient survival in OHCA increases dramatically with resuscitation; bystander CPR, use of AEDs and activation of EMS. Signifiant gains have been made with education at both the community and...
Back to Black: A Review of Activated Charcoal

Back to Black: A Review of Activated Charcoal

by Alexandra Hamelin, Alie Wudwud | Jul 15, 2021 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Social Media, Toxicology

In this blog post, Dr. Alexandra Hamelin weighs in on many of the controversies surrounding activated charcoal (AC), and provides a practical approach for its use in overdose patients in the emergency department. Specifically: The dosing of AC The time window...
Implementation of an ED ECMO Program

Implementation of an ED ECMO Program

by Darren Wong, Josee Malette | Jun 10, 2021 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation

In the first part of this series, we looked at the basics of Extra Corporeal Membrane Oxygenation (ECMO) and its primary indications. In this section, we will discuss the factors that are needed to implement an ED ECMO program and what happens when a code ECPR is...
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