by Shahbaz Syed | Jun 11, 2020 | Featured, Grand Round Summaries, Resuscitation, Toxicology
Here, we seek to explore some controversial, poorly known, or irrelevant drugs in medicine in a menagerie of drug cocktails. 1. What drugs best treat SVT? A patient presents with the following rhythm strip, they’re totally stable, on no medications and with no...
by Lindsay Cheskes, Kate O'Connell | May 21, 2020 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
This post takes a deep dive into the pathophysiology, presentation and management of electrical storm in the emergency department. The management focuses on patients with implantable cardioverter-defibrillators receiving multiple shocks, patients with polymorphic...
by Garrick Mok, Pascale King | May 7, 2020 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
The Surviving Sepsis Guidelines define sepsis as a “life-threatening organ dysfunction caused by a dysregulated host response to an infection”. Septic shock is further defined as sepsis with hypotension (MAP ≤65) and/or lactate ≥2.0 despite adequate fluid...
by Ariel Hendin, Lisa Fischer, Shahbaz Syed | Mar 27, 2020 | cardiac arrest, COVID-19, Featured, Infographics, Resuscitation, Slider
Hot off the press from CJEM; End-of-life care in the Emergency Department for the patient imminently dying of a highly transmissible acute respiratory infection (such as COVID-19).
by George Mastoras, Shahbaz Syed | Mar 26, 2020 | Airway, COVID-19, Infographics, Resuscitation
Guiding Principles Suspected SARS-COV-2 patients showing signs of hypoxemic respiratory failure should be intubated proactively, as early as possible. Signs may include FiO2 requirement > 50%, clinical signs of respiratory fatigue despite supplemental oxygen, or...
by Mark McKinney, Shahbaz Syed | Mar 12, 2020 | Featured, Grand Round Summaries, Resuscitation, Trauma
Here we present part two on our series on hypothermia. For more on the assessment, resuscitation, and management of the hypothermic patient, see part one. Prognostication of cardiac arrest in hypothermia Indicators of cardiac arrest before cooling (Brown 2012) Major...
by Mark McKinney, Shahbaz Syed | Mar 5, 2020 | Featured, Grand Round Summaries, Resuscitation, Trauma
Hypothermia results in slightly over one hundred deaths per year in Canada; typically as a result of primary hypothermia, frostbite and other cold exposure injuries (Toronto Public Health, 2014). In the United States, this is estimated at 1500 deaths annually...
by Shannon Fernando, Kate O'Connell | Jan 30, 2020 | Critical Care, Grand Round Summaries, Resuscitation
In September 2018, Dr. Bram Rochwerg and I wrote a blog post on the treatment of patients with sepsis and septic shock. Much of this was based on the 2016 Surviving Sepsis Campaign (SSc) Clinical Practice Guidelines [1]. However, in a little over a year, significant...
by Bo Zheng, Alex Coutin | Jan 16, 2020 | Airway, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation
What is pulseless electric activity (PEA)? Pulseless electrical activity is diagnosed based on a patient having an organized, non-shockable rhythm and no palpable pulse. However, PEA is not always a cardiac arrest state. In many cases, patients with PEA have...
by Hans Rosenberg | Dec 16, 2019 | Full Article, Journal Club, Neurosurgery, Resuscitation, Trauma
Methodology Score: 3/5 Usefulness Score: 3/5 Cooper DJ, et al. JAMA. 2018;320(21):2211-2220. doi:10.1001/jama.2018.17075 Question/Methods: This study was done to determine the effectiveness of early prophylactic hypothermia compared with normothermic management of...
