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

In Featured, Infographics by Krista DowhosLeave a Comment

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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Flow Hacks 10 – An ED Model of Care©.

In Education & Quality Improvement, FLOW Hacks by Laila NasserLeave a Comment

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 …

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CanadiEM MVP Infographic Series – CRASH-2 Trial

In Featured, Infographics by Alixe DickLeave a Comment

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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HiQuiPs: Quality Improvement Projects and Patient Reported Measures

In Education & Quality Improvement, HiQuiPs by Ahmed TaherLeave a Comment

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 …

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“Rock Paper Scissors”: A Mnemonic for Testing Peripheral Nerve Motor Functions of the Hand

In Tiny Tips by James KongLeave a Comment

Upper extremity injuries are one of the common reasons for visits to the emergency department. A quick physical exam, including both motor and sensory exam of the hand, can help triage the severity and urgency for referral to upper extremity specialists. When assessing the distal peripheral nerve motor functions of the hand, try using this mnemonic: “Rock, Paper, Scissors”. Peripheral Nerve Muscles Innervated Movement Mnemonics Median​1​ Flexor Digitorum Superficialis Finger Flexion Rock   …