by emottawa | May 11, 2017 | Grand Round Summaries, Infectious Disease
The Zika Virus exploded onto the international health scene in the last several months. It was first discovered in humans in 1951 and remained limited to Africa and Asia until the first major outbreak in Micronesia in 2007. Since then the virus has continued to evolve...
by emottawa | Apr 25, 2017 | Grand Round Summaries, Resuscitation
Pediatric endotracheal intubation is an uncommon procedure in the Emergency Department (ED); even in high volume tertiary pediatric centres the incidence has been reported at 8-10/10,000 patients. While infrequent, pediatric airway management is...
by emottawa | Mar 2, 2017 | Grand Round Summaries, Resuscitation
Use of the term “sepsis” continues to be controversial. We understand that patients with infection can manifest an immune-mediated systemic response, and are at risk of deterioration, organ dysfunction, and death. At what point in that cascade the patient is termed...
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...
