by Kevin Durr, Sam Wilson, Josee Malette | Jan 20, 2022 | Featured, Grand Round Summaries, Resident Insights, Resuscitation, Toxicology
Much uncertainty still exists surrounding intravenous lipid emulsion (ILE) therapy. The precise mechanism of action remains unknown, no definitive consensus exists regarding its clinical indications, and there are no high quality studies evaluating its potential...
by Hans Rosenberg | Dec 13, 2021 | Cardiology, Critical Care, Journal Club, landmark, Resuscitation
Methodology: 5/5 Usefulness: 5/5 Dankiewicz J, et al. N Engl J Med. 2021 Jun 17;384(24):2283-2294. Question and Methods: Open-label multicentre randomized controlled trial to determine whether targeted hypothermia reduces mortality compared to targeted normothermia in...
by Shahbaz Syed | Nov 4, 2021 | Cardiology, Critical Care, Featured, Resuscitation
You’re working a night shift when you are handed the following ECG from triage in a 50 year old male, with no past medical history, presenting with chest pain: What abnormalities do you notice? What is your approach? Interpretation...
by Renee Bradley, Josee Malette | Aug 26, 2021 | Featured, Grand Round Summaries, Resuscitation, Ultrasound
There are 35,000 out-of-hospital cardiac arrests (OHCA) annually in Canada6. Patient survival in OHCA increases dramatically with resuscitation; bystander CPR, use of AEDs and activation of EMS. Signifiant gains have been made with education at both the community and...
by Alexandra Hamelin, Alie Wudwud | Jul 15, 2021 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Social Media, Toxicology
In this blog post, Dr. Alexandra Hamelin weighs in on many of the controversies surrounding activated charcoal (AC), and provides a practical approach for its use in overdose patients in the emergency department. Specifically: The dosing of AC The time window...
by Darren Wong, Josee Malette | Jun 10, 2021 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation
In the first part of this series, we looked at the basics of Extra Corporeal Membrane Oxygenation (ECMO) and its primary indications. In this section, we will discuss the factors that are needed to implement an ED ECMO program and what happens when a code ECPR is...
by Doran Drew | Jun 8, 2021 | Commentary, Critical Care, Grand Round Summaries, Journal Club, Resuscitation
Hey everyone! Buckle up. This is a long one. To provide context, I recently presented a 2-part blog post regarding thrombolytics in acute ischemic stroke. In these posts I explored the foundational literature for this tPA, as well as some of the common controversies I...
by Darren Wong, Josee Malette | Jun 3, 2021 | Grand Round Summaries, Respirology, Resuscitation
Extra Corporeal Membrane Oxygenation (ECMO) has significantly progressed over the past decades. It has become an invaluable tool in the care of adults with severe cardiac and pulmonary disease refractory to conventional management. The implementation of ECMO has even...
by Hashim Kareemi, Alie Wudwud | Apr 29, 2021 | Critical Care, Featured, Grand Round Summaries, Resuscitation
In Part 1 of our 2-series on Elevated ICP in the ED, Dr. Hashim Kareemi described the pathophysiology of elevated ICP and compared the options for diagnosis. Click here to review Part 1. In this Part 2 post, Dr. Kareemi takes us through a phased approach to managing...
by Hashim Kareemi, Alie Wudwud | Apr 22, 2021 | Critical Care, Featured, Grand Round Summaries, Resuscitation
This comprehensive, 2-part blog post by Dr. Hashim Kareemi reviews the current literature and guidelines on elevated ICP in the emergeny department. Part 1 reviews the pathophysiology and detrimental effects of sustained elevated ICP, and provides an excellent...
