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...
by Alie Wudwud | Mar 30, 2023 | Airway, cardiac arrest, Critical Care, Featured, Grand Round Summaries, Respirology, Resuscitation
Right here, Right now! Pumping up our Knowledge on Right Ventricular Failure and Acute Pulmonary Embolism The treatment of patients with right ventricular failure from pulmonary embolism follows some key principles that differ from our typical...
by Josee Malette | Mar 16, 2023 | Critical Care, emergency, Featured, Grand Round Summaries
“When You Hear Hooves, Think Horse, Not Zebra” – Dr. Theodore Woodward This above sentence is a dictum that every medical student has heard at some point during their training. It’s the reason, that when someone comes in febrile and agitated our first...
by Max Zworth, Rebecca Seliga | Mar 9, 2023 | Addictions, Critical Care, Featured, Grand Round Summaries, Infectious Disease, Most Viewed, Resuscitation, Toxicology
The opioid epidemic is not new to ED providers, but many will be shocked to learn about the true extent of the harm caused by opioids in Canada. In the first half of 2022, there were 3556 recorded deaths due to opioid toxicity in Canada. This amounts to 19 deaths...
