We are excited to introduce the Sixth edition of The Ottawa Handbook of Emergency Medicine. Your bedside guide for approaches to various Emergency Medicine presentations.
Highlights of the Sixth edition include the addition of: Oncologic emergencies, approach to the pregnant patient, geriatrics and more!
Tirofiban for Stroke without Large or Medium-Sized Vessel Occlusion
Methodology: 4/5 Usefulness: 3/5 Zi W, et al. N Engl J Med. 2023 Jun 1;388(22):2025-2036. Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization. Question and Methods: This multi-centre, triple-blind, double dummy RCT in China aimed to...
Tonics, Tinctures and Toxicology: Naturopathy
In the pursuit of holistic health and wellness, individuals often turn to naturopathy as a beacon of alternative medicine, seeking relief and healing outside the realm of conventional treatments. Yet, amidst the allure of natural remedies and lifestyle adjustments,...
PTM Journal Club: ROSC following Resuscitative Thoracotomy & Tibial IO’s in Out-of-Hospital Cardiac Arrest
Join us in our latest Pre-Hospital and Transport Medicine Journal Club, where we take a look at the most recent and relevant literature pertaining to the use of IOs in out-of-hospital cardiac arrest, as well as the impact that pre-hospital intubation has with regards...
PTM Journal Club: BVM Ventilation and Refractory Shock in Out-Of-Hospital Cardiac Arrest
In this edition of PTM Journal Club explore the impact of bag-valve-mask ventilation as well as the use of lidocaine and/or amiodarone on the survivability of out-of-hospital cardiac arrest. Bag-Valve-Mask Ventilation and Survival From Out-of-Hospital...
PTM Journal Club: Blood Product and ACE-CPR use Prehospital
In this Prehospital Journal Club Recap, let us take a deep dive into the use of blood products, as well as the adjunct use of automated controlled elevation in CPR. Resuscitation with blood products in patients with trauma-related hemorrhagic shock...
Functional Neurologic Disorders
Note: This grand rounds presentation and summary had contributions from Dr. Anne-Marie Abe, a neuropsychiatrist specializing in functional neurological disorders in Ottawa. Patients living with functional neurologic disorders (FND) have been deeply stigmatized...
Sensitivity Cardiac Troponin T Among Patients With Known Coronary Artery Disease
Methodology: 3/5 Usefulness: 2/5 Ashburn NP, et al. JAMA Cardiol. 2023 Apr 1;8(4):347-356. Editorial: Critical Appraisal of the Negative Predictive Performance of the European Society of Cardiology 0/1-Hour Algorithm for Evaluating Patients With Chest Pain in the US....
Probing 2023: PoCUS Articles to Change Your Practice
Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In...
BHP Corner: The Opioid Crisis
Opioid use disorder is a terrible disease that takes over people's lives and leaves them overwhelmed, consumed by compulsions and cravings, and often alone. Over the past 10 years, opioid overdoses and deaths have continued to climb in Ontario, now surpassing the...
Peri-Intubation Hypoxia After Delayed Versus Rapid Sequence Intubation in Critically Injured Patients on Arrival to Trauma Triage: A Randomized Controlled Trial
Methodology: 3/5 Usefulness: 3/5 Bandyopadhyay A, et al. Anesth Analg. 2023 May 1;136(5):913-919. Question and Methods: This is the first RCT looking at DSI vs RSI in adult trauma patients with no difficult airway features. All intubations performed by an anesthesia...