by Hans Rosenberg | Sep 23, 2020 | Featured, Journal Club, Orthopedics, Ultrasound
Methodology: 3/5 Usefulness: 3/5 Secko MA, et al. Ann Emerg Med. 2020 Aug;76(2):119-128. Question and Methods: Attempted to validated the use of a posterior PoCUS approach in diagnosing shoulder dislocations and assessing the adequacy of reduction in the ED...
by Shahbaz Syed | Sep 17, 2020 | Featured, Infectious Disease
Here we present a STI ‘cheat sheet’ to commonly encountered STIs – their etiology, workup and treatment. The following recommendations are based on the Canadian PHAC guidelines. We will not cover the important aspect of taking a sexual history, but...
by Robert Suttie, Shahbaz Syed | Sep 10, 2020 | Featured, Grand Round Summaries, Infectious Disease
Does diarrhea run in your family? Ok, that one’s bad, we apologize. There is significant practice variation when it comes to acute diarrheal illness – fortunately, there are some recommendations to help guide our practices, and in particular, when we...
by Hans Rosenberg | Sep 3, 2020 | Featured, Resident Insights
The CCFP(EM) Program at the University of Ottawa was the first of its kind in Canada. We are home to many national and international experts in research, ultrasound, quality improvement and patient safety, medical education and simulation. Some of the unique features...
by Michael Wong, Alex Coutin | Aug 20, 2020 | Addictions, Critical Care, Featured, mental health, psychiatry
In part 1 of this 2-part series, we discussed diagnosis and initial management of alcohol withdrawal. In part 2, we discuss the role of the benzodiazepines on discharge, how to use gabapentin, naltrexone, and communication strategies to optimize discharge to help your...
by Michael Wong, Alex Coutin | Aug 13, 2020 | Featured
1. If your patient fits DSM5 diagnostic criteria for alcohol withdrawal: NALTREXONE GABAPENTIN Naltrexone 25mg PO daily x 4d, then 50mg PO daily ~$2.81 per pill, or LU code 532 if on Ontario Drug Benefit/ODSP Contraindications: – Liver disease (LFTs...
by Michael Wong, Alex Coutin | Aug 13, 2020 | Critical Care, Featured, psychiatry, Toxicology
In Ontario, Canada, alcohol-related ED visits have increased 4.4x faster than the overall increase in visits from 2003-2016, and was responsible for more admissions than heart attacks in 2016. In part 1 of this 2-part series, we will discuss tips for the diagnosis and...
by Michael Wong, Alex Coutin | Aug 13, 2020 | Featured
Download PDF of Patient Handout HERE Patient Handout for Help with Substance Use Health care professionals can help you achieve your goals for your substance use. Depending on your situation, there are medications available to help decrease cravings and resources to...
by Darren Wong, Kate O'Connell | Aug 6, 2020 | Featured
Case: You are the emergency physician taking care of a 45-year-old male who has a background history of hypertension and dyslipidemia for which he is on a ACEi and a statin. He presents with 2.5 hours of ongoing non-radiating chest discomfort while at work. His...
by Tiffany Lam | Aug 5, 2020 | Commentary, Featured, Resident Insights
“Trust the process” – a promise that our assistant Program Director (PD), Jen Leppard, makes on our first day of the EM year. I am new here, and I am nervous. But, as I walk into the ED, this feeling quickly vanishes, as I am reminded of what drew me to Ottawa in the...