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Law and Order: Navigating Medicolegal risk in Emergency Medicine Part 2

Law and Order: Navigating Medicolegal risk in Emergency Medicine Part 2

by Max Zworth | Apr 24, 2025 | Commentary, Featured, Grand Round Summaries, Physician Wellness

In part 1 of this 2-part series on medicolegal risk in Emergency Medicine, we looked at two legal cases, with a primary focus on civil litigation and college complaints. In this section, we focus on risk assessment, documentation, and advice from lawyers and CMPA...
Blurred Lines: The Ethical Pitfalls of Urine Drug Screens

Blurred Lines: The Ethical Pitfalls of Urine Drug Screens

by Shahbaz Syed | Nov 14, 2024 | Commentary, Featured, Toxicology

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour. Yet,...
Is there a Precedence for Precedex in the ED?

Is there a Precedence for Precedex in the ED?

by Shahbaz Syed | Oct 24, 2024 | Airway, Anesthesiology, Commentary, Critical Care, Featured, Resuscitation

Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical...
PoCUS Pearl – Tibial Nerve Block

PoCUS Pearl – Tibial Nerve Block

by James Gilbertson, Paul Pageau | Oct 10, 2024 | Anesthesiology, Commentary, Procedural care, Radiology, Ultrasound

Ever tried injecting local anesthetic into the bottom of someone’s foot? If you have, you’ll understand the incredible pain and difficulty in trying to anesthetize this region. Fortunately, there’s a better way to anesthetize the plantar foot, and avoid getting kicked...
PoCUS Pearl – Measuring Fetal Heart Rate

PoCUS Pearl – Measuring Fetal Heart Rate

by James Gilbertson, Rajiv Thavanathan | Oct 10, 2024 | Commentary, OBGYN, Radiology, Ultrasound

We often talk about PoCUS for first-trimester bleeding. Is there an IUP? NDIUP? IDK? Yet one of the most common questions patients ask is; “Can you see the heartbeat?” While measuring fetal heart rate is not always our top priority, I’m here to convince you of the...
Tell me an Ultrasonic Love Story – PoCUS for the everyday user

Tell me an Ultrasonic Love Story – PoCUS for the everyday user

by Nate Murray, Eusang Ahn | Oct 3, 2024 | Commentary, Featured, Radiology, Ultrasound

Point-of-care ultrasound (POCUS) is often taught to answer binary questions, like, “Is there free fluid in the abdomen?” However, when we combine POCUS images with clinical documentation, we are telling a story — and every good story has a beginning,...
Acetylcholine vs Dopamine “It’s Not You, It’s Me”

Acetylcholine vs Dopamine “It’s Not You, It’s Me”

by Eusang Ahn | Sep 26, 2024 | Commentary, Critical Care, Featured, Neurology, pharmacology, Resuscitation

I wrote this piece because understanding diseases by framing them as high or low levels of dopamine, acetylcholine, glutamate, or GABA has significantly improved my grasp of their pathophysiology and treatment strategies. Too often, medicine is taught as isolated...
Is Shift Work Shortening your Life?

Is Shift Work Shortening your Life?

by James Gilbertson | Aug 1, 2024 | Commentary, Featured, Grand Round Summaries, Physician Wellness

Social media headlines and evolving literature have highlighted the abysmal life expectancy of emergency room doctors. For example, Dr. Ken Milne, the creator behind The Skeptics Guide to Emergency Medicine, recently shared this post on sobering life-expectancy data...
Tonics, Tinctures and Toxicology: Naturopathy

Tonics, Tinctures and Toxicology: Naturopathy

by Dr. Stephanie Lim-Reinders, Stephanie Davenport | May 2, 2024 | cheo, Commentary, Critical Care, Featured, Grand Round Summaries, Pediatrics, Toxicology

In the pursuit of holistic health and wellness, individuals often turn to naturopathy as a beacon of alternative medicine, seeking relief and healing outside the realm of conventional treatments. Yet, amidst the allure of natural remedies and lifestyle adjustments,...
Factors Affecting the EPA Experience

Factors Affecting the EPA Experience

by Eusang Ahn | Jan 4, 2024 | Commentary, Featured, Medical Education

What exactly is an EPA, really?   EPAs, or Entrustable Professional Activities, are the basic building blocks of assessment within many models of Competency-Based Medical Education, such as Competency By Design. In theory, EPA assessments are supposed to serve as...
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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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