by Hans Rosenberg | Nov 6, 2017 | Journal Club, Resuscitation
Journal Club Summary Reference: Caputo N, et al. Acad Emerg Med. 2017 Aug 9. doi: 10.1111/acem.13274. Methodology Score: 3.5/5 Usefulness Score: 3/5 Question and Methods: This single centre, un-blinded RCT compared oxygen saturation levels for apneic oxygenation...
by Peter Reardon, Richard Hoang | Oct 5, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation
Airway management in the Emergency Department (ED) is challenging. Given the critically ill and physiologically unstable patients, complicated by c-spine collars, distorted anatomy, and airway contamination – the stakes are high. Recent evidence draws...
by Rajiv Thavanathan, Richard Hoang | Sep 28, 2017 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Ultrasound
We know that management of the patient in cardiac arrest can be difficult. As emergency providers, we often rely on an algorithmic approach because of limited information. Point of Care Ultrasound (POCUS) has offered an unprecedented ability to diagnose and monitor...
by Lauren Lacroix, Robert Suttie | Sep 7, 2017 | Featured, Grand Round Summaries, Most Viewed, Resuscitation
Physiologically difficult airway: airway management in the critically ill patient, whose underlying physiology puts them at higher risk of cardiovascular collapse with intubation and conversion to positive pressure ventilation. This is important for in the Emergency...
by emottawa | Apr 25, 2017 | Grand Round Summaries, Resuscitation
Pediatric endotracheal intubation is an uncommon procedure in the Emergency Department (ED); even in high volume tertiary pediatric centres the incidence has been reported at 8-10/10,000 patients. While infrequent, pediatric airway management is...
by emottawa | Mar 2, 2017 | Grand Round Summaries, Resuscitation
Use of the term “sepsis” continues to be controversial. We understand that patients with infection can manifest an immune-mediated systemic response, and are at risk of deterioration, organ dysfunction, and death. At what point in that cascade the patient is termed...
by emottawa | Feb 23, 2017 | Grand Round Summaries, Resuscitation
The use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has become a topic of considerable interest as of late, primarily to treat non-compressible truncal hemorrhage (NCTH). However, it is beginning to expand into other causes...
by emottawa | Jul 15, 2016 | Grand Round Summaries, Resuscitation
Out-of-hospital cardiac arrest (OHCA) remains a major cause of mortality for which we rely on advanced cardiac life support (ACLS) guidelines to manage within the ED. However, when these guidelines fail, we are left with almost no additional options as lifesaving...
by emottawa | Feb 4, 2016 | Grand Round Summaries, Resuscitation
Fluids and antibiotics and lactate…. oh my! Sepsis management in the Emergency Department (ED) was revolutionized by the Rivers trial – a relatively small study showing a NNT of 6 with early goal directed therapy (EGDT). It heavily influenced the end-goals of...
by emottawa | Jan 6, 2016 | Grand Round Summaries, Resuscitation
You deftly sweep the tongue aside, slide into the vallecula, lift the epiglottis, and have a great view of the cords. You smoothly pass the tube, secure it, and walk away – a superstar. Meanwhile your nurses wonder “what now?” as your patient begins to wake up pulls...
