by Hans Rosenberg | Mar 25, 2019 | Critical Care, Featured, Full Article, Infectious Disease
Journal Club Summary Methodology: 3/5 Usefulness: 3.5/5 Annane D, et al. N Engl J Med. 2018 Mar 1;378(9):809-818. Editorial: A Role for Hydrocortisone Therapy in Septic Shock? Question and Methods: Large multi-center, double-blinded, randomized-controlled trial...
by Katherine Soucie, Richard Hoang, Shankar Sethuraman | Feb 14, 2019 | Featured, Grand Round Summaries
In this post, we will aim to review the literature looking at identifying clinical and historical features that can help differentiate stroke mimics from strokes. We will also discuss the safety of the administration of IV tPA to misdiagnosed stroke mimics. This post...
by Ariel Hendin, Richard Hoang | Oct 25, 2018 | Critical Care, Grand Round Summaries, Resuscitation
When we are caring for a septic patient in the ED, we know that aggressive care with early antibiotics and ensuring adequate preload saves lives. But what do we do when we aren’t sure if more fluid will help any longer? How can we finesse our fluid...
by Shannon Fernando, Bram Rochwerg | Sep 13, 2018 | Critical Care, Featured
Comprehensively discussing sepsis in the Emergency Department (ED) in a three-page blog is quite frankly, impossible. You would be hard-pressed to find a disease process that has undergone such dramatic change over the past two decades. Through it all, we still do not...
by Hans Rosenberg, Erin Rosenberg | Sep 12, 2018 | Critical Care, Featured
As we were preparing for our “Critical Care Week” here at the EM Ottawa Blog, I was thinking I should definitely tap into the knowledge of an ICU physician whom I know very well. That physician is also my awesome wife, Dr. Erin Rosenberg. She’s been a staff...