Extreme Ownership: How to Own the Trauma Bay and Lead High-Stakes Resuscitations

In this post, we’re going to do something a little different. Instead of reviewing a specific Emergency Medicine topic, we’re going to discuss Leadership – How to lead your team and make things happen during a high-stakes resuscitation. As the Leadership principles are transferable between medical and trauma resuscitations, for brevity, we will refer in this article to trauma team […]

Polypharmacy, Prescribing, & Deprescribing in the ED

Care of the Elderly is an ever-growing, important, and prevalent part of an Emergency Physician’s repertoire of skills. With increasing numbers of elderly patients presenting to EDs across Canada, we look to discuss the issue of polypharmacy, prescribing, and deprescribing for this high risk population in the ED. After reading this post, we hope you will: Understand polypharmacy and deprescribing, […]

Health Journalism: Does it matter?

Why Should You Care About Health Journalism? Patients receive health information from many sources—and it’s often not from you, their doctor. The accuracy of the health information available varies widely. Critical health journalism can help set records straight, as was the case with the now-debunked measles-mumps-rubella (MMR) vaccine safety controversy. What’s out there in the media has important consequences on […]

Update from the K-Hole: Ketamine in the ED

In this post, we discuss the pharmacology, myths, and a myriad of roles for Ketamine in the ED; including analgesia, sedation, agitation, alcohol withdrawal, and suicidal ideation. Part I: Pharmacokinetics and pharmacodynamics of ketamine Produced in 1970s, structurally related to PCP Use declined with: advent of propofol, increasing documented cases of abuse, concerns regarding side effects and ICP effects1 Relegated […]

Prognostic value of plasma lactate levels among patients with acute pulmonary embolism: the thrombo-embolism lactate outcome study

Journal Club Summary Prognostic value of plasma lactate levels among patients with acute pulmonary embolism: the thrombo-embolism lactate outcome study Methodology: 3/5           Usefulness: 2/5 Vanni S, Viviani G, Baioni M, Pepe G, Nazerian P, Socci F, Bartolucci M, Bartolini M, Grifoni S. Ann Emerg Med. 2013 Mar;61(3):330-8 Abstract Link The authors prospectively examined the prognostic value of serum lactate of […]