Daniel J. Pallin

Does a Normal

The diagnosis of acute aortic dissection (AAD) is generally made by contrast-enhanced computed tomography or transesophageal echocardiography. No

Is Paramedic ALS Better Than BLS for Cardiac Arrest After Blunt Trauma

Using Japans nationwide registry of out-of-hospital cardiac arrests, investigators compared advanced life support (ALS) and basic life support (BLS)

It's Better with a Bougie!

The bougie is traditionally reserved for anticipated difficult airways or for rescue after a failed attempt. Now investigators report on a large trial

Is the Canadian CT Head Rule Applicable to Patients with Minimal Head Trauma

The Canadian Computed Tomography (CT) Head Rule was developed and validated in patients with minor head trauma involving loss of consciousness or

Maybe Paramedics Should Not Perform Endotracheal Intubation

Prior research has cast doubt on the value of endotracheal intubation of cardiac arrest patients by paramedics (NEJM JW Emerg Med Apr 2018 and JAMA

Triage Nurses Can Implement the Canadian C-Spine Rule Safely

Prehospital personnel are rightly compulsive about applying cervical collars, but the collars are uncomfortable for patients and may nudge providers

The Surviving Sepsis Campaign: A Rush to Judgment

In April 2018, the Surviving Sepsis Campaign (SSC) — an initiative sponsored by the Society of Critical Care Medicine and the European Society of

What Happens When the History and Physical Exam Are Not Private

Although privacy is important in physician-patient interactions, there has been limited research on the effects of practicing medicine without privacy.

For Rapid Sedation of the Agitated Patient, Consider Midazolam

Agitated patients often require sedation, but what is the best medication? Investigators conducted a prospective observational study in which all

A Sacred Cow Slaughtered: Eliminating the Glasgow Coma Scale from Trauma Field Triage

A signature contribution of modern prehospital care has been to regionalize trauma care. Under regionalization, severely injured patients are not