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Multifaceted quality improvement initiatives improve rate of pediatric hand injury reduction

Multifaceted quality improvement initiatives improve rate of pediatric hand injury reduction

by Jessica Tat, Hans Rosenberg, Krishan Yadav | May 10, 2023 | Full Article, Journal Club, Orthopedics

Methodology: 2/5 Usefulness: 3/5 Market M, et al. CJEM. 2022 Jun;24(4):426-433.  Question & methods: Whether quality improvement interventions could decrease the rate of repeat reductions in pediatric hand injuries by plastic surgeons. The study was conducted...
A Dive into Drowning – Part Two

A Dive into Drowning – Part Two

by James Gilbertson, Amanda Mattice, Doran Drew | May 4, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation

Previously in Part One, we reviewed the pathophysiology and pre-hospital management of patients who experienced non-fatal and fatal drownings. Now, in Part Two, let’s take a deeper dive into the resuscitation of these patients in the Emergency Department as well...
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 Two

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...
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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