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Hydrocortisone in Severe Community-Acquired Pneumonia

Hydrocortisone in Severe Community-Acquired Pneumonia

by Kevin Guo, Hans Rosenberg, Krishan Yadav | May 3, 2023 | Critical Care, Featured, Infectious Disease, Journal Club, Resuscitation

Methodology: 4/5 Usefulness: 4/5 Dequin PF, et al. N Engl J Med. 2023 Mar 21. doi: 10.1056/NEJMoa2215145. Question and Methods:  Pneumosepsis can lead to pulmonary and systemic inflammation that can increase risk of organ failure and death. The authors attempted to...
A Dive into Drowning – Part One

A Dive into Drowning – Part One

by James Gilbertson, Amanda Mattice, Doran Drew | Apr 27, 2023 | cardiac arrest, Grand Round Summaries, Resuscitation

Drowning accounts for over 360,000 worldwide deaths annually, including the deaths of hundreds of Canadians.[1],[2] Despite this, accurate drowning statistics remain obscured by significant under-reporting.[1] As an emergency physician you will see drowning patients...
Bite Club: Comprehensive Guide to Bite Management (Part 2)

Bite Club: Comprehensive Guide to Bite Management (Part 2)

by Hailey Newton | Apr 20, 2023 | Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Trauma

In Part 1 of this 2 part series, we focused on animal bite management. In Part 2, we will look at our approach to human bites and considerations around addressing Rabies related concerns.   Human Bites Human bites can present as: Occlusive bites: Bites from human...
Bite Club: Comprehensive Guide to Bite Management (Part 1)

Bite Club: Comprehensive Guide to Bite Management (Part 1)

by Hailey Newton | Apr 13, 2023 | Featured, Grand Round Summaries, Infectious Disease, Trauma

On first glance, bite management may seem like a seemingly simple presentation in the ED. However, in today’s literature, there remains a lot of controversy regarding bite management. Who do you give antibiotics to? Can you suture the wound? When should you worry...
Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension

by James Gilbertson, Hans Rosenberg, Ian Stiell | Apr 9, 2023 | Critical Care, Featured, Infectious Disease, Journal Club, Resuscitation

Methodology: 4/5 Usefulness: 3/5 National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network; et al.  N Engl J Med. 2023 Feb 9;388(6):499-510. doi: 10.1056/NEJMoa2212663. Epub 2023 Jan 21.  Question and...
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