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Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial

Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial

by Hans Rosenberg | Oct 22, 2018 | Journal Club, Resuscitation, Trauma

Journal Club Summary Methodology: 3.5/5           Usefulness: 3.5/5 Moore HB, et al. Lancet. 2018 Jul 28;392(10144):283-291.  Editorial: No gains with plasma-first resuscitation in urban settings? Question and Methods: Use of prehospital plasma in patients with...
The Anatomy and Physiology of a Resuscitation

The Anatomy and Physiology of a Resuscitation

by Robert Suttie, Richard Hoang | Sep 6, 2018 | Airway, Featured, Grand Round Summaries, Resuscitation, Trauma

Emergency medicine is a diverse specialty. We’ve all had the shift where you go from suturing an elderly woman’s scalp, to managing an anxious patient with chest pain, to running a cardiac arrest as EMS patches in with a trauma. We wear many hats throughout a single...
Burn Management in the ED

Burn Management in the ED

by Stephanie Barnes, Richard Hoang | Aug 16, 2018 | Featured, Grand Round Summaries, Resuscitation, Trauma

The vast majority of burns that present to the ED can be managed as outpatients1,2, usually by the patient’s family doctor, but many emergency physicians do not feel comfortable with burn management. Burn management often follows the preferences and experiences of...
Adjunctive Glucocorticoid Therapy in Patients with Septic Shock

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock

by Hans Rosenberg | Jun 11, 2018 | Critical Care, Endocrinology, Journal Club, Resuscitation

Methodology Score: 4/5 Usefulness Score: 3/5 Venkatesh B, et al. N Engl J Med. 2018 Jan 19. Journal Club Bottom Line Question/Methods: This was a international, pragmatic, double-blind, randomized, controlled trial comparing hydrocortisone as continuous infusion to...
An Analysis of Paralysis: Neuromuscular blocking agents in the Emergency Department

An Analysis of Paralysis: Neuromuscular blocking agents in the Emergency Department

by Bo Zheng, Richard Hoang | May 3, 2018 | Anesthesiology, Featured, Grand Round Summaries, Resuscitation

In this post, we will discuss the use of neuromuscular blocking agents (NMBAs) for intubation in the Emergency Department; we will focus on considerations in predicted difficult airways (RSI vs. awake intubation), Rocuronium vs. Succinylcholine, and the indications...
A Multicenter, Randomized Trial of Ramped Position vs Sniffing Position During Endotracheal Intubation of Critically Ill Adults

A Multicenter, Randomized Trial of Ramped Position vs Sniffing Position During Endotracheal Intubation of Critically Ill Adults

by Hans Rosenberg | Mar 26, 2018 | Anesthesiology, Journal Club, Resuscitation

Methodology Score: 3.5/5                Usefulness Score: 3/5 Semler MW, et al. Chest. 2017 Oct;152(4):712-722. Editorial: Should the Ramped Position Be “Sniffed at” in the ICU? Scott JA, et al. Chest. 2017 Oct;152(4):693-694. Question and Methods:...
Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest: A Cohort Study.

Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest: A Cohort Study.

by Hans Rosenberg | Mar 19, 2018 | Cardiology, Full Article, Journal Club, Resuscitation

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Cournoyer A, et al. Acad Emerg Med. 2017 Sep;24(9):1100-1109. Question and Methods: Retrospective observational cohort study to evaluate if the addition ACLS to BLS during EMS management for...
My Heart is Racing! Select Cardiac Arrhythmias in the ED

My Heart is Racing! Select Cardiac Arrhythmias in the ED

by Robert Suttie, Matthew Lipinski | Feb 15, 2018 | cardiac arrest, Cardiology, Critical Care, Resuscitation, Thrombosis

There are a few specific arrhythmias that we encounter often in the ED that deserve a little bit more thought. Dr. Matthew Lipinski takes us through a few updates in the area beyond the routine basics. For other Grand Rounds Summaries please see our archives. Chronic...
Opening the Book: Pelvic Trauma in the ED

Opening the Book: Pelvic Trauma in the ED

by Julie Kim, Richard Hoang | Jan 4, 2018 | Critical Care, Featured, Grand Round Summaries, Most Viewed, Resuscitation, Trauma

Unstable pelvic fractures have high mortality rates, particularly with patients who are hemodynamically unstable, due to difficulty in achieving hemostasis and other associated injuries. At present, there is no standard guideline that has been published and...

Angiotensin II for the Treatment of Vasodilatory Shock

by Hans Rosenberg | Dec 18, 2017 | Critical Care, Journal Club, Resuscitation

Journal Club Summary Khanna A, et al. N Engl J Med. 2017 Aug 3;377(5):419-430. Abstract Link EDITORIAL: Angiotensin II for the Treatment of Vasodilatory Shock – Promise and Caution. Dellinger RP, et al. N Engl J Med. 2017 Aug 3;377(5):486-487. Methodology Score:...
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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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