Emergency Physician, St. Paul’s Hospital
Clinical Assistant Professor, Department of Emergency Medicine, Faculty of Medicine, UBC
Resuscitation Innovation Lead, Emergency Medicine Network
- Anaphylaxis and allergic reactions in the emergency department
- Out-of-hospital cardiac arrest, resuscitation and E-CPR
- Pre-hospital care
Dr. Brian Grunau is a Clinical Assistant Professor in the UBC Department of Emergency Medicine, the Resuscitation Innovation Lead in the BC Emergency Medicine Network, and the director of the St. Paul’s Hospital ECPR program for out-of-hospital cardiac arrest (OHCA). Since completing a Doctor of Medicine from the University of Manitoba, and residency training at UBC, he has worked as a staff Emergency Physician at SPH since 2011. He completed a clinical research fellowship and a Masters of Health Sciences (MHSc) at the UBC School of Population and Public Health (2014–16).
Dr. Grunau’s primary research interest is the management of OHCA in refractory arrest, and has published over 50 peer-reviewed articles. He is an investigator and member of the Publications Committee within the Canadian Resuscitation Outcomes Consortium, and is the chair of the Resuscitation Science Committee of the BC site. He has twice been awarded the American Heart Association (AHA) Young Investigator Award. He has developed protocols for cardiac arrest for the Providence Health Care (PHC) emergency departments. He sits on the PHC Cardiac Arrest Committee and the Canadian Association of Emergency Physicians Critical Care Committee. Dr. Grunau volunteers as a content expert for the Heart and Stroke Foundation (HSF), and has contributed to the AHA/HSF Heartsaver and ACLS Experienced Provider courses.
Extracorporeal CPR (ECPR) is a research interest of Dr. Grunau, and he played the lead role in the development of the ED-based SPH OHCA ECPR Program, and in the expansion of this service to a regional program in partnership with BC Emergency Health Services. He is specifically interested in how the integration of ECPR into the management of OHCA’s may improve the overall survival of eligible patients within a regional emergency medical system. He has spoken to multiple audiences on the topic of ECPR program development, most recently as an invited speaker at the EuroELSO and Canadian Critical Care meetings. He is the co-chair of the Canadian ECPR Research Network for OHCA.
Dr. Grunau is also involved in the study of allergic reaction and anaphylaxis management in the ED, specifically examining the characteristics of biphasic reactions. He has contributed to national guidelines for anaphylaxis management.