by Alex Viau | Jul 20, 2023 | Grand Round Summaries, Resuscitation, Urology
As per the 2021 updated guidelines for the management of priapism by Ericson et al, priapism is defined as a penile erection that lasts longer than 4 hours after completion of sexual activity or that is unrelated to sexual activity. The European Association of Urology...
by Steven Sanders | Jul 6, 2023 | Critical Care, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation, Toxicology
Global temperatures are increasing and are projected to continue warming. The rates of warming across out planet are not uniform. In Canada, the loss of snow and sea ice reduces the reflectivity of the surface leading to increased absorption of solar radiation and a...
by Pascale King | Jun 29, 2023 | Cardiology, Featured, Grand Round Summaries, Resuscitation
Patients with heart failure are often newly diagnosed in the Emergency Department, or are the presenting location for those with decompensated heart failure. This is why it is important for ER Physicians to remain updated on the latest AHA/ACC/HFSA guidelines for the...
by Omar Anjum, Lucy Karp | Jun 8, 2023 | emergency, Featured, Grand Round Summaries, Patient Advocacy
Preamble: This Grand Rounds was inspired in part by a conversation I had with Dr. Andrew Petrosoniak during my time at St. Michael’s Hospital where we discussed the growing concern of excessive ED wait times and the limited concerted effort on addressing the waiting...
by Chirag Bhat, Max Zworth | May 25, 2023 | Chronic Pain, Featured, Grand Round Summaries, Trauma
I was early in my PGY-1 year when I first witnessed an adverse effect from oral nonsteroidal anti-inflammatory drugs (NSAIDs). It was a busy morning with long patient wait times, and I picked up the chart of a 19-year-old female presenting with abdominal pain. She...
by Kevin Guo | May 11, 2023 | Endocrinology, Featured, Gastroenterology, Grand Round Summaries, Resuscitation, Surgery
Acute pancreatitis is one of the most common gastroenterology conditions we see in the emergency department with a prevalence of 110-140 cases per 100,000 population. (1) At The Ottawa Hospital alone, we saw over an average of 1 case per day over the last year....
by James Gilbertson, Amanda Mattice, Doran Drew | May 4, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Previously in Part One, we reviewed the pathophysiology and pre-hospital management of patients who experienced non-fatal and fatal drownings. Now, in Part Two, let’s take a deeper dive into the resuscitation of these patients in the Emergency Department as well...
by James Gilbertson, Amanda Mattice, Doran Drew | Apr 27, 2023 | cardiac arrest, Grand Round Summaries, Resuscitation
Drowning accounts for over 360,000 worldwide deaths annually, including the deaths of hundreds of Canadians.[1],[2] Despite this, accurate drowning statistics remain obscured by significant under-reporting.[1] As an emergency physician you will see drowning patients...
by Hailey Newton | Apr 20, 2023 | Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Trauma
In Part 1 of this 2 part series, we focused on animal bite management. In Part 2, we will look at our approach to human bites and considerations around addressing Rabies related concerns. Human Bites Human bites can present as: Occlusive bites: Bites from human...
by Hailey Newton | Apr 13, 2023 | Featured, Grand Round Summaries, Infectious Disease, Trauma
On first glance, bite management may seem like a seemingly simple presentation in the ED. However, in today’s literature, there remains a lot of controversy regarding bite management. Who do you give antibiotics to? Can you suture the wound? When should you worry...