by Caitlin Hutchings | Nov 21, 2024 | Featured, OBGYN
A common Emergency Department (ED) presentation, vaginal bleeding in pregnancy affects approximately 30% of pregnancies in the 1st trimester and 1-2% in the 2nd trimester. About half of these result in pregnancy loss. Here we will use cases to highlight an ED approach...
by James Gilbertson, Rajiv Thavanathan | Oct 10, 2024 | Commentary, OBGYN, Radiology, Ultrasound
We often talk about PoCUS for first-trimester bleeding. Is there an IUP? NDIUP? IDK? Yet one of the most common questions patients ask is; “Can you see the heartbeat?” While measuring fetal heart rate is not always our top priority, I’m here to convince you of the...
by Pascale King, Samara Adler | Feb 8, 2024 | Featured, Grand Round Summaries, OBGYN, Patient Advocacy
Abortion history in Canada is Complex. Countless hardships were overcome on the long journey to the legalization of medical induced abortion (IA). This blog post will focus on what you need to know as an acute care provider. Context: Unsafe abortions are the leading...
by Danielle Penney | Oct 12, 2023 | Featured, Most Viewed, OBGYN, Surgery, Ultrasound
I was in the OR for the first day of my anesthesia rotation when suddenly the pain hit me. It was in my left flank, radiating to my back — so much pain I could hardly think. A flurry of tests later, my ultrasound showed good doppler flow, and my lab work was pristine....
by Kathleen O'Connell | Apr 21, 2022 | Featured, Grand Round Summaries, OBGYN, Public health
The role of the emergency department pelvic exam has come under debate for some time. Clinicians have raised concerns regarding whether or not it changes management, whether or not our findings are reliable, and of course the logistic barriers regarding space, time...
by Nate Murray, Jeff Perry, Hans Rosenberg | Feb 7, 2022 | Infectious Disease, Journal Club, OBGYN
Methodology: 3/5 Usefulness:2/5 Chinnock B, et al. Acad Emerg Med. 2021 Jun;28(6):612-620. doi: 10.1111/acem.14213. Question and Methods: This prospective observational cohort trial sought to assess if self-obtained vaginal swabs were not inferior to...
by Alexandra Hamelin, Elyssia Adamo | Feb 3, 2022 | Critical Care, Featured, Grand Round Summaries, OBGYN, Procedural care, Resuscitation
We are back with Part-2 of our blog series on Emergency Department Deliveries. If you haven’t already, check-out Part 1 HERE. In this post, we will explore postpartum hemorrhage and resuscitative hysterotomy: Managing postpartum hemorrhage Running a maternal...
by Alexandra Hamelin, Elyssia Adamo | Jan 27, 2022 | Featured, Grand Round Summaries, OBGYN, Resuscitation
Emergency department (ED) deliveries can be among the most stressful events an emergency physician can encounter. We must assess both mother and fetus simultaneously and be prepared to manage both maternal and neonatal resuscitations and any complications within the...
by Hans Rosenberg | Jan 18, 2021 | Full Article, Journal Club, OBGYN
Methodology: 4/5 Usefulness: 3/5 Chu JJ, et al. Lancet. 2020 Sep 12;396(10253):770-778. Editorial: Medical management of miscarriage with mifepristone Question and Methods: This multi-centre, randomized, double blind, placebo-controlled trial compares spontaneous...
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....
