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...
by Ceilidh Kinlin | Feb 9, 2023 | cheo, Featured, Grand Round Summaries, Infectious Disease, Pediatric Care, Pediatrics
You have just seen an 10 month old previously healthy well-appearing female with 2 day history of fever (Tmax 39.5). No focus of infection is obvious on history of examination. Vitals are normal when ibuprofen is on board. She is completely unimmunized. What is your...
by Alex Viau, Josee Malette, Alex Coutin | Jul 28, 2022 | Addictions, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health
When it comes to human immunodeficiency virus (HIV) in the ED, the most medically interesting pathology is in the acute presentation of AIDS-defining opportunistic infections. However, due to advances in anti-retroviral therapies (ART), you’re much less likely...
by Doran Drew, Amanda Mattice | Jun 23, 2022 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
A review of some of the most relevant elements of the 2021 surviving sepsis campaign for the emergency physician. Definitions Our operative definition of sepsis & septic shock are the sepsis-3 definitions [1]. Sepsis: “Sepsis is a life threatening organ...
by Kevin Durr, Jeff Perry, Hans Rosenberg | Jan 24, 2022 | Full Article, Infectious Disease, Journal Club
Methodology: 3.5/5 Usefulness: 3.5/5 COVID STEROID 2 Trial Group, Munch MW, et al. JAMA. 2021 Nov 9;326(18):1807-1817. doi: 10.1001/jama.2021.18295. Question and Methods: This blinded randomized clinical trial compared the effects of 12 mg daily relative to 6 mg daily...
by Darren Wong, Hans Rosenberg | Oct 25, 2021 | Full Article, Infectious Disease, Journal Club
Methodology: 1/5 Usefulness: 1/5 von Dach E, et al. JAMA. 2020 Jun 2;323(21):2160-2169. doi: 10.1001/jama.2020.6348. Question and Methods: In a multi-center, noninferiority, randomized, double-blinded clinical trial, the authors compared the rates of...
by Mikki McGuinty, Rajiv Thavanathan, James Gilbertson | Sep 9, 2021 | Featured, Infectious Disease, Podcast
Listen on Apple PodcastsListen on SpotifyListen on Google PodcastsListen on Stitcher EMOttawa Podcast Episode 6Tick Borne Illness Part 2 – Anaplasmosis (Click here to access Podcast Main menu) Click here for Part 1, focusing on Lyme disease. In part 2 of our...
by Jessica McCallum, Alex Coutin | Oct 15, 2020 | Featured, Global health, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health, Tropical Medicine
In part one of this two-part series, we took a bite out of Lyme disease and Malaria (see what we did there?). In this part, we’ll be covering African tick-bite fever, African sleeping sickness, Dengue, Chikungunya, and Zika. Fever in the returning traveler is...
by Hans Rosenberg | Jun 29, 2020 | Full Article, Infectious Disease, Infectious Disease, Journal Club, OBGYN
Methodology: 3/5 Usefulness: 2.5/5 Gaydos CA et al. Ann Emerg Med. 2019 Jul;74(1):36-44. doi: 10.1016/j.annemergmed.2018.09.012. Epub 2018 Nov 2. Question and Methods: RCT of women receiving pelvic testing for CT/NG comparing standard of care test (NAAT) vs....
by Rory Connolly | Jun 4, 2020 | COVID-19, Infectious Disease, Slider, Ultrasound
Lung PoCUS can rapidly diagnose the underlying etiology at the bedside of the acutely dyspneic patient. Lung PoCUS has excellent test characteristics for the diagnosis of pulmonary edema, pneumothorax and pleural effusions allowing the treating physician to rapidly...