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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...
Climate Change – What can Healthcare do?

Climate Change – What can Healthcare do?

by Nicolas Chagnon | Nov 16, 2023 | Commentary, Featured

With our shorter, milder winters (no skating on the Rideau Canal this past year), and our warmer, drier summers (thick wildfire smoke blanketing Ottawa in June), along with accelerating extreme weather events; derechos, ice storms and tornados – it is clear that...
Transforming Canada’s Healthcare Landscape with Paramedics

Transforming Canada’s Healthcare Landscape with Paramedics

by Michael Austin, Josee Malette | Oct 19, 2023 | BHP Corner, Commentary, Featured

Canada’s healthcare system, once a source of national pride, is now facing critical challenges that have led many to view it as “unwell” or “sick.” Access to healthcare services has become a pressing concern, sparking a call for change...
The Donut of Truth (ahh that CT scan)

The Donut of Truth (ahh that CT scan)

by Eusang Ahn | Aug 31, 2023 | Commentary, Featured, Grand Round Summaries

In Korea where I (hi!) originally trained, because of fewer human resources (like radiologists), and an abundance of technological resources,(like CT and MRI) emergency physicians often are expected to read their own imaging. There are next-day overreads from...
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