by Hans Rosenberg | Jan 25, 2021 | Chronic Pain, Full Article, Gastroenterology, Journal Club
Methodology: 4/5 Usefulness: 1/5 Poonai N, et al. CMAJ. 2020 Nov 30;192(48):E1612-E1619. Question and Methods: Randomized control trial assessing effect of hyoscine butylbromide (HBB) vs acetaminophen in nonspecific colicky pain in pediatric patients aged 8-17yo....
by Hans Rosenberg | Dec 29, 2020 | Gastroenterology, Infectious Disease, Journal Club
Methodology: 2/5 Usefulness: 2/5 Jaung R, et al. Clin Gastroenterol Hepatol. 2020 Mar 30:S1542-3565(20)30426-2. Question and Methods: This study investigated non-inferiority of placebo vs antibiotic in management of uncomplicated diverticulitis by conducting an...
by Hans Rosenberg | Dec 14, 2020 | Full Article, Gastroenterology, Journal Club, Resuscitation
Methodology: 3/5 Usefulness: 3.5/5 Lau JYW, et al. N Engl J Med. 2020 Apr 2;382(14):1299-1308. Question and Methods: Single centre RCT comparing whether urgent (<6h) endoscopy improved outcomes compared to early endoscopy (6-24h) in patients presenting with...
by Hans Rosenberg | Sep 28, 2020 | Full Article, Gastroenterology, Journal Club
Methodology: 4/5 Usefulness: 4/5 HALT-IT Trial Collaborators. Lancet. 2020 Jun 20;395(10241):1927-1936 Questions and Methods: This was an international, randomized, double-blind, placebo-controlled trial with the objective to quantify the effect of TXA on death due to...
by Chris Mong, Alex Coutin | Nov 14, 2019 | Featured, Gastroenterology, Grand Round Summaries
This post is a continuation of a previous post about anorectal issues in the ED. Here, we will discuss anorectal abscess, surrounding complications, and necrotizing infections. Anorectal Abscess Anorectal abscesses are thought to occur from the plugging of anal...
by Chris Mong, Alex Coutin, Richard Hoang | Oct 31, 2019 | Featured, Gastroenterology, Grand Round Summaries
Anorectal issues commonly present to the Emergency Department (ED), however, the evidence around many of these conditions is sparse and practice varies widely. ED providers should have a grasp on the management and disposition of common anorectal complaints. In part...
by Chirag Bhat, Kevin Durr, Julia Younan | Oct 10, 2019 | Featured, Gastroenterology
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...
by Simon Wells, Richard Hoang, Shankar Sethuraman | Sep 19, 2019 | Gastroenterology, Grand Round Summaries
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...
by Haroun Zayed, Richard Hoang, Shankar Sethuraman | Mar 28, 2019 | Gastroenterology, Grand Round Summaries
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...
by Hans Rosenberg | Jan 22, 2018 | Featured, Gastroenterology, Journal Club
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,...
