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...
by emottawa | Jan 6, 2016 | Grand Round Summaries, Resuscitation
You deftly sweep the tongue aside, slide into the vallecula, lift the epiglottis, and have a great view of the cords. You smoothly pass the tube, secure it, and walk away – a superstar. Meanwhile your nurses wonder “what now?” as your patient begins to wake up pulls...
by emottawa | Dec 18, 2015 | Grand Round Summaries, Toxicology
Acute alcohol intoxication and alcoholism are two separate and unique entities that we see regularly in the emergency department. As ER physicians, our role for the acutely intoxicated patient should focus on ruling out life threatening disease and ensuring their...
by emottawa | Dec 11, 2015 | Grand Round Summaries, Infectious Disease
Cellulitis and erysipelas – collectively referred to as skin and soft tissue infections (SSTIs) – are a seemingly simple entity to manage. Yet the burden of SSTIs and the complexity of this disease process may surprise you! From 1997 to...
by emottawa | Oct 16, 2015 | Grand Round Summaries, Toxicology
This isn’t your parent’s marijuana, thats for sure. As we continue to develop as a species, individuals are continuously attempting to develop newer and greater drug highs. As a result, the toxicologic world is continuously expanding, and in...
