As a species, we’re making bad choices – polluting the planet and making life difficult now, and perhaps impossible in the future. As physicians, it is time to do what you do best: heal the planet. Ok sure, that sounds corny, but take a listen and let me explain howRead More →
I’m a boomer Canadian Emergency physician, with a special interest in climate change. My oral fellowship exam took place in a small hotel room where facial bone x-rays were held up against the Montreal skyline awaiting my interpretation. I went directly from resident to ED director of what would ultimatelyRead More →
I’ll admit it, I’m scared. Every day, my newsfeed is filled with more news stories and scientific papers underlining the fact that our society’s current trajectory is akin to suicide as a species. As someone who has grown accustomed to civilization, even grown to love it, I fear for theRead More →
It’s hard to believe that EMOttawa and CAEP (Canadian Association of Emergency Physicians) are hosting the 4th annual Canadian Emergency Medicine Wellness Week (January 20th to 24th 2020)! Over the years, we’ve published blog posts from EM leaders across the country sharing personal stories and practical tips on how toRead More →
What is pulseless electric activity (PEA)? Pulseless electrical activity is diagnosed based on a patient having an organized, non-shockable rhythm and no palpable pulse. However, PEA is not always a cardiac arrest state. In many cases, patients with PEA have underlying cardiac activity and detectable arterial blood pressure.1 PEA isRead More →
Point of Care Ultrasound (PoCUS) for the evaluation and diagnosis of gallbladder related disease is becoming commonplace in the Emergency Department. Here, we present a quiz to test your knowledge, some answers, and helpful tips and tricks to enhance your gallbladder PoCUS game! Gallbladder Ultrasound Quiz Click on the caseRead More →
Case 2 34 year old female presenting with vomiting and abdominal pain for 3 days. She has required antiemetic therapy in the ED, and on your assessment she has a POSITIVE sonographic Murphy’s sign. Read More →
Case 4 A 34-year-old male presents with nausea, vomiting and diarrhea for the past 24 hours. He has required antiemetics and fluids in the ED. On your sonographic assessment, you note that the patient did NOT have a sonographic Murphy’s sign. Read More →
Case 8 A 54-year-old female with a history of liver cirrhosis presents with vomiting requiring antiemetics at triage. On your sonographic assessment, you note that the patient did NOT have a sonographic Murphy’s. Read More →
Case 1 54 year old female presents with nausea and vomiting for the past 48 hours. She is asymptomatic in the Emergency Department. On your assessment, you note that the patient DID NOT have a sonographic murphy’s sign. Read More →