by emottawa | May 26, 2016 | Grand Round Summaries, OBGYN
The pregnant or postpartum patient presents a unique set of challenges to the emergency physician. Although life-threatening emergencies are relatively rare, they require specialized protocols and different considerations than we’re used to (i.e. medications...
by emottawa | May 5, 2016 | Grand Round Summaries, Hematology
We have seen a large surge of the utilization of New Oral Anticoagulants (NOAC’s) in the past few years, as such, it has been a novel challenge when these patients present to the Emergency Department (ED) with life threatening bleeding. Dr. Michael Ho looks to...
by emottawa | Apr 14, 2016 | Grand Round Summaries, Patient Advocacy
Transgender awareness is currently at an all time high, helped by portrayals in award winning shows such as Orange is the New Black and Transparent, and also by the recent public transition of Caitlyn Jenner. Transgender health is also an emerging area of research,...
by emottawa | Mar 24, 2016 | Grand Round Summaries, Patient Advocacy
In our current political and social climate, refugee health is undoubtedly going to become an increasingly prevalent Emergency Department (ED) issue. In the past few years, Canada has been accepting an average of 25 000 refugees from all over the world each...
by emottawa | Mar 18, 2016 | Grand Round Summaries, Neurology
Ischemic stroke and Transient Ischemic Attack have been a vigorously studied subject, particularly in the past few years. With numerous updates and recommendations, we will provide an updated guide for Emergency Physicians in regards to ischemic stroke...
by emottawa | Mar 1, 2016 | Endocrinology, Grand Round Summaries
Steroids have been used in medicine for their immune-modulating effects for decades, but how much of their use is actually evidence based? Here we review the most recent literature for their use in four select presentations often seen in the Emergency...
by emottawa | Feb 15, 2016 | Grand Round Summaries, Neurology
For those of us who work in the Emergency Department, we are very well versed in migraine management. We see these patients frequently, and typically don’t hesitate to utilize our typical maxeran/toradol/fluids combo, as it is typically very effective. But what...
by emottawa | Feb 11, 2016 | Grand Round Summaries, Trauma
The principles behind spinal immobilization, including the utilization of backboards and cervical collars was derived from expert opinion in the 1960’s [1-3], and has never been subjected to a randomized controlled trial or high quality...
by emottawa | Feb 4, 2016 | Grand Round Summaries, Resuscitation
Fluids and antibiotics and lactate…. oh my! Sepsis management in the Emergency Department (ED) was revolutionized by the Rivers trial – a relatively small study showing a NNT of 6 with early goal directed therapy (EGDT). It heavily influenced the end-goals of...
by emottawa | Jan 13, 2016 | Cardiology, Grand Round Summaries
Have a crashing Left Ventricular Assist Device (LVAD) patient in your Emergency Department? Need some help? Want to challenge your residents? The following should help you in your bedside assessment and treatment of the critically ill LVAD patient. For a thorough...
