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Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

by Hans Rosenberg | Oct 7, 2019 | cardiac arrest, Cardiology, Journal Club, landmark, Resuscitation

Methodology Score: 4.5/5 Usefulness Score: 3.5/5 Lemkes JS, et al. N Engl J Med. 2019 Apr 11;380(15):1397-1407. Editorial: Coronary Angiography after Cardiac Arrest – The Right Timing or the Right Patients? Question and Methods: Patients with out-of-hospital...
Updates in Prehospital and Transport Medicine

Updates in Prehospital and Transport Medicine

by Daniel Beamish, Richard Hoang, Shankar Sethuraman | Jul 25, 2019 | Grand Round Summaries, Pre-Hospital, Resuscitation, Trauma

There was a significant amount of pre-hospital research published in 2018; many trials were that will no doubt inform future guidelines and change practice. This post seeks to look at some of the historical features of prehospital research and give us a road map for...
Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults

Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults

by Hans Rosenberg | Jul 15, 2019 | Airway, Anesthesiology, Critical Care, Journal Club, Resuscitation

Journal Club Summary Casey JD, et al. N Engl J Med. 2019 Feb 28;380(9):811-821. Methodology Score:  3.5/5 Usefulness Score: 3.5/5 Question and Methods: Multicenter, unblinded RCT in 7 ICUs comparing rates of hypoxia in patients undergoing BVM vs no ventilation during...
Prolonged Field Care: Lessons from the Battlefield to the home front

Prolonged Field Care: Lessons from the Battlefield to the home front

by Richard Hoang | Jun 20, 2019 | Critical Care, Grand Round Summaries, Resuscitation, Trauma

Even without an interest in military or high treat medicine, the science from military conflicts can have a significant influence on the medicine you practice. In fact, a lot can be learned in times of stress and conflict, and every Emergency Physician should have at...
Code Orange: Lessons Learned from the Westboro Bus Collision

Code Orange: Lessons Learned from the Westboro Bus Collision

by Harrison Carmichael, Richard Hoang, Shankar Sethuraman | Jun 6, 2019 | Grand Round Summaries, Mass Casualty / Disaster, Quality Improvement, Resuscitation, Trauma

A Code Orange is a hospital-scale response to any event or group of events that results in a patient influx that outstrips available hospital resources. It realigns the way the hospital functions to support the emergency department and rapidly increases the number of...
Assessing and Finessing: An Airway Update

Assessing and Finessing: An Airway Update

by Adam Parks, Richard Hoang, Shankar Sethuraman | May 23, 2019 | Airway, Grand Round Summaries, Resuscitation

Securing definitive control of a threatened airway is a fundamental skill in the care of critically ill patients and remains an ever-popular topic of discussion in Emergency Medicine. As Emergency Medicine providers, we find few procedures as satisfying or potentially...
Airway Checklists in the ED

Airway Checklists in the ED

by Nick Schouela, Richard Hoang, Shankar Sethuraman | Apr 25, 2019 | Airway, Grand Round Summaries, Quality Improvement, Resuscitation

A checklist is a physical, cognitive aid that lists essential actions required for a task to compensate for limitations in human memory. While checklists have been around forever, the concept of checklists in medicine is much newer. Medical checklists have been...
Consent for resuscitation of incapable patients in the Emergency Department

Consent for resuscitation of incapable patients in the Emergency Department

by Michael Wong, Richard Hoang, Shankar Sethuraman | Apr 18, 2019 | cardiac arrest, Critical Care, Grand Round Summaries, Patient Advocacy, Resuscitation

In the second part of this two-part series, Dr. Michael Wong discusses the process for obtaining consent for incapable persons in the Emergency Department. For a review of a rational and patient-centered approach to difficult discussions in the Emergency Department...
A How-to Guide to Goals of Care Discussions in the Emergency Department

A How-to Guide to Goals of Care Discussions in the Emergency Department

by Michael Wong, Richard Hoang, Shankar Sethuraman | Apr 11, 2019 | cardiac arrest, Critical Care, Grand Round Summaries, Patient Advocacy, Resuscitation

In this two-part series, Dr. Michael Wong begins by reviewing a rational and patient-centered approach to difficult discussions in the Emergency Department around goals of care and resuscitation. In part two, we discuss the process for obtaining consent for incapable...
Mechanical CPR: Past, Current, and Future

Mechanical CPR: Past, Current, and Future

by Justin Godbout, Richard Hoang, Shankar Sethuraman | Mar 14, 2019 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation

Mechanical CPR is a technology whereby a machine performs chest compressions in place of a human provider. These devices are becoming increasingly prevalent in the prehospital and in-hospital arenas, and it is inevitable that healthcare providers will interact with...
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