Is first pass success without hypoxemia increased with the use of apneic oxygenation during rapid sequence intubation in the emergency department? As part of the MVP infographic series, this post reviews an article by Sakles et al. looking at apneic oxygenation in rapid sequence intubation (RSI). Previous studies have shown that multiple intubation attempts during RSI are associated with an increase in adverse events such as hypoxemia, hypotension, and cardiac arrest1–6. Thus, it …
ThromboPhonia E02, Re-starting Anti-Coagulation After Intracranial Hemorrhage
View PostFlow Hacks 10 – An ED Model of Care©.
To continue our FLOW Hacks series, Mary Van Osch (RN, MSN, ENC) discusses her team’s new Emergency Department Model of Care (ED MOC ©) at Fraser Health in British Columbia. Setting The model was implemented at Fraser Health in British Columbia, across 12 emergency departments (ED) with a total of 720,000 visits per year. Description of Innovation The ED MOC © was developed at Fraser Health by the Emergency Network core team after …
Resources to support competency-based medical education implementation in emergency medicine
View PostCanadiEM MVP Infographic Series – CRASH-2 Trial
CanadiEM MVP Infographic Series – CRASH-2 Trial As part of the MVP infographics series, this article features the CRASH-2 Trial that evaluated the use of tranexamic acid (TXA) in trauma patients with significant hemorrhage. Previous to this study, a significant amount of evidence existed in support of the use of TXA in patients undergoing elective surgery to prevent bleeding. The homeostatic mechanisms responsible for hemorrhage in trauma patients and those undergoing elective surgery …
HiQuiPs: Quality Improvement Projects and Patient Reported Measures
You are about to start a Quality Improvement (QI) project in your ED. You have noted that clinicians are being interrupted frequently by patient questions about the ED process and non patient care related inquiries. You have read previously that emergency physicians were being interrupted an average of 9.7 times per hour and may result in a break in tasks, which may lead to negative patient safety implications.1–3 You have set up a …