#Blessed: Gratitude check

At the beginning of every New Year, many people express their gratitude for those who have positively impacted them in the past year. However, just like New Year’s resolutions, these emotions of gratitude quickly seem to fade. As January moves forward we tend to increasingly focus on the challenges that flu season and hospital crowding brings to our workplace. Instead […]

How to diagnose your own wellness?

The Department of Emergency Medicine at the University of Ottawa has a clear dedication to wellness, demonstrated by the creation of a Director of Wellness position for our academic group. Although the learning curve has been steep, one thing has quickly become clear: wellness is a vague concept, hard to define and is even harder to measure. How can one […]

Welcome to EM Ottawa’s Wellness Week!

In January 2017, a group of residents at CAEP and ACEP put together an Emergency Medicine (EM) Wellness week. We think this was a fantastic initiative that covered the importance of physical and spiritual health, and how to stay well in our challenging working environment. We would like to continue in this direction and strongly support the creation of a […]

Industrial Engineering & Emergency Department Flow

In this post, we’ll explore the many exciting applications that concepts borrowed from industrial engineering can have on ED efficiency and workflow. To help build a framework for further discussion, we will define industrial engineering, describe the ED as a complex system, and finally highlight applications of industrial engineering in the ED. Industrial Engineering The branch of engineering which deals […]

Isopropyl Alcohol Nasal Inhalation for Nausea in the Emergency Department: A Randomized Controlled Trial

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2.5/5 Question and Methods: This tertiary-care centre, placebo controlled RCT examined whether nasally inhaling isopropyl alcohol provides better nausea relief than normal saline. Findings: At 10 mins, inhaled isopropyl alcohol offers increased nausea relief compared to normal saline (effect size of 3) with no significant differences in pain or rescue anti-emetic use. […]

Where is the Love? Intimate Partner Violence in the Emergency Department

Intimate partner violence is prevalent worldwide and has a significant economic impact on our healthcare system. This post will discuss: Intimate Partner Violence statistics globally, in Canada, and in Ontario The economic impact of intimate partner violence cases in Canada The literature behind screening guidelines and recommendations for the ED Recommendations on documentation of Intimate Partner Violence cases Definition Intimate […]

Oxygen Therapy in Suspected Acute Myocardial Infarction

Journal Club Summary Hofmann R, et al. N Engl J Med. 2017 Sep 28;377(13):1240-1249. Methodology Score: 4/5                   Usefulness Score: 4/5 Question and Methods: This large, registry-based RCT evaluated the effect of oxygen on patient-centered clinical outcomes for normoxic MI patients. Findings: There were no differences at 365 days or 30 days for all-cause mortality (5.1% v 5.0%, oxygen and ambient […]

Opening the Book: Pelvic Trauma in the ED

Unstable pelvic fractures have high mortality rates, particularly with patients who are hemodynamically unstable, due to difficulty in achieving hemostasis and other associated injuries. At present, there is no standard guideline that has been published and universally accepted in the management of pelvic trauma. These patients should have integrated management between ED physicians, trauma surgeons, orthopedic surgeons and interventional radiologists. In […]