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An Update for the Adrenaline Junky: Refine Your Anaphylaxis Management

An Update for the Adrenaline Junky: Refine Your Anaphylaxis Management

by Graham Wilson, Alex Coutin | Mar 18, 2021 | Critical Care, Featured, Grand Round Summaries, Immunology, Main page, Pediatrics

What chief complaint will you manage on both an adult and pediatric emergency shift? When you’re running through differentials for hypotension or shock, what life threatening conditions are on the list? When you think of airways that keep you up at night, scenarios...
Management of PEA: in need of resuscitation?

Management of PEA: in need of resuscitation?

by Bo Zheng, Alex Coutin | Jan 16, 2020 | Airway, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation

What is pulseless electric activity (PEA)? Pulseless electrical activity is diagnosed based on a patient having an organized, non-shockable rhythm and no palpable pulse.  However, PEA is not always a cardiac arrest state.  In many cases, patients with PEA have...
Updates in Prehospital and Transport Medicine

Updates in Prehospital and Transport Medicine

by Daniel Beamish, Richard Hoang, Shankar Sethuraman | Jul 25, 2019 | Grand Round Summaries, Pre-Hospital, Resuscitation, Trauma

There was a significant amount of pre-hospital research published in 2018; many trials were that will no doubt inform future guidelines and change practice. This post seeks to look at some of the historical features of prehospital research and give us a road map for...
A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest.

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest.

by Hans Rosenberg | Oct 29, 2018 | cardiac arrest, Cardiology, Critical Care, Journal Club, Resuscitation

Journal Club Summary: A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest Methodology Score: 4/5 Usefulness Score: 3.5/5 Perkins GD, et al N Engl J Med. 2018 Jul 18. Editorial:  Testing Epinephrine for Out-of-Hospital Cardiac Arrest. Callaway CW, et...

Double-Blind Prospective Randomized Controlled Trial of Dopamine Versus Epinephrine as First-Line Vasoactive Drugs in Pediatric Septic Shock

by emottawa | Nov 7, 2016 | Journal Club

Journal Club Summary Methodology Score: 3.5/5                 Usefulness Score:  3/5   Ventura AMC, et al. Crit Care Med. 2015 Nov;43(11):2292-302   Abstract Link   This well designed RCT demonstrated that in fluid refractory pediatric septic shock, dopamine is...
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