Editor’s note: This post marks the third in a series of posts outlining the evidence surrounding various aspects of CPR by Dr. Stu Netherton. Follow along as he covers Rate of Compression, Depth of Compression, Chest Wall Recoil, Minimizing Interruptions, and Avoiding Excessive Ventilation. Part 3 – Chest Wall Recoil The third component of high quality CPR is to allow full chest wall recoil. The 2015 guideline states: “It is reasonable for rescuers …
Evidence Bite: Medical Education and caring for transgender patients
Transgender (trans) people make up 0.6% of the population1, yet are among the most underserved in health care.2–5 Barriers to accessing care have been linked to unsafe surgical practices, self-prescribed hormone therapy, and even in the high rate of suicidality among trans Ontarians.6–10 Just over half of trans people report having negative Emergency Department (ED) experiences specifically related to their identity, while one fifth avoid the ED altogether out of fear of discrimination, suboptimal care, …
New Oncologic Therapies Mean New Oncologic Emergencies: An Approach to Immunotherapy-Related Adverse Events
A 63-year-old man, Andrew, presents to the emergency department with a several-day history of worsening diarrhea. He has abdominal pain rated 6/10, has been having over 8 loose stools per day for 4 days, and tells you he has seen some blood and mucus in his stools. He denies any nausea, vomiting, fevers or chills, sick contacts or recent travel. However, he tells you that he is under-going active treatment for Stage IV …
Sirens to Scrubs: Acute Coronary Syndromes, Part Two – To the Lab!
Disclaimer: The procedures and therapies discussed in this post are extrapolated from a number of ambulance services globally. This does not replace the direction of readers’ ambulance service clinical guidelines or protocols and should not be used in place of local guidelines or protocols. If you believe something in this post would benefit your ambulance service, contact your local medical director(s) before altering your own practice. In Part One of this series our …
Blood & Clots Series: How do you choose an anticoagulant for stroke prevention in atrial fibrillation?
All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Expert, health advocate, communicator Case Description A 52 year old lady attends the emergency department with a several week history of palpitations. She is found to have atrial fibrillation. You have started a beta blocker and she is in a stable condition for discharge. You evaluate the need for stroke prevention and discuss the options with her. …
CPR Update Series Part 2 – Depth of Compression
Editor’s note: This post marks the second in a series of posts outlining the evidence surrounding various aspects of CPR by Dr. Stu Netherton. Follow along as he covers Rate of Compression, Depth of Compression, Chest Wall Recoil, Minimizing Interruptions, and Avoiding Excessive Ventilation. To guide the depth of our compressions during CPR, the 2015 AHA guidelines state: “During manual CPR, rescuers should perform chest compressions at a depth of at least 2 …