by Graham Wilson, Jeff Perry, Hans Rosenberg | Apr 4, 2022 | Full Article, Journal Club, Neurosurgery, Thrombosis, Trauma
Methodology: 3/5 Usefulness: 3/5 Grewal K, et al. CMAJ. 2021 Oct 12;193(40):E1561-E1567. Question and Methods: Retrospective cohort study evaluating risk of ICH post head injury in ED patients >65 years on warfarin or DOAC or no anticoagulant. Findings: Patients...
by Zach MacDonald, Lucy Karp | Dec 9, 2021 | Featured, Grand Round Summaries, Orthopedics, Orthopedics, Radiology, Trauma, Ultrasound
Shoulder dislocations are the most common large joint dislocation encountered by emergency physicians. Given their incidence in the emergency department, managing shoulder dislocations efficiently is key to departmental flow.` Recently, Dowson et al.1 utilized a...
by Maeghan Fu, Josee Malette, Pascale King | Mar 11, 2021 | Grand Round Summaries, Hematology, Neurosurgery, Resuscitation, Trauma
Tick. Tock. It’s time for a TXA update. This blog post aims to arm you with the most up-to-date knowledge for the use of tranexamic acid (TXA) in the ED. We will review TXA in the context of gastrointestinal bleeding, traumatic brain injuries, hemoptysis,...
by Hans Rosenberg | Jan 11, 2021 | Journal Club, Neurosurgery, Trauma
Methodology: 2/5 Usefulness: 4/5 Leichtle SW, et al. J Trauma Acute Care Surg. 2020 Nov;89(5):880-886. Question and Methods: Existing BCVI screening guidelines misses important injuries; the authors evaluated the diagnostic characteristics of the Modified and...
by Shahbaz Syed | Dec 10, 2020 | Airway, COVID-19, Critical Care, Featured, Grand Round Summaries, Infographics, Resuscitation, Trauma
I think we’re all pretty much ready for the end of 2020, what a year it has been. It seems fitting that our most viewed article here at EMOttawa this year was on the management of hemorrhoids. Taking a walk down memory lane, we present our 10 most popular posts...
by Justin Godbout, James Gilbertson | Nov 26, 2020 | Featured, Grand Round Summaries, Medical Education, Pre-Hospital, Trauma
“The differences between expert performers and normal adults are not immutable, that is, due to genetically prescribed talent. Instead, these differences reflect a life-long period of deliberate effort to improve performance.” – K. Anders Ericsson What defines...
by Hans Rosenberg | Nov 16, 2020 | Critical Care, Journal Club, Resuscitation, Thrombosis, Trauma
Methodology: 4/5 Usefulness: 3.5/5 Baksaas-Aasen K, et al. Intensive Care Med. 2020 Oct 13. doi: 10.1007/s00134-020-06266-1. Question and Methods: Pragmatic, European, multi-center RCT comparing outcomes in trauma patients who received empiric massive transfusion...
by Richard Hoang | Sep 24, 2020 | Critical Care, Featured, Grand Round Summaries, Trauma
In this post, we’ll discuss viscoelastic hemostatic assays (VHAs), namely ROTEM (Rotational Thromboelastometry), and how we can use this tool to enhance the care of traumatically injured patients. This is the first in a two-part series. This part reviews the Evidence...
by Mark McKinney, Shahbaz Syed | Mar 12, 2020 | Featured, Grand Round Summaries, Resuscitation, Trauma
Here we present part two on our series on hypothermia. For more on the assessment, resuscitation, and management of the hypothermic patient, see part one. Prognostication of cardiac arrest in hypothermia Indicators of cardiac arrest before cooling (Brown 2012) Major...
by Mark McKinney, Shahbaz Syed | Mar 5, 2020 | Featured, Grand Round Summaries, Resuscitation, Trauma
Hypothermia results in slightly over one hundred deaths per year in Canada; typically as a result of primary hypothermia, frostbite and other cold exposure injuries (Toronto Public Health, 2014). In the United States, this is estimated at 1500 deaths annually...