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Restriction of Intravenous Fluid in ICU Patients with Septic Shock

by Zach MacDonald, Hans Rosenberg, Christian Vaillancourt | Dec 26, 2022 | Critical Care, Journal Club

Methodology: 4/5 Usefulness: 3/5 Meyhoff TS, et al. N Engl J Med. 2022 Jun 30;386(26):2459-2470. Question and Methods: International, stratified, parallel group, open-label, randomized clinical trial where ICU patients were randomized to restrictive or standard fluid...
Acetazolamide in Acute Decompensated Heart Failure with Volume Overload

Acetazolamide in Acute Decompensated Heart Failure with Volume Overload

by Hashim Kareemi, Hans Rosenberg, Jeff Perry | Dec 20, 2022 | Cardiology, Journal Club

Methodology Score: 4/5 Usefulness Score: 2/5 (Emergency)                                  4/5 (Internal medicine) Mullens W, et al. N Engl J Med. 2022 Sep 29;387(13):1185-1195.  Editorial: New Decongestion Strategies in an Evolving Heart Failure Landscape. Question...
Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest

Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest

by Alie Wudwud, Hans Rosenberg, Jeff Perry | Dec 11, 2022 | cardiac arrest, Cardiology, Critical Care, Journal Club

Methodology: 4/5 Usefulness: 4/5 Kjaergaard J, et al. N Engl J Med. 2022 Oct 20;387(16):1456-1466. Question and Methods: This was a double-blind, randomized trial assessing whether a higher or lower arterial blood-pressure target would be superior in preventing death...
Awake Intubation in the ED: A Practical Update

Awake Intubation in the ED: A Practical Update

by Nicholas Choi | Dec 1, 2022 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Resuscitation

Awake intubations are an uncommon procedure, so cognitively practicing the nuances can be critically important to success. Here, we present an updated practical guide on awake intubations in the ED intended to supplement a previously posted topic. You can see the...
Accuracy of Ultrasound Jugular Venous Pressure Height in Predicting Central Venous Congestion

Accuracy of Ultrasound Jugular Venous Pressure Height in Predicting Central Venous Congestion

by Zacchary Fredette, Hans Rosenberg, Debra Eagles | Nov 28, 2022 | Cardiology, Journal Club, Ultrasound

Methodology: 3/5 Usefulness: 1.5/5 Wang L, et al. Ann Intern Med. 2022 Mar;175(3):344-351. Question and Methods: Using a convenience sample of 100 patients out of 4436 going for right heart catheterization in 2 US academic hospitals, the authors wanted to validate the...
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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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