Dave MacKinnon Archives - Emergency Medicine Cases

CritCases 3 – GSW to the Chest

EM Cases CritCases 3 - GSW to the chest in a rural setting. In this CritCases we discuss preparation for penetrating trauma in a rural setting, the ABC score, massive transfusion protocol, clamshell thoracotomy, trauma intubation and more. The Case... You are the transport physician on call. A 50-year old male with a history of depression allegedly shot himself in the chest with a rifle. A bystander called 911. The local paramedics are en route and the air transport team is activated with a plan to rendezvous at the nearest hospital, Janus General, which is 90 minutes by ground from the nearest tertiary care centre. You contact the rural hospital for a status update but all they can tell you is that his GCS is 14 and he has a GSW to the central chest.

By Anton Helman|2020-05-31T23:22:55-04:00June 6th, 2016|Categories: CritCases, Emergency Medicine, Medical Specialty, Resuscitation, Trauma|Tags: ABC score, Dave MacKinnon, massive transfusion, Michael Misch, penetrating trauma, permissive hypotension, thoracostomy, thoracotomy, trauma intubation|0 Comments

Episode 39: Update in Trauma Literature

Dr. Dave MacKinnon & Dr. Mike Brzozowski return for an Update in Trauma Literature since the epic Episode 10: Trauma Pearls & Pitfalls. In this episode we discuss predicting the sick trauma patient, videolaryngoscopy vs traditional laryngoscopy, Damage Control Resuscitation, Occult Hemothorax, Blunt Thoracic Aorta and Cardiac Injury, Sternal Fractures, Tranexamic Acid, Communication in the trauma bay and much more......

By Anton Helman|2021-03-30T17:13:06-04:00February 4th, 2014|Categories: EM Cases, Emergency Medicine, Episodes, Hematology, Resuscitation, Trauma|Tags: aortic injury, blunt cardiac injury, damage control resuscitation, Dave MacKinnon, hemothorax, laryngoscopy, Mike Brzozowski, occult hemothorax, sternal fracture, tranexamic acid, video laryngoscopy|0 Comments

Best Case Ever 20: CPR in Trauma

BEST CASE EVER 20: CPR in Trauma?!?! Closed Chest Compressions in Traumatic Arrest?!?! Is CPR ever successful in the trauma patient? Dr. Dave MacKinnon, Trauma Team Leader at St. Michael's Hospital in Toronto, gives you his Best Case Ever in the cardiac arrest trauma patient. The literature is full of case series of zero survival in trauma patients requiring CPR. For example, this report in CJEM. Normally, we should not be thinking of CPR in traumatic arrests, but instead, ED thoracotomy as Scott Weingart of emcrit describes in his podast 36 - Traumatic Arrest. But just wait until you here Dave's Best Case Ever..........

By Anton Helman|2020-05-31T23:22:21-04:00December 3rd, 2013|Categories: Best Case Ever, EM Cases, Emergency Medicine, Resuscitation, Trauma|Tags: best, cardiac arrest, CPR, Dave MacKinnon, penetrating trauma, trauma resuscitation, traumatic arrest|0 Comments

Episode 22a: Whistler Update in Emergency Medicine Conference 2012

In this bonus episode, our second installment of the highlights from Whistler Update in Emergency Medicine Conference 2012, we have Dr. Eric Letovsky talking about complications of MI and the importance of listening for cardiac murmurs. Next, I moderate an expert panel on the current trends on imaging patients who present with renal colic and query appendicitis with Dr. Connie Leblanc, Dr. Joel Yaphe, Dr. David MacKinnon & Dr. Eric Letovsky. We then hear from Dr. Adam Cheng, Dr. Dennis Scolnick & Dr. Anna Jarvis in a pediatric expert panel about the newest on minor head injury, otitis media, mastoiditis and bronchiolitis. Dr. David Carr reviews one of the most important articles in 2011 regarding subarachnoid hemorrhage, and Dr. David MacKinnon gives us tonnes of clinical pearls when it comes to everyone's favourite subject, anorectal disorders.

By Anton Helman|2021-03-31T13:12:31-04:00April 3rd, 2012|Categories: Cardiology, Conference, Ears Nose & Throat, Emergency Medicine, Episodes, Gastroenterology, Genitourinary, Pediatrics, Trauma, Whistler Update in EM|Tags: acute otitis media, Anna Jarvis, Appendicitis, clinical decsion rules, Dave MacKinnon, Dennis Scolnik, Eric Letovsky, minor head injury, myocardial infarction, subarachnoid hemorrhage, testicular torsion, urinary tract infection|0 Comments

Episode 10 Part 1: Trauma Pearls and Pitfalls

In this episode on Trauma Pearls and Pitfalls, Dr. Dave MacKinnon and Dr. Mike Brzozowski discuss the latest in trauma controversies. In Part 1 they give us some key pearls and pitfalls on traumaairway management, the value of the C-spine collar, how to clear the C-spine, vascular access options in trauma, 'Damage Control Rescuscitation', the best resuscitation fluids to use including hypertonic saline, hemostatic drugs such as Tranexamic Acid in trauma, the vulue, or lack thereof, of Recombinant Factor 7a in trauma, and the use of Prothrombin Complex Concentrates in trauma.

By Anton Helman|2021-03-31T13:32:36-04:00January 11th, 2011|Categories: EM Cases, Emergency Medicine, Episodes, Resuscitation, Trauma|Tags: c-spine, damage control resuscitation, Dave MacKinnon, hypertonic saline, ketamine, Mike Brzozowski, PCCs, tranexamic acid, transfusions|0 Comments