We are excited to introduce the fourth edition of The Ottawa Handbook of Emergency Medicine.

Highlights of the fourth edition include: acid-base disorders, approach to red eye, thyroid emergencies, vaginal bleeding, pericarditis and myocarditis, and monoarthritis.

BHP Corner – Atrial Fibrillation

BHP Corner – Atrial Fibrillation

It's time for another BHP Corner! This quarterly submission by the Base Hospital Physician Group for the RPPEO , aims to discuss topics specific to prehospital settings to educate paramedics and other healthcare providers interested in PTM on the realities of their...

CBRNE and HAZMAT: Be Prepared!

CBRNE and HAZMAT: Be Prepared!

This post seeks to provide some insights and discussion around CBRNE events (Chemical, Biological, Radioactive, Nuclear and Explosive). We want to review procedures within a mass casualty CBRNE event, principles related to decontamination, PEE, and review the...

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial

Methodology: 4/5 Usefulness: 3/5 Crombie N, et al. Lancet Haematol. 2022 Apr;9(4):e250-e261.  Question and Methods: Multicenter RCT investigating prehospital resuscitation using PRBC and plasma vs normal saline to improve tissue perfusion or mortality in adult trauma...

Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial

Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial

Methodology: 4/5 Usefulness: 3.5/5 Zwaans JJM, et al. Emerg Med J. 2022 Sep;39(9):650-654. Question and Methods: This study assessed non-inferiority between sterile and non-sterile technique for traumatic lacerations requiring EM-physician suture repair using a 2%...

Awake Intubation in the ED: A Practical Update

Awake Intubation in the ED: A Practical Update

Awake intubations are an uncommon procedure, so cognitively practicing the nuances can be critically important to success. Here, we present an updated practical guide on awake intubations in the ED intended to supplement a previously posted topic. You can see the...

BHP Corner – Pain and Analgesia

Pain - To Treat or Not to Treat, that is NOT the question!   Every day,  paramedics respond to patients in pain. Pain is responsible for approximately 40% of ambulance calls (1), making pain and analgesia a hot topic in prehospital medicine. Effective and safe...

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