Schedule | Department of Emergency Medicine

View the 2019-2020 Schedule.

2021

February 16, 2021

Early Self Proning in Awake Non-intubated Patients in the Emergency Department: A single EDs Experience During the COVID-19 Pandemic | Stimulus Questions

NEJM: Endoscopy for upper GI bleed | Stimulus Questions

2020

January 21, 2020

Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial.

Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators.
Paul R. Atkinson,James Milne, Laura Diegelmann,Hein Lamprecht,Melanie Stander, David Lussier,Ryan Henneberry, Jacqueline Fraser, Michael Howlett, Jayanand Mekwan, Brian Ramrattan, Joanna Middleton, Daniel J.van Hoving, Mandy Peach, Luke Taylor, Tara Dahn, Sean Hurley, David A.Lewis.

2019

December 17, 2019

Thrombolysis Guided by Perfusion Imaging up to 9 Hours after Onset of Stroke.
Henry Ma, Ph.D., Bruce C.V. Campbell, Ph.D, Mark W. Parsons Ph.D, Leonid Churilov, Ph.D, Christopher R. Levi, M.B., B.S, Chung Hsu, Ph.D, Timothy J. Kleinig, Ph.D, Tissa Wijeratne, M.D., Sami Curtze, Ph.D, Helen M. Dewey, Ph.D, Ferdinand Miteff, M.B., B.S., Chon-Haw Tsai, Ph.D, et al., for the EXTEND Investigators. https://www.nejm.org/doi/full/10.1056/NEJMoa1813046.

Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial.
Kortekangas T, Haapasalo H, Flinkkilä T, Ohtonen P, Nortunen S, Laine HJ, Järvinen TL, Pakarinen H. https://www.ncbi.nlm.nih.gov/pubmed/30674451

November 19, 2019

Does Initial Temperature in the Emergency Department Predict Outcomes in Patients Admitted for Sepsis?
Khodorkovsky B, Youssef E, Adamakos F, Cina T, Falco A, LaMura L, Marion A, Nathan S, Hahn B. Does Initial Temperature in the Emergency Department Predict Outcomes in Patients Admitted for Sepsis? J Emerg Med. 2018 Sep;55(3):372-377. doi: 10.1016/j.jemermed.2018.06.008. Epub 2018 Jul 21.

Defining the criteria for intubation of the patient with thermal burns.
Badulak J, Schurr M, Sauaia A, Ivashchenko A, Peltz E. Burns Journal, 2018 May; V44 (3): 531-538
https://www.sciencedirect.com/science/article/pii/S0305417918301062

Oct. 15, 2019

Evaluation of out-of-hospital cardiac arrest using transesophageal echocardiography (TEE) in the emergency department
Teran F et al. Evaluation of out-of-hospital cardiac arrest using transesophageal echocardiography in the emergency department. Resuscitation. 2019 Apr;137:140-147. doi: 10.1016/j.resuscitation.2019.02.013. Epub 2019 Feb 16.

Blood Culture Results Before and After Antimicrobial Administration in Patients With Severe Manifestations of Sepsis: A Diagnostic Study
Cheng MP, Stenstrom R, et al. Blood Culture Results Before and After Antimicrobial Administration in Patients With Severe Manifestations of Sepsis: A Diagnostic Study. Ann Intern Med. 2019 Sep 17. doi: 10.7326/M19-1696. [Epub ahead of print]

Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm
Lascarrou JB, et al. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm. N Engl J Med. 2019 Oct 2. doi: 10.1056/NEJMoa1906661. [Epub ahead of print]

Host site: St. Paul's Hospital

Sept 17, 2019

C-Reactive Protein Testing to Guide Antibiotic Prescribing for COPD Exacerbations
Butler CC, Gillespie D, White P, Bates J, Lowe R, Thomas-Jones E, Wootton M, Hood K, Phillips R, Melbye H, Llor C, Cals JWL, Naik G, Kirby N, Gal M, Riga E, Francis NA. C-Reactive Protein Testing to Guide Antibiotic Prescribing for COPD Exacerbations. N Engl J Med. 2019 Jul 11;381(2):111-120. doi: 10.1056/NEJMoa1803185.

CRP-guided antibiotic treatment in acute exacerbations of COPD in hospital admissions
Prins HJ, Duijkers R, van der Valk P, Schoorl M, Daniels JMA, van der Werf TS, Boersma WG. CRP-guided antibiotic treatment in acute exacerbations of COPD in hospital admissions. Eur Respir J. 2019 May 23;53(5). pii: 1802014. doi: 10.1183/13993003.02014-2018. Print 2019 May.

Host site: Vancouver General Hospital

June 18, 2019

Buddy taping versus splint immobilization for paediatric finger fractures: a randomized controlled trial
Weber DM, Seiler M, Subotic U, Kalisch M, Weil R. Buddy taping versus splint immobilization for paediatric finger fractures: a randomized controlled trial. J Hand Surg Eur Vol. 2019 Jan 31:1753193418822692. doi: 10.1177/1753193418822692.

Levetiracetam versus phenytoin for second-line treatment of convulsive status epilepticus in children (ConSEPT): an open-label, multicentre, randomised controlled trial
Dalziel SR et al. Levetiracetam versus phenytoin for second-line treatment of convulsive status epilepticus in children (ConSEPT): an open-label, multicentre, randomised controlled trial. Lancet. 2019 Apr 17. pii: S0140-6736(19)30722-6. doi: 10.1016/S0140-6736(19)30722-6.

Utility of Neuroimaging in Children Presenting to a Pediatric Emergency Department With Ataxia
Luetje M, Kannikeswaran N, Arora R, Wang B, Farooqi A, Sivaswamy L. Utility of Neuroimaging in Children Presenting to a Pediatric Emergency Department With Ataxia. Pediatr Emerg Care. 2019 May;35(5):335-340. doi: 10.1097/PEC.0000000000001823.

Host site: St. Paul's Hospital

May 21, 2019

Coronary Angiography after Cardiac Arrest without ST-Segment Elevation
Lemkes JS, et al. Coronary Angiography after Cardiac Arrest without ST-Segment Elevation. N Engl J Med. 2019 Apr 11;380(15):1397-1407. doi: 10.1056/NEJMoa1816897.

Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation
Pluymaekers NAHA, et al. Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation. N Engl J Med. 2019 Apr 18;380(16):1499-1508. doi: 10.1056/NEJMoa1900353. Epub 2019 Mar 18.

Atraumatic versus conventional lumbar puncture needles: a systematic review and meta-analysis
Nath S, et al. Atraumatic versus conventional lumbar puncture needles: a systematic review and meta-analysis. Lancet. 2018 Mar 24;391(10126):1197-1204. doi: 10.1016/S0140-6736(17)32451-0.

Host site: Vancouver General Hospital

Apr. 16, 2019

Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults
Casey JC, et al. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. N Engl J Med. 2019 Feb 28;380(9):811-821. doi: 10.1056/NEJMoa1812405. Epub 2019 Feb 18.

Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial
Walker K, et al. Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial. BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l121 (Published 30 January 2019)

Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial
April MD, Oliver JJ, Davis WT, Ong D, Simon EM, Ng PC, Hunter CJ. Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med. 2018 Aug;72(2):184-193. doi: 10.1016/j.annemergmed.2018.01.016. Epub 2018 Feb 17.

Host site: Lions Gate Hospital

Mar. 19, 2019

Test Characteristics of Point-of-care Ultrasound for the Diagnosis of Retinal Detachment in the Emergency Department
Kim DJ, Francispragasam M, Docherty G, Silver B, Prager R, Lee D, Maberley D. Test Characteristics of Point-of-care Ultrasound for the Diagnosis of Retinal Detachment in the Emergency Department. Acad Emerg Med. 2019 Jan;26(1):16-22. doi: 10.1111/acem.13454. Epub 2018 Dec 17.

Duration o f Electrocardiographic Monitoring of Emergency Department Patients with Syncope
Thiruganasambandamoorthy V, Rowe BH, Sivilotti MLA, McRae AD, Arcot K, Nemnom MJ, Huang L, Mukarram M, Krahn AD, Wells GA, Taljaard M. Duration of Electrocardiographic Monitoring of Emergency Department Patients with Syncope. Circulation. 2019 Jan 21. doi: 10.1161/CIRCULATIONAHA.118.036088.

Host site: Royal Columbian Hospital

Feb. 19, 2019

Sodium bicarbonate on severe metabolic acidosis during prolonged cardiopulmonary resuscitation: a double-blind, randomized, placebo-controlled pilot study
Ahn S, Kim YJ, Sohn CH, Seo DW, Lim KS, Donnino MW, Kim WY. Sodium bicarbonate on severe metabolic acidosis during prolonged cardiopulmonary resuscitation: a double-blind, randomized, placebo-controlled pilot study. J Thorac Dis. 2018 Apr;10(4):2295-2302. doi: 10.21037/jtd.2018.03.124.

Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial
Moore HB, et al. Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial. Lancet. 2018 Jul 28;392(10144):283-291. doi: 10.1016/S0140-6736(18)31553-8. Epub 2018 Jul 20.

Host site: Surrey Memorial Hospital

Jan. 15, 2019

Tranexamic acid for hyperacute primary IntraCerebral Haemorrhage (TICH-2): an international randomised, placebo-controlled, phase 3 superiority trial
Sprigg N, et al. Tranexamic acid for hyperacute primary IntraCerebral Haemorrhage (TICH-2): an international randomised, placebo-controlled, phase 3 superiority trial. Lancet. 2018 May 26;391(10135):2107-2115. doi: 10.1016/S0140-6736(18)31033-X.

Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial
Motov S, et al. Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med. 2015 Sep;66(3):222-229.e1. doi: 10.1016/j.annemergmed.2015.03.004. Epub 2015 Mar 26.

Host site: Vancouver General Hospital

2018

Dec. 18, 2018

Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department
Osmond M, et al. Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department. CMAJ July 09, 2018 190 (27) E816-E822.

Hydrocortisone plus Fludrocortisone for Adults with Septic Shock
Annane D et al. Hydrocortisone plus Fludrocortisone for Adults with Septic Shock. N Engl J Med. 2018 Mar 1;378(9):809-818.

Host site: Lions Gate Hospital

Nov. 20, 2018

Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial
Wang H et al. Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2018 Aug 28;320(8):769-778. doi: 10.1001/jama.2018.7044.

Apneic oxygenation reduces hypoxemia during endotracheal intubation in the pediatric emergency department
Vukovic AA, Hanson HR, Murphy SL, Mercurio D, Sheedy CA, Arnold DH. Apneic oxygenation reduces hypoxemia during endotracheal intubation in the pediatric emergency department. Am J Emerg Med. 2018 Apr 18. pii: S0735-6757(18)30321-8. doi: 10.1016/j.ajem.2018.04.039.

Host site: St. Paul's Hospital

Oct. 16, 2018

Topical TranexamicAcid Compared With Anterior NasalPacking for Treatment of Epistaxis inPatients Taking Antiplatelet Drugs:Randomized Controlled Trial
Zahed R, Mousavi Jazayeri MH, Naderi A, Naderpour Z, Saeedi M. Topical Tranexamic Acid Compared With Anterior Nasal Packing for Treatment of Epistaxis in Patients Taking Antiplatelet Drugs: Randomized Controlled Trial. Acad Emerg Med. 2018 Mar;25(3):261-266. doi: 10.1111/acem.13345. Epub 2017 Dec 9.

Association of Preprocedural Fasting With Outcomes of Emergency Department Sedation in Children
Bhatt M et al. Association of Preprocedural Fasting With Outcomes of Emergency Department Sedation in Children. JAMA Pediatr. 2018 Jul 1;172(7):678-685. doi: 10.1001/jamapediatrics.2018.0830.

Host site: Royal Columbian Hospital

Sept. 18, 2018

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest
Perkins et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2018 Aug 23;379(8):711-721. doi: 10.1056/NEJMoa1806842. Epub 2018 Jul 18.

Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis
Kuppermann et al. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. N Engl J Med. 2018 Jun 14;378(24):2275-2287. doi: 10.1056/NEJMoa1716816.

Host site: Vancouver General Hospital

June 19, 2018

A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis
Franklin D, Babl FE, Schlapbach LJ, Oakley E, Craig S, Neutze J, Furyk J, Fraser JF, Jones M, Whitty JA, Dalziel SR, Schibler A. A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. N Engl J Med. 2018 Mar 22;378(12):1121-1131. doi: 10.1056/NEJMoa1714855.

Prediction and risk stratification of survival in accidental hypothermia requiring extracorporeal life support: An individual patient data metaanalysis
Saczkowski RS, Brown DJA, Abu-Laban RB, Fradet G, Schulze CJ, Kuzak ND. Prediction and risk stratification of survival in accidental hypothermia requiring extracorporeal life support: An individual patient data meta-analysis. Resuscitation. 2018 Mar 23;127:51-57. doi: 10.1016/j.resuscitation.2018.03.028. [Epub ahead of print]

Host site: St. Paul's Hospital

May 15, 2018

The Clavicle Trial: A Multicenter Randomized Controlled Trial Comparing Operative with Nonoperative Treatment of Displaced Midshaft Clavicle Fractures
Ahrens PM, Garlick N, Barber J, Tims EM; Clavicle Trial Collaborative Group. The Clavicle Trial: A Multicenter Randomized Controlled Trial Comparing Operative with Nonoperative Treatment of Displaced Midshaft Clavicle Fractures. J Bone Joint Surg Am. 2017 Aug 16;99(16):1345-1354. doi: 10.2106/JBJS.16.01112

Balanced Crystalloids versus Saline in Noncritically Ill Adults
Self WH, Semler MW, Wanderer JP, Wang L, Byrne DW, Collins SP, Slovis CM, Lindsell CJ, Ehrenfeld JM, Siew ED, Shaw AD, Bernard GR, Rice TW; SALT-ED Investigators. Balanced Crystalloids versus Saline in Noncritically Ill Adults. N Engl J Med. 2018 Mar 1;378(9):819-828. doi: 10.1056/NEJMoa1711586. Epub 2018 Feb 27.

Syncope Prognosis Based on Emergency Department Diagnosis: A Prospective Cohort Study
Toarta C, Mukarram M, Arcot K, Kim SM, Gaudet S, Sivilotti MLA, Rowe BH, Thiruganasambandamoorthy V. Syncope Prognosis Based on Emergency Department Diagnosis: A Prospective Cohort Study. Acad Emerg Med. 2018 Apr;25(4):388-396. doi: 10.1111/acem.13346. Epub 2018 Jan 11.

Host site: Vancouver General Hospital

Apr. 17, 2018

Emergency Department use of Apneic Oxygenation Versus Usual Care During Rapid SequenceIntubation: A Randomized Controlled Trial (The ENDAO Trial)

Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic EventsAmong Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial

Is the Pelvic Examination Still Crucial in Patients Presenting to the Emergency DepartmentWith Vaginal Bleeding or Abdominal Pain When an Intrauterine Pregnancy Is Identified on Ultrasonography? A Randomized Controlled Trial

Host site: Lion's Gate Hospital