Rapid Rule-out of Acute Myocardial Infarction With a Single High-Sensitivity Cardiac Troponin T Measurement Below the Limit of Detection: A Collaborative Meta-analysis

Journal Club Summary Methodology Score: 3.5/5                Usefulness Score: 3.5/5 Question and Methods: This meta-analysis included prospective studies to assess the ability of a single negative hs-cTnT and non-ischemic ECG to identify patients at low risk for AMI. Findings: The results of 11 studies were pooled, resulting in a pooled sensitivity of 98.7% (95% CI 96.6-99.5%) No low-risk patients died. Limitations: High […]

Code Silver: Sanctuary Under Fire

A Code Silver represents the planned response for a person with a weapon within the hospital. The Ontario Hospital Association has recommended the addition of Code Silver to separate the response of a person who is actively killing from that of a hostage situation (previously both under Code Purple).   A review of hospital-related shootings between 2000-2011 in the United States […]

ATLS Trauma Update (2018)

Dr. Michael Woo is a staff Emergency Physician and trauma team leader at the Ottawa Hospital. At this years NCCEM conference he presented an update on ATLS trauma care. The 10th edition of ATLS was released this previous summer, and was offered to be one of the “most innovative and creative updates since the inception of the ATLS course.” This review […]

Mindfulness: a guide to understanding and minimizing stress

Forget everything you’ve heard about mindfulness and “living in the moment.” These common phrases are overused, and at this point are laden with misunderstandings. Forget the pop-psychology one-liners about mindfulness, the cute little sayings, the iPhone apps, one week challenges and everything else you’ve heard. For the moment, forget everything you’ve ever heard about burnout and wellness. Forget about all […]