by Darren Wong, Josee Malette | Jun 3, 2021 | Grand Round Summaries, Respirology, Resuscitation
Extra Corporeal Membrane Oxygenation (ECMO) has significantly progressed over the past decades. It has become an invaluable tool in the care of adults with severe cardiac and pulmonary disease refractory to conventional management. The implementation of ECMO has even...
by Doran Drew, Josee Malette | May 27, 2021 | Featured, Grand Round Summaries, Neurology, Thrombosis
Addressing the Controversies Around Thrombolytic Therapy (tPA) In our previous blog post, we reviewed the formative literature supporting the currently used tPA time window. The figure below highlights a summary of the time windows investigated within each study and...
by Doran Drew, Josee Malette, Kate O'Connell | May 20, 2021 | Featured, Grand Round Summaries, Neurology, Thrombosis
Review of the formative literature of our current tPA time window in Acute Ischemic Stroke After numerous case series and smaller prospective studies suggesting benefit for thrombolytic therapy (tPA), the early 90s ushered in the era of thrombolytic RCTs for acute...
by Mark McKinney, Josee Malette | May 13, 2021 | Commentary, Grand Round Summaries
Have you ever sat at M&M rounds, seeing the same lists of biases and the same diagnostic errors being discussed over and over again? I know I have. I am often left wondering how can we do better? The solution seems simple – learn the biases, know the biases,...
by Zach MacDonald, Josee Malette | May 6, 2021 | Cardiology, Grand Round Summaries
ECG interpretation is a core and fundamental skill of emergency medicine. Emergency physicians are expected to provide expert ECG interpretation quickly in a busy emergency department environment and initiate emergent and life-saving interventions base on those...
by Hashim Kareemi, Alie Wudwud | Apr 29, 2021 | Critical Care, Featured, Grand Round Summaries, Resuscitation
In Part 1 of our 2-series on Elevated ICP in the ED, Dr. Hashim Kareemi described the pathophysiology of elevated ICP and compared the options for diagnosis. Click here to review Part 1. In this Part 2 post, Dr. Kareemi takes us through a phased approach to managing...
by Hashim Kareemi, Alie Wudwud | Apr 22, 2021 | Critical Care, Featured, Grand Round Summaries, Resuscitation
This comprehensive, 2-part blog post by Dr. Hashim Kareemi reviews the current literature and guidelines on elevated ICP in the emergeny department. Part 1 reviews the pathophysiology and detrimental effects of sustained elevated ICP, and provides an excellent...
by Emma Ferguson, Josee Malette | Apr 15, 2021 | Cardiology, Grand Round Summaries
It is not uncommon to see patients present to the Emergency Department with Hypertension. One in 4 Canadians has a diagnosis of hypertension, and chronic hypertension is the leading cause of disability-adjusted life expectancy (which considers for the quality of life...
by Tetyana Maniuk, James Gilbertson | Apr 1, 2021 | Featured, Grand Round Summaries, mental health
In this comprehensive guide, Dr. Tetyana Maniuk, a third-year FRCPC Ottawa Emergency Medicine resident summarizes the existing evidence on anorexia and eating disorders specific to the emergency department. Highlighting everything from signs and symptoms to watch out...
by Graham Wilson, Alex Coutin | Mar 18, 2021 | Critical Care, Featured, Grand Round Summaries, Immunology, Main page, Pediatrics
What chief complaint will you manage on both an adult and pediatric emergency shift? When you’re running through differentials for hypotension or shock, what life threatening conditions are on the list? When you think of airways that keep you up at night, scenarios...
