by Michael Wong, Alex Coutin | Aug 13, 2020 | Critical Care, Featured, psychiatry, Toxicology
In Ontario, Canada, alcohol-related ED visits have increased 4.4x faster than the overall increase in visits from 2003-2016, and was responsible for more admissions than heart attacks in 2016. In part 1 of this 2-part series, we will discuss tips for the diagnosis and...
by Shahbaz Syed | Jun 11, 2020 | Featured, Grand Round Summaries, Resuscitation, Toxicology
Here, we seek to explore some controversial, poorly known, or irrelevant drugs in medicine in a menagerie of drug cocktails. 1. What drugs best treat SVT? A patient presents with the following rhythm strip, they’re totally stable, on no medications and with no...
by Harrison Carmichael, Pascale King | Nov 28, 2019 | Featured, Grand Round Summaries, Respirology, Toxicology
You may have seen the headlines; E-cigarette and Vaping Associated Lung Injury (EVALI) represent a new disease process that is potentially life-threatening. Emergency Physicians will inevitably be exposed to EVALI as front line health care providers. Here, we will...
by Richard Hoang | Aug 29, 2019 | Airway, Featured, Toxicology, Trauma
Patients with both burn and inhalation injuries have significantly increased morbidity and mortality compared to those with just burn injuries alone, as there are multiple toxic industrial chemicals that act on the respiratory tract. In this post, we review...
by Thara Kumar, Robert Suttie, Shahbaz Syed | Sep 14, 2017 | Grand Round Summaries, Toxicology
Opioid and narcotic abuse has been a problem in Canada for some time, but nothing compares to the rapid sweep of opioid-related deaths and hospitalizations that have occurred over the past 2-3 years. While at one time, this problem was limited to a few pockets on the...
by emottawa | Jul 7, 2016 | Grand Round Summaries, Toxicology
Although methadone and suboxone (buprenorphine/naloxone) have tremendous benefits in the management of opioid use disorder, unfamiliarity with these treatments can make any clinician uncomfortable and can lead to substandard care for these patients. This summary will...
by emottawa | Jun 9, 2016 | Grand Round Summaries, Toxicology
There has been increased publicity and recognition of the hazards associated with opiate use and addiction in recent years, and despite this enhanced recognition, complications from opiate use are continuing to rise. This summary will highlight the opioid epidemic and...
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 | 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...
by emottawa | Sep 17, 2015 | Grand Round Summaries, Toxicology
The ED patient in acute severe pain can be a challenge to treat. Even when we prescribe opioids appropriately (which is less often than you think), patient contraindications, side effects, and a poor analgesic response may limit their use. There is lots of new...
