CanadiEM MVP Infographic Series – First Pass Success Without Hypoxemia is Increased With the Use of Apneic Oxygenation During Rapid Sequence Intubation in the Emergency Department

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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 arrest​1–6​. Thus, it …

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CanadiEM MVP Infographic Series – CRASH-2 Trial

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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 …

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CanadiEM MVP Infographic Series – A Study to Develop Clinical Decision Rules for the Use of Radiography in Acute Ankle Injuries

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This post will highlight a study by Stiell et. al (1992) in which the authors successfully developed highly sensitive clinical decision rules to detect significant ankle and foot fractures on radiography.1   At the time of this study, the authors noted that there were no widely accepted guidelines for the use of radiography in ankle injuries.2,3 Ankle radiographic series were the second most commonly performed musculoskeletal exam in the emergency department despite the incidence …

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CanadiEM MVP Infographic Series

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Introducing the CanadiEM MVP Infographic Series Evidence-based practice is critical for delivering quality emergency care, but with such a broad specialty identifying and recalling high-yield studies can be challenging. This is especially true for new EM learners, who are tasked with becoming evidence-informed while transitioning to practice. To make this process easier, CJEM recently published a survey-based study aimed at compiling “must know” papers for emergency medicine trainees. The study, conducted by Bazak …

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CanadiEM MVP Infographic Series – Prospective multicenter evaluation of the pulmonary embolism rule-out criteria

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As part of the MVP infographic series, this article features a study published by Kline et. al assessing the application of the PERC rule in the emergency department (ED). 1 At the time of this study, the authors noted that there was an increased frequency of testing for pulmonary embolism (PE) in the ED amongst very low risk patients.2 These patients would undergo CT angiograms which would often be negative leading to more …