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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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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CRACKCast E205 – Confusion

In CRACKCast, Featured, Podcast by Dillan RadomskeLeave a Comment

This updated episode of CRACKCast covers Rosen’s Chapter 014, Confusion (9th Ed.). Confusion is a symptom experience by all at some point or another. Confusion has a spectrum of severity and in the Emergency Department it is associated with high rates of mortality. This podcast will give you the tools to identify the cause of your patient’s alteration and help guide your management. Shownotes – PDF here Rosen’s in Perspective This episode is …

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

In Featured, Infographics by Anuja BhaleraoLeave a Comment

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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CAEP FEI | ImageSim – An Online Image Interpreting Learning System

In Featured, Featured Education Innovations (FEI) by Kathy BoutisLeave a Comment

Lee is a second year pediatric emergency medicine fellow looking at a pediatric ankle x-ray. She is unsure if what she sees is a normal variant like a growth plate or ossification centre, or a fracture. Lee feels like her orthopedic knowledge is weak and wishes there was a tool to help her better learn to interpret visual tests such as x-rays and ECGs before transitioning to staff. This Feature Educational Innovation (FEI), …