by Kevin Guo | May 11, 2023 | Endocrinology, Featured, Gastroenterology, Grand Round Summaries, Resuscitation, Surgery
Acute pancreatitis is one of the most common gastroenterology conditions we see in the emergency department with a prevalence of 110-140 cases per 100,000 population. (1) At The Ottawa Hospital alone, we saw over an average of 1 case per day over the last year....
by Kate Holden-Boyd, Hans Rosenberg, Krishan Yadav | Jan 30, 2023 | Critical Care, Featured, Gastroenterology, Journal Club
Methodology: 4/5 Usefulness: 4/5 de-Madaria E, et al. N Engl J Med. 2022 Sep 15;387(11):989-1000. Question and Methods: A multicenter, open-label, randomized control trial assessing the use of aggressive versus moderate fluid resuscitation in acute pancreatitis and...
by Julie Ingratta, Alex Coutin | Jul 14, 2022 | Addictions, emergency, Featured, Gastroenterology, Grand Round Summaries, Main page, Public health, Toxicology
With legalization, and increased ease of access to marijuana, there is increased focus on the diagnosis of Cannabinoid Hyperemesis Syndrome, with broader media attention and thus patient awareness to this entity. History: Cannabis (Cannabis sativa spp.) has been...
by Chirag Bhat, Samara Adler | Jul 7, 2022 | Featured, Gastroenterology, Grand Round Summaries
Patients with cirrhosis are complex, with a plethora of comorbidities. They often present to emergency departments (ED) very sick, and there are many complications that emergency physicians need to know about. In this post, we’re going to focus on Spontaneous...
by Renee Bradley, Lucy Karp | Apr 7, 2022 | Featured, Gastroenterology, Grand Round Summaries, Surgery
As emergency physicians, we frequently see patient with metabolic syndromes and obesity. Globally, a significant rise in obesity has been observed over the last 30 years, including a dramatic rise in Canada28,32. From 1985 to 2016, obesity increased by more than 300%...
by Ceilidh Kinlin, Elyssia Adamo | Mar 17, 2022 | cheo, emergency, Featured, Gastroenterology, Pediatric Care, Pediatrics
We’re back this week with some new pediatric content — Managing Pediatric GERD! Check out our recent peds post on managing pediatric agitation here. Reflux disease is often considered as a common etiology for infants presenting with vomiting and perceived...
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...
