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PTM Journal Club: BVM Ventilation and Refractory Shock in Out-Of-Hospital Cardiac Arrest

PTM Journal Club: BVM Ventilation and Refractory Shock in Out-Of-Hospital Cardiac Arrest

by Connor Inglis, Josee Malette | Apr 18, 2024 | Prehospital and Transport Medicine, PTM Journal Club, Resuscitation

In this edition of PTM Journal Club explore the impact of bag-valve-mask ventilation as well as the use of lidocaine and/or amiodarone on the survivability of out-of-hospital cardiac arrest.  Bag-Valve-Mask Ventilation and Survival From Out-of-Hospital Cardiac Arrest:...
Posterior Circulation Strokes

Posterior Circulation Strokes

by Kathleen O'Connell | Mar 14, 2024 | Critical Care, Featured, Grand Round Summaries, Neurology, Recently Featured, Resuscitation

Posterior circulation ischemia accounts for approximately 20-25% of all ischemic strokes and is a significant cause of patient disability. The diagnosis can be extremely challenging as findings are often not typically focal. Posterior strokes are misdiagnosed more...
Venomous Snake Bites: The Fangs, The Guidelines, The Myths

Venomous Snake Bites: The Fangs, The Guidelines, The Myths

by Amanda Mattice | Mar 7, 2024 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Prehospital and Transport Medicine, Resuscitation, Toxicology

In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be...
Pediatric Traumatic Cardiac Arrest

Pediatric Traumatic Cardiac Arrest

by Joshua Emery | Dec 28, 2023 | cardiac arrest, Critical Care, Pediatrics, Resuscitation

Trauma is the leading cause of child and youth mortality globally (1). Pediatric trauma is a high acuity but low frequency event (2). Trauma is children is 7 times less frequent in comparison to the adult population (2). There is a well-documented correlation amongst...
Decoding Code Status: A Goals of Care Framework

Decoding Code Status: A Goals of Care Framework

by Lucy Karp | Nov 30, 2023 | Critical Care, Featured, Grand Round Summaries, Resuscitation

In general, the public perception of CPR is filled with inaccuracies, and recently the New Yorker wrote about the Hidden Harms of CPR. In the article, Dr. Sunita Puir, a palliative care doctor, talks about how it is an “open secret in medicine that CPR is brutal and...
The Deep Freeze: A Review of Frostbite Management

The Deep Freeze: A Review of Frostbite Management

by Maria Doubova, Amanda Mattice | Nov 2, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation

Introduction Frostbite is a frequent presenting complaint to emergency departments (EDs) in cold climates. It is more common among those without housing, those with mental health disorders as well as those who work or engage in outdoor activities.(1) These injuries...
Little People, Big Updates: Updates in Pediatric Emergency Medicine

Little People, Big Updates: Updates in Pediatric Emergency Medicine

by Kate O'Connell, Sam Wilson | Oct 5, 2023 | Critical Care, Featured, Grand Round Summaries, Pediatrics, Resuscitation

Do you remember when every newborn under 30 days with a fever needed an LP/admission/blood cultures? Well.. times are a little different but its nuanced. The goal of this update is to provide a practical update in pediatric emergency medicine to the average Canadian...
Traumatic Cardiac Arrests

Traumatic Cardiac Arrests

by Sheena Nandalal | Sep 7, 2023 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma

According to WHO and CDC: more than nine people die every minute from injuries or violence, and 5.8 million people die every year. It is the leading cause of death in people 1-44 years of age in developed  countries (unintentional injuries, homicide, suicide). The...
Burnin’ Up: Thermal Burn Pain Management

Burnin’ Up: Thermal Burn Pain Management

by Maria Doubova, Amanda Mattice | Aug 24, 2023 | Featured, Grand Round Summaries, Resuscitation

Dr. Barnes had previously provided a very thorough guide on burns management, which can be found here. The management of thermal injury has largely stayed the same but there have since been some important points that were highlighted by the ABA Pain management...
Testicular Torsion

Testicular Torsion

by Alex Viau | Jul 27, 2023 | Featured, Grand Round Summaries, Resuscitation, Urology

Acute scrotal pain is a common in emergency departments, comprising ~ 0.5% of all presentations. However, torsion is another very time sensitive diagnosis that is ubiquitous across all ages as seen by this Rosen’s table.   Incidence / Epidemiology Unfortunately,...
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