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Hydrocortisone in Severe Community-Acquired Pneumonia

Hydrocortisone in Severe Community-Acquired Pneumonia

by Kevin Guo, Hans Rosenberg, Krishan Yadav | May 3, 2023 | Critical Care, Featured, Infectious Disease, Journal Club, Resuscitation

Methodology: 4/5 Usefulness: 4/5 Dequin PF, et al. N Engl J Med. 2023 Mar 21. doi: 10.1056/NEJMoa2215145. Question and Methods:  Pneumosepsis can lead to pulmonary and systemic inflammation that can increase risk of organ failure and death. The authors attempted to...
A Dive into Drowning – Part One

A Dive into Drowning – Part One

by James Gilbertson, Amanda Mattice, Doran Drew | Apr 27, 2023 | cardiac arrest, Grand Round Summaries, Resuscitation

Drowning accounts for over 360,000 worldwide deaths annually, including the deaths of hundreds of Canadians.[1],[2] Despite this, accurate drowning statistics remain obscured by significant under-reporting.[1] As an emergency physician you will see drowning patients...
Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension

by James Gilbertson, Hans Rosenberg, Ian Stiell | Apr 9, 2023 | Critical Care, Featured, Infectious Disease, Journal Club, Resuscitation

Methodology: 4/5 Usefulness: 3/5 National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network; et al.  N Engl J Med. 2023 Feb 9;388(6):499-510. doi: 10.1056/NEJMoa2212663. Epub 2023 Jan 21.  Question and...
Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest

Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest

by Graham Wilson, Hans Rosenberg, Ian Stiell | Apr 3, 2023 | cardiac arrest, Cardiology, emergency, Journal Club, Resuscitation

Methodology: 4/5 Usefulness: 2.5/5 Suverein MM, et al. N Engl J Med. 2023 Jan 26;388(4):299-309. doi: 10.1056/NEJMoa2204511. Question and Methods: Does eCPR increase survival at 30 days with good neurologic outcome in refractory OHCA caused by an initial cardiac...
RV Failure and Acute Pulmonary Embolism

RV Failure and Acute Pulmonary Embolism

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...
Buprenorphine: A guide for ED providers

Buprenorphine: A guide for ED providers

by Max Zworth, Rebecca Seliga | Mar 9, 2023 | Addictions, Critical Care, Featured, Grand Round Summaries, Infectious Disease, Most Viewed, Resuscitation, Toxicology

The opioid epidemic is not new to ED providers, but many will be shocked to learn about the true extent of the harm caused by opioids in Canada.  In the first half of 2022, there were 3556 recorded deaths due to opioid toxicity in Canada. This amounts to 19 deaths...
Pacemakers and ICDs!

Pacemakers and ICDs!

by Darren Wong | Feb 23, 2023 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation

I read around pacemakers SO often throughout my residency, but it was a topic that I found was often a struggle to absorb. So, here we’re going to tackle what the ED Physician should know about managing patients with pacemaker and ICDs: Pacemaker Basics...
Anger Management: Agitated Patients in the ED

Anger Management: Agitated Patients in the ED

by Jessica Tat | Feb 16, 2023 | Critical Care, Featured, Grand Round Summaries, psychiatry, Resuscitation

The Emergency Department is no stranger to the acutely agitated patient. Agitation remains a broad and multifactorial syndrome with a high potential for significant morbidity or mortality if not recognized and managed appropriately. This can be tricky at times when...
CBRNE and HAZMAT: Be Prepared!

CBRNE and HAZMAT: Be Prepared!

by Patrick Fisk | Jan 19, 2023 | Critical Care, Grand Round Summaries, Mass Casualty / Disaster, Resuscitation

This post seeks to provide some insights and discussion around CBRNE events (Chemical, Biological, Radioactive, Nuclear and Explosive). We want to review procedures within a mass casualty CBRNE event, principles related to decontamination, PEE, and review the...
Awake Intubation in the ED: A Practical Update

Awake Intubation in the ED: A Practical Update

by Nicholas Choi | Dec 1, 2022 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Resuscitation

Awake intubations are an uncommon procedure, so cognitively practicing the nuances can be critically important to success. Here, we present an updated practical guide on awake intubations in the ED intended to supplement a previously posted topic. You can see the...
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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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