by emottawa | Feb 23, 2017 | Grand Round Summaries, Resuscitation
The use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has become a topic of considerable interest as of late, primarily to treat non-compressible truncal hemorrhage (NCTH). However, it is beginning to expand into other causes...
by emottawa | Jan 12, 2017 | Grand Round Summaries, Physician Wellness
For many of us in Emergency Medicine, PTSD is something we don’t really think about. We might pause before using ketamine for sedation in a war veteran, or seek psychological support for victims of sexual assault, but it is not a topic that we usually discuss or...
by emottawa | Dec 2, 2016 | Grand Round Summaries, Trauma
There were some notable papers published in trauma over the past 12 months or so. Here’s a look at three of them, which might help answer a few key questions in trauma management: When should you order a CT chest? What blood products should we be giving to trauma...
by emottawa | Nov 11, 2016 | Grand Round Summaries, Infectious Disease
Relative to its incidence and prevalence, Lyme disease has gathered a tremendous amount of attention, particularly in the last decade or so. This can be attributed, in part, to the perceived difficulty in properly diagnosing and treating the disease. However,...
by emottawa | Oct 25, 2016 | Grand Round Summaries, Procedural care
The ability to administer peripheral nerve blocks in the ED has the potential to provide fast and direct analgesia with less systemic side effects compared to parenteral medications. When administered by an experienced provider, studies have shown that peripheral...
by emottawa | Aug 4, 2016 | Cardiology, Grand Round Summaries
In order to help evaluate patients who present with chest pain many clinical chest pain scores have been developed. The aim of this post is to: Emergency Department (ED) physicians must assess and risk stratify patients presenting with chest pain nearly every shift....
by emottawa | Jul 15, 2016 | Grand Round Summaries, Resuscitation
Out-of-hospital cardiac arrest (OHCA) remains a major cause of mortality for which we rely on advanced cardiac life support (ACLS) guidelines to manage within the ED. However, when these guidelines fail, we are left with almost no additional options as lifesaving...
by emottawa | Jul 7, 2016 | Grand Round Summaries, Toxicology
Although methadone and suboxone (buprenorphine/naloxone) have tremendous benefits in the management of opioid use disorder, unfamiliarity with these treatments can make any clinician uncomfortable and can lead to substandard care for these patients. This summary will...
by EMOttawa | Jun 23, 2016 | Commentary, Grand Round Summaries
Free open access medical education or “FOAMed”, is a term often confused as a catchall phrase for blogs, podcasts and social media on medical topics. While these are all platforms through which FOAMed can be disseminated, it actually encompasses the spirit and...
by emottawa | Jun 9, 2016 | Grand Round Summaries, Toxicology
There has been increased publicity and recognition of the hazards associated with opiate use and addiction in recent years, and despite this enhanced recognition, complications from opiate use are continuing to rise. This summary will highlight the opioid epidemic and...
