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...
by Nathaniel Murray, Mathieu McKinnon | Apr 4, 2024 | cardiac arrest, Cardiology, emergency, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Radiology, Surgery, Thrombosis, Trauma, Ultrasound
Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In...
by Isabella Menchetti, Hans Rosenberg, Christian Vaillancourt | Mar 25, 2024 | Airway, Anesthesiology, Critical Care, Journal Club, Trauma
Methodology: 3/5 Usefulness: 3/5 Bandyopadhyay A, et al. Anesth Analg. 2023 May 1;136(5):913-919. Question and Methods: This is the first RCT looking at DSI vs RSI in adult trauma patients with no difficult airway features. All intubations performed by an anesthesia...
by Thariq Badiudeen, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Nov 27, 2023 | Journal Club, Trauma
Methodology: 2/5 Usefulness: 2/5 Jansen JO, et al. JAMA. 2023 Oct 12:e2320850. Editorial: Contemporary Adjuncts to Hemorrhage Control. Question and Methods: Multi-center pragmatic Bayesian RCT comparing 90d all-cause mortality and 10 secondary outcomes in trauma...
by Mejbel Alazemi, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Nov 22, 2023 | Featured, Full Article, Hematology, Journal Club, Trauma
Methodology: 3.5/5 Usefulness: 4/5 Davenport R, et al. JAMA. 2023 Oct 12:e2321019. Editorial: Contemporary Adjuncts to Hemorrhage Control. Question and Methods: In trauma patients with major hemorrhage, does early cryoprecipitate (6g fibrinogen) administration...
by Sheena Nandalal | Sep 7, 2023 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
According to WHO and CDC: more than nine people die every minute from injuries or violence, and 5.8 million people die every year. It is the leading cause of death in people 1-44 years of age in developed countries (unintentional injuries, homicide, suicide). The...
by Hailey Newton, Hans Rosenberg, Jeff Perry | Jun 19, 2023 | Featured, Journal Club, Thrombosis, Trauma
Methodology: 4/5 Usefulness: 3.5/5 Bouzat P, et al. JAMA. 2023 Mar 21:e234080. doi: 10.1001/jama.2023.4080. Question and Methods: This double-blind, randomized, placebo-controlled superiority trial aimed to assess whether 4F-PCC decreases 24hr blood product...
by Sheena Nandalal, Hans Rosenberg, Jeff Perry | Jun 5, 2023 | Featured, Full Article, Journal Club, Pediatrics, Trauma
Methodology: 4.5/5 Usefulness: 5/5 Beno S, al. CJEM. 2022 Aug;24(5):535-543. Editorial: Reducing overuse of CT imaging in pediatric trauma: a model example of the Model for Improvement. Question and Methods: The aim of this QI project was to reduce unnecessary CT...
