Imagine you are working overnight in your local emergency department (ED), your next patient to see is a 52 year old man, with a chief complaint of “Ostomy Issues”. You stare blankly at the screen as you try to remember the basics of an ostomy. What’s normal for an ostomyRead More →
Acute upper gastrointestinal bleeding (UGIB) is an all-too-frequent presentation that can scare the pants off of even the most seasoned Emergency Physician. Severity of presentation can vary greatly, from simple bleeds related to gastritis to exsanguinating variceal bleeds. Common etiologies of UGIB, with frequency in parentheses, include (1): Peptic ulcerRead More →
Gallstone diseases are common and can lead to various intraabdominal emergencies. Gallstones are found in approximately 6% of men and 9% of women in the United States [1]. Epidemiological studies in Scandinavia reported even higher prevalence, finding 13-18% of men and 15-25% of women had gallstones [2]. Common risk factorsRead More →
Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2.5/5 Question and Methods: This tertiary-care centre, placebo controlled RCT examined whether nasally inhaling isopropyl alcohol provides better nausea relief than normal saline. Findings: At 10 mins, inhaled isopropyl alcohol offers increased nausea relief compared to normal saline (effect size of 3)Read More →