What is nurse-led ACLS (Advanced Cardiac Life Support)? A resuscitation model where a nurse takes on a leadership role coordinating and running the ACLS algorithm as part of the overall resuscitation effort. Nursing leadership has always played an integral role in hospital resuscitations, however, it has traditionally been in anRead More →
In the current age of the COVID-19 pandemic, we find ourselves inundated with headline articles and millions of daily social media posts on the novel coronavirus. For the frontline healthcare worker, the massive amount of online information can be overwhelming, and for the general public, it often feels as thoughRead More →
Originally published in CJEM 2020, we explore the role of twitter in the dissemination of medical information/misinformation during the COVID-19 pandemic. Read the original article for more information!Read More →
Methodology: 3/5 Usefulness: 3/5 Butler CC, et al. Lancet. 2020 Jan 4;395(10217):42-52. Editorial: Neuraminidase inhibitors for influenza-like illness in primary care. Question and Methods: This was a pragmatic randomised controlled trial of 3266 patients, where patients were randomised to either usual care or usual care with oseltamivir. Findings: Symptom durationRead More →
Fear, while on a mission (see below for a French translation). It was not that long ago, my husband was strapped on a missile (on purpose) at the Baikonur Cosmodrome in Kazakhstan. I sat in the dirt at 17:21, on the bare Kazak Steppes, eyes focused on the Soyuz RocketRead More →
Methodology: 2/5 Usefulness: 3/5 Brown SGA, et al. N Engl J Med. 2020 Jan 30;382(5):405-415. Question and Methods: Is conservative/observational treatment of moderate-large spontaneous pneumothorax non-inferior to chest tube insertion? Multicentre RCT at 39 hospitals in Australia and New Zealand. Findings: Total of 316 patients. Re-expansion <8 weeks occurred inRead More →
In this post, we aim to highlight the perspectives of family, physicians, the emergency department and pre-hospital medicine in regards to organ donation. Types of Organ Tissue Donation There are 2 main types of deceased organ donation including neurologic determination of death and donation after circulatory determination of death. NeurologicRead More →
Methodology: 3/5 Usefulness: 2.5/5 Butler CC, et al. N Engl J Med. 2019 Jul 11;381(2):111-120 Editorial: COPD Exacerbations – A Target for Antibiotic Stewardship. Question and Methods: This was a multicenter RCT to determine if POCT CRP testing vs usual care may help safely reduce unnecessary use of antibiotics. Findings: Antibiotics wereRead More →
Your friendly neighborhood Emergency doctor here with a message for Canadians. Hey Canada, sitting here on the frontlines – we see you. Staying home, helping to gather PPE, supporting us, and feeding us, you’re helping us to do our jobs. When we see you helping to support frontline workers, itRead More →
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).Read More →