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...
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...
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...
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...
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...
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...
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...
by Nate Murray, Talal Alkhaldi | Nov 24, 2022 | Airway, Critical Care, Featured, Grand Round Summaries, Resuscitation
When encountering patients with angioedema, we have historically used a similar approach to anaphylaxis, mostly out of a lack of evidence supporting a particular practice. Here, we take a deep dive into ACE inhibitor-induced angioedema to provide the most up to date...
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...
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...
