by Hans Rosenberg | Mar 30, 2021 | Commentary, Featured, Medical Education, Patient Advocacy
Did you know that your patients could be upset with you and your care AFTER you see them? You’re wondering how could this happen, I was friendly, polite and approachable when I saw them. It turns out, in this new world of electronic medical records (EMR) with all...
by Shahbaz Syed | Mar 25, 2021 | Commentary, Featured
There’s a pretty standard hierarchy in medicine: Medical Student → Junior Resident → Senior Resident → +/- Fellow → Attending Similar to many things in medicine, this hierarchy stems from old habits and practices. In the ninetieth century, medical...
by Graham Wilson, Alex Coutin | Mar 18, 2021 | Critical Care, Featured, Grand Round Summaries, Immunology, Main page, Pediatrics
What chief complaint will you manage on both an adult and pediatric emergency shift? When you’re running through differentials for hypotension or shock, what life threatening conditions are on the list? When you think of airways that keep you up at night, scenarios...
by Chirag Bhat | Feb 25, 2021 | EDI, Featured
Anti-racism is not easy topic to think about. In fact, it’s pretty uncomfortable. As you read this, it’s important to lean into that discomfort and reflect on why you’re feeling that way. Sometimes thinking about equity can leave us feeling unsure of how it applies to...
by Asha Kaye Brown | Feb 24, 2021 | EDI, Featured
The Sexual Assault and Partner Abuse Care Program (SAPACP) that works out of the Civic Campus Emergency Department at the Ottawa Hospital represents an intersection between emergency medicine, forensics and the justice system. Our patients present to us in the...
by Asha Kaye Brown | Feb 23, 2021 | EDI, Featured
It was during the quiet hours of a night shift that a colleague and I got to talking about the sickle cell patients we see frequently in the Emergency Department. We exchanged stories of the common struggle of getting IV access and how to follow the lead of the...
by Hans Rosenberg | Feb 22, 2021 | cardiac arrest, Cardiology, Critical Care, Featured, Journal Club, Resuscitation
Methodology: 3.5/5 Usefulness: 3.5/5 Yannopoulos D, et al. Lancet. 2020 Dec 5;396(10265):1807-1816. Question and Methods: The ARREST trial was a phase 2, single centre, open-label, RCT comparing early ECMO facilitated resuscitation to ED-based standard ACLS care for...
by Evelyn Tran, Alie Wudwud | Feb 18, 2021 | Featured, Grand Round Summaries, Radiology
Cerebral venous thrombosis (CVT) is a thrombotic disease of the cerebral veins and major dural sinuses. It is a rare kind of venous thromboembolism and can also be thought of as a type of stroke. CVT accounts for 0.5-1% of stroke cases. The annual incidence is 0.2 –...
by Hans Rosenberg | Feb 15, 2021 | Featured, Journal Club, Pediatrics, Respirology
Methodology: 4.5/5 Usefulness: 4/5 Schuh S, et al. JAMA. 2020 Nov 24;324(20):2038-2047. Question and Methods: RCT assessing the effectiveness of nebulized magnesium versus placebo in children presenting with an acute asthma exacerbation refractory to standard therapy,...
by Hans Rosenberg | Feb 1, 2021 | Featured, Full Article, Journal Club, Orthopedics
Methodology: 3.5/5 Usefulness: 3.5/5 Costa ML et al. Lancet. 2020 Feb 8;395(10222):441-448. Question and Methods: The UKSTAR trial was a pragmatic, multicenter RCT that compared plaster cast against walking boot for non-operative management of Achilles tendon rupture...