by Richard Hoang | Sep 24, 2020 | Featured
In Part 2 of ROTEM for Trauma: Blood is Thicker with Wine – we will review the approach to interpreting ROTEM and how it can guide massive transfusion in the injured and bleeding patient. We will also touch on the practical considerations for starting a ROTEM program...
by Richard Hoang | Sep 24, 2020 | Critical Care, Featured, Grand Round Summaries, Trauma
In this post, we’ll discuss viscoelastic hemostatic assays (VHAs), namely ROTEM (Rotational Thromboelastometry), and how we can use this tool to enhance the care of traumatically injured patients. This is the first in a two-part series. This part reviews the Evidence...
by Jessica McCallum, Alex Coutin | Sep 24, 2020 | Featured, Global health, Grand Round Summaries, Infectious Disease, Public health, Tropical Medicine
In part one of a two-part series on vector-borne illnesses, we seek to take a deep dive into Lyme disease and Malaria. For more on the other vector-borne illnesses, check out part two! The only helpful way to distinguish between all these illnesses is the...
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...
