Peri-Intubation Hypoxia After Delayed Versus Rapid Sequence Intubation in Critically Injured Patients on Arrival to Trauma Triage: A Randomized Controlled Trial
EMOttawa
by Isabella Menchetti
2d ago
Methodology: 3/5 Usefulness: 3/5 Bandyopadhyay A, et al. Anesth Analg. 2023 May 1;136(5):913-919. Question and Methods: This is the first RCT looking at DSI vs RSI in adult trauma patients with no difficult airway features. All intubations performed by an anesthesia PGY2 with direct laryngoscopy. Findings: The primary outcome was incidence of peri-intubation hypoxia. They report […] The post Peri-Intubation Hypoxia After Delayed Versus Rapid Sequence Intubation in Critically Injured Patients on Arrival to Trauma Triage: A Randomized Controlled Trial appeared first on EMOttawa Blog ..read more
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Posterior Circulation Strokes
EMOttawa
by Kathleen O'Connell
2w ago
Posterior circulation ischemia accounts for approximately 20-25% of all ischemic strokes and is a significant cause of patient disability. The diagnosis can be extremely challenging as findings are often not typically focal. Posterior strokes are misdiagnosed more than 3x more often than anterior circulation strokes.1 Similar to anterior circulation strokes, posterior strokes are most commonly […] The post Posterior Circulation Strokes appeared first on EMOttawa Blog ..read more
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Venomous Snake Bites: The Fangs, The Guidelines, The Myths
EMOttawa
by Amanda Mattice
2w ago
In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be considered a HALO (high acuity low occurrence) presentation for which you […] The post Venomous Snake Bites: The Fangs, The Guidelines, The Myths appeared first on EMOttawa Blog ..read more
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Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial
EMOttawa
by Brenton Wong
1M ago
Methodology: 3.5/5 Usefulness: 3/5 Freund Y, et al. JAMA. 2023 Dec 19;330(23):2267-2274.  Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial appeared first on EMOttawa Blog ..read more
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Lacerations: The secrets they don’t want you to know
EMOttawa
by Maria Doubova
1M ago
Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1). Let’s review some of the evidence (or lack thereof) surrounding laceration repair so that we can be better at […] The post Lacerations: The secrets they don’t want you to know appeared first on EMOttawa Blog ..read more
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Ketamine and Etomidate: Into the Void
EMOttawa
by Isabella Manchetti
1M ago
We’re increasingly cognizant of the physiological importance of maintaining specific hemodynamics during resuscitation. Practice patterns vary broadly, so we’ve done a deep dive into the various evidence around the use of ketamine and etomidate in specific clinical scenarios.     Physiology of the rapid sequence intubation Rapid sequence intubation (RSI) is the nearly simultaneous administration […] The post Ketamine and Etomidate: Into the Void appeared first on EMOttawa Blog ..read more
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Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest (ARREST): a UK prospective, multicentre, parallel, randomised clinical trial
EMOttawa
by William Wu
1M ago
Methodology: 5/5 Usefulness: 3/5 Patterson T, et al. Lancet. 2023 Oct 14;402(10410):1329-1337. Patients who sustain an out-of-hospital cardiac arrest without signs of ST elevation had no improvement in mortality or functional neurological outcomes when transported to a cardiac arrest centre compared to standard of care. Question and Methods: In patients with non-ST elevation OHCA, does […] The post Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest (ARREST): a UK prospective, multicentre, parallel, randomised clinical trial appeared first on EMOtt ..read more
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Abortion Care in the Emergency Department
EMOttawa
by Pascale King
1M ago
Abortion history in Canada is Complex. Countless hardships were overcome on the long journey to the legalization of medical induced abortion (IA). This blog post will focus on what you need to know as an acute care provider. Context: Unsafe abortions are the leading preventable causes of maternal death and morbidity (4.7-13.2% of maternal deaths). […] The post Abortion Care in the Emergency Department appeared first on EMOttawa Blog ..read more
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Lung Protective Ventilation
EMOttawa
by Cameron Leafloor
1M ago
In our first part, we talked about the basics of mechanical ventilation and how to set up the ventilator for the busy ED doc! In part two, we discuss lung protective ventilation and go through a few cases to help solidify what we’ve learned. If you haven’t read part one – check it out here!  […] The post Lung Protective Ventilation appeared first on EMOttawa Blog ..read more
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Extracorporeal Life Support in Infarct-Related Cardiogenic Shock
EMOttawa
by Sara El Jaouhari
2M ago
Methodology: 4/5 Usefulness: 3.5/5 Thiele H, et al. N Engl J Med. 2023 Oct 5;389(14):1286-1297. Editorial: Routine Early ECLS in Infarct-Related Cardiogenic Shock? Question: Does early ECLS therapy confer a mortality benefit in patients with MI complicated by cardiogenic shock? Methods:  Open label RCT with 417 patients comparing 30-day all-cause mortality between ECLS versus standard […] The post Extracorporeal Life Support in Infarct-Related Cardiogenic Shock appeared first on EMOttawa Blog ..read more
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