Emergency • Critical Care • Transport Nursing

Emergency • Critical Care • Transport Nursing This page is geared to provide education to those interested in emergency, critical care, and transport nursing. Links to articles and more.

My name is Fraser MacKinnon RN, ENC(C), CEN, CFRN. I have been an ED nurse for over 20 years, having worked in small rural hospitals to regional trauma centers in three provinces. I have worked as a paramedic and critical care flight nurse and have taught numerous pre-hospital and emergency courses. I feel that to provide the best care possible one must be familiar with the most current research and therapies available. I have a special interest in trauma and resuscitation medicine. I hope this page can serve as one venue to keep current and stay interested in the practice of emergency care. FOAMEd, FOAMems, FOAMcc

https://www.airmedicaljournal.com/article/S1067-991X(25)00274-3/abstract
10/13/2025

https://www.airmedicaljournal.com/article/S1067-991X(25)00274-3/abstract

Vasodilatory shock is a critical condition marked by maldistribution of blood flow leading to decreased oxygen delivery and organ dysfunction. Although sepsis is the most well-studied cause, other causes include anaphylaxis, endocrine or neurologic dysfunction, toxidromes, and the post-cardiac arres...

https://ccforum.biomedcentral.com/articles/10.1186/s13054-025-05531-3
10/12/2025

https://ccforum.biomedcentral.com/articles/10.1186/s13054-025-05531-3

Background Inadequate spinal perfusion in acute spinal cord injury (SCI) can exacerbate secondary injury. While current guidelines recommend maintaining mean arterial pressure (MAP) ≥ 75-80mmHg post-injury, no quantitative analysis on effects of blood pressure on neurological outcomes exists. ...

https://onlinelibrary.wiley.com/doi/10.1002/mco2.70418
10/11/2025

https://onlinelibrary.wiley.com/doi/10.1002/mco2.70418

Key pathogenic mechanisms in AMI. Oxidative stress and mitochondrial dysfunction induce ROS accumulation, while DAMPs-PRRs interaction triggers inflammatory cascades. Programmed cell death pathways a...

10/11/2025
10/11/2025

A 3-month-old previously healthy male is brought to the ED by his parents. His father says he rolled off the couch onto a hardwood floor, started crying immediately, and then seemed sleepy and more fussy than usual. On exam, the patient is minimally consolable with a small bruise on his left forehea...

10/10/2025

New research from Vilnius University shows that AI tools like ChatGPT underperform compared to nurses and doctors in emergency department triage—though they may assist in identifying critical cases.

https://pubmed.ncbi.nlm.nih.gov/38416867/
10/10/2025

https://pubmed.ncbi.nlm.nih.gov/38416867/

In this large prehospital dataset, upper extremity IO access was associated with a small increase in the odds of ROSC in comparison to lower extremity IO access. These data support the need for prospective investigation of the ideal IO access site during OHCA resuscitation.

10/10/2025

Hyperkalemia Pointers

10/10/2025

Disparities in Access to Trauma Care in Canada: A Geospatial Analysis of Census Data

10/09/2025

Among patients with hypothermic cardiac arrest, use of extracorporeal life support (ECLS) is linked to higher survival rates and favorable neurological outcomes.

Current guidelines recommend transfer to ECLS centers for young patients with core temperature

10/09/2025

The EM Thinker returns with 10 pearls.

Prognostic accuracy of end-tidal carbon dioxide in cardiac arrest: a systematic review and meta-analysis.
10/09/2025

Prognostic accuracy of end-tidal carbon dioxide in cardiac arrest: a systematic review and meta-analysis.

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