by Chirag Bhat, Max Zworth | May 25, 2023 | Chronic Pain, Featured, Grand Round Summaries, Trauma
I was early in my PGY-1 year when I first witnessed an adverse effect from oral nonsteroidal anti-inflammatory drugs (NSAIDs). It was a busy morning with long patient wait times, and I picked up the chart of a 19-year-old female presenting with abdominal pain. She...
by Marie Sara-Pier Piscopo, Josee Malette | May 22, 2023 | Featured, Full Article, Journal Club, Prehospital and Transport Medicine, PTM Journal Club
Methodology: 3/5 Usefulness: 3/5 Frawley, John et al. “A Comparison of Prehospital Pediatric Analgesic Use of Ketamine and Opioids.” Prehospital emergency care, 1-5. 8 Mar. 2023, doi:10.1080/10903127.2023.2183295 Question and methods: This study sought...
by Marie Sara-Pier Piscopo, Josee Malette | May 22, 2023 | Featured, Full Article, Journal Club, Prehospital and Transport Medicine, PTM Journal Club
Methodology: 3.5/5 Usefulness: 3.5/5 Tran, Kim Phung et al. “A comparison of ketamine and morphine analgesia in prehospital trauma care: a cluster randomized clinical trial in rural Quang Tri province, Vietnam.” Prehospital emergency care vol. 18,2 (2014):...
by Marie Sara-Pier Piscopo, Josee Malette | May 22, 2023 | Featured, Full Article, Journal Club, Prehospital and Transport Medicine, PTM Journal Club
Goyal, Ashima et al. “Prehospital Ketamine Use in Pediatrics.” Prehospital emergency care vol. 27,3 (2023): 360-365. doi:10.1080/10903127.2022.2096161 Question and methods: This study was a retrospective observational study performed through a collaborative...
by Mark Froats, Josee Malette | May 18, 2023 | BHP Corner, Featured, Prehospital and Transport Medicine
Welcome Back to BHP Corner For those who are new to this segment of the EMOttawa Blog, here’s a little refresher. In the Base Hospital Program (BHP) Corner, we aim to review interesting and evolving topics, as they pertain to the prehospital/paramedicine...
by Josee Malette, Hans Rosenberg, Krishan Yadav | May 17, 2023 | Cardiology, Featured, Full Article, Journal Club
Methodology: 3/5 Usefulness: 3/5 O’Rielly CM, et al. Can J Cardiol. 2023 Mar;39(3):304-310. doi: 10.1016/j.cjca.2022.12.028. Question and Methods: The authors conducted a systematic review to identify and synthesize prognostic performance of chest pain risk...
by Kevin Guo | May 11, 2023 | Endocrinology, Featured, Gastroenterology, Grand Round Summaries, Resuscitation, Surgery
Acute pancreatitis is one of the most common gastroenterology conditions we see in the emergency department with a prevalence of 110-140 cases per 100,000 population. (1) At The Ottawa Hospital alone, we saw over an average of 1 case per day over the last year....
by James Gilbertson, Amanda Mattice, Doran Drew | May 4, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Previously in Part One, we reviewed the pathophysiology and pre-hospital management of patients who experienced non-fatal and fatal drownings. Now, in Part Two, let’s take a deeper dive into the resuscitation of these patients in the Emergency Department as well...
by Kevin Guo, Hans Rosenberg, Krishan Yadav | May 3, 2023 | Critical Care, Featured, Infectious Disease, Journal Club, Resuscitation
Methodology: 4/5 Usefulness: 4/5 Dequin PF, et al. N Engl J Med. 2023 Mar 21. doi: 10.1056/NEJMoa2215145. Question and Methods: Pneumosepsis can lead to pulmonary and systemic inflammation that can increase risk of organ failure and death. The authors attempted to...
by Hailey Newton | Apr 20, 2023 | Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Trauma
In Part 1 of this 2 part series, we focused on animal bite management. In Part 2, we will look at our approach to human bites and considerations around addressing Rabies related concerns. Human Bites Human bites can present as: Occlusive bites: Bites from human...