by Alie Wudwud | Jun 12, 2025 | Critical Care, Featured, Grand Round Summaries, Neurosurgery, Surgery, Trauma
Blunt cerebrovascular injury (BCVI) involves vessel injuries that occur from trauma mechanisms commonly seen in the emergency department: falls down stairs, motor vehicle collisions, and facial trauma. By identifying high-risk patients early, we can decrease the risk...
by Kevin Guo, Hans Rosenberg, Krishan Yadav | Mar 31, 2025 | Journal Club, Trauma
Methodology: 4/5 Usefulness: 2/5 Arleth T, et al. JAMA. 2025;333(6):479–489. doi:10.1001/jama.2024.25786 Question and Methods: This multicentered randomized control trial allocated trauma patients to a liberal or restrictive oxygen strategy for 8 hours to examine...
by Alie Wudwud, Hans Rosenberg, Christian Vaillancourt | Mar 24, 2025 | Featured, Journal Club, Neurosurgery, Trauma
Methodology: 3.5/5 Usefulness: 4/5 Taccone FS, et al. JAMA. 2024 Nov 19;332(19):1623-1633. Question and Methods: This multicenter, randomized trial aimed to determine the optimal hemoglobin transfusion threshold in patients with acute brain injury, comparing a...
by Gabrielle Hibbert, Hans Rosenberg, Christian Vaillancourt | Jan 20, 2025 | Journal Club, Pediatric Care, Pediatrics, Trauma
Methodology: 3/5 Usefulness: 3/5 Holmes JF, et al. Lancet Child Adolesc Health. 2024 May;8(5):339-347. Question and Methods: This prospective multicenter cohort study sought to validate the PECARN intra-abdominal injury and traumatic brain injury rules in order to...
by Caroline Gregory | Jan 16, 2025 | Featured, Grand Round Summaries, Orthopedics, Recently Featured, Trauma
A stable and functional fingertip is essential for sensation, fine motor skills, grip strength, and the overall durability and cosmetic appearance of the hand. Fingertips, often the first point of contact during daily activities, are particularly susceptible to...
by Tayler Young, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Dec 18, 2024 | Full Article, Journal Club, Trauma
Methodology: 4/5 Usefulness: 2/5 McMullan JT, et al. Ann Emerg Med. 2024 Oct;84(4):363-373. doi: 10.1016/j.annemergmed.2024.04.018. Question and Methods: This out of hospital, placebo-controlled, blinded, parallel group RCT compared reduction in pain scores between...
by Heather Moffatt, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Nov 29, 2024 | Full Article, Geriatrics, Journal Club, Neurosurgery, Trauma
Methodology: 3.5/5 Usefulness: 3.5/5 CMAJ. 2023 Dec 3;195(47):E1614-E1621. de Wit K, et al. doi: 10.1503/cmaj.230634. Question and Methods: The Falls Decision Rule was derived to identify older adults with fall who do not require CT to rule out intracranial bleeding,...
by Thariq Badiudeen | Jun 27, 2024 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
For decades, “spinal immobilization”, or spinal motion restriction (SMR) using backboards and cervical collars has been a “cornerstone of EMS protocols, aimed at minimizing secondary spinal cord injuries during trauma patient management. Originating...
by Imane Foudil-Bey, Hans Rosenberg, Ian Stiell | Jun 24, 2024 | Full Article, Journal Club, Trauma
Methodology: 3.5/5 Usefulness: 2/5 Nasr Isfahani M, et al. BMC Emerg Med. 2024 Jan 25;24(1):15. Question and Methods: This triple blinded RCT of 158 patients with isolated closed limb fractures assessed pain scores at 1-hour following the administration of...
by Camille Dagenais, Hans Rosenberg, Ian Stiell | Jun 18, 2024 | Featured, Journal Club, Pre-Hospital, Prehospital and Transport Medicine, Trauma
Methodology: 3/5 Usefulness: 1.5/5 Le Cornec C, e al. JAMA Netw Open. 2024 Jan 2;7(1):e2352844. Question and Methods: This was a multicenter, single-blind, noninferiority RCT, to assess the noninferiority of intravenous ketamine vs intravenous morphine for pain...
