EMOttawa - Page 2 of 25 - The official blog for the Department of Emergency Medicine at the University of Ottawa

Comparison of risk scoring systems for patients presenting with upper gastrointestinal bleeding: international multicentre prospective study.

On: May 29, 2017

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 4/5 Stanley AJ, et al. BMJ. 2017 Jan 4;356:i6432. Full Article Summary This multicentre, multinational study assessed the ability of five upper gastrointestinal bleeding scores to predict outcomes including death, re-bleeding, need for endoscopy, transfusion, surgery or interventional radiology, and length of hospital stay,Read More →

Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): a prospective, randomised, phase 3, controlled, open-label, non-inferiority trial.

By: EMottawa

On: May 15, 2017

In: Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 3.5/5 Nijssen EC, et al Lancet. 2017 Feb 20. [Epub ahead of print] Abstract Link This prospective, open-label, single centre, randomized trial of 660 patients found no hydration (2.7% incidence CIN) to be non-inferior compared to iv hydration (2.6% incidence CIN) in preventing contrast inducedRead More →

Zika Virus – What we know and what we don’t

By: EMottawa

On: May 11, 2017

In: Grand Round Summaries, Infectious Disease

The Zika Virus exploded onto the international health scene in the last several months. It was first discovered in humans in 1951 and remained limited to Africa and Asia until the first major outbreak in Micronesia in 2007. Since then the virus has continued to evolve and spread from theRead More →

Video Laryngoscopy vs Direct Laryngoscopy on Successful First-Pass Orotracheal Intubation Among ICU Patients: A Randomized Clinical Trial

By: EMottawa

On: May 8, 2017

In: Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 3/5 Lascarrou JB, et al. JAMA. 2017 Feb 7;317(5):483-493. Abstract Link This study was an open-label, randomized clinical trial conducted at 7 ICUs in France that found video laryngoscopy compared with direct laryngoscopy did not improve first-pass orotracheal intubation rates or medianRead More →

Risk of Acute Kidney Injury After Intravenous Contrast Media Administration

By: EMottawa

On: May 1, 2017

In: Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 3.5/5 Hinson JS, et al. Ann Emerg Med. 2017 Jan 19 [Epub ahead of print] Full Article In this large, well-designed retrospective study of AKI following contrast administration for CT in ED patients, IV contrast was not found to be associated withRead More →

Pediatric Airway Management in the Emergency Department

By: EMottawa

On: April 25, 2017

In: Grand Round Summaries, Resuscitation

Pediatric endotracheal intubation is an uncommon procedure in the Emergency Department (ED); even in high volume tertiary pediatric centres the incidence has been reported at 8-10/10,000 patients. While infrequent, pediatric airway management is an essential and life-saving skill that all ER physicians must be prepared for. MuchRead More →

Effect of Noninvasive Ventilation Delivered by Helmet vs. Facemask on the Rate of Endotracheal Intubation in Patients with Acute Respiratory Distress Syndrome

By: EMottawa

On: April 24, 2017

In: Journal Club

Summary Methodology Score: 4/5 Usefulness Score: 3.5/5 Patel BK, et al. JAMA. 2016 Jun 14;315(22):2435-41 Full Article Editorial: Unmasking a Role for Noninvasive Ventilation in Early Acute Respiratory Distress Syndrome. Beitler JR, et al. JAMA. 2016 Jun 14;315(22):2401-3. This single-centre, non-blinded RCT of ICU ARDS patients, found that noninvasive ventilation (NIV)Read More →

Focus on POCUS: Subacute, Progressive Dyspnea while Swimming

By: EMottawa

On: April 11, 2017

In: Ultrasound

A male in his 60’s presents with progressive dyspnea on exertion x 1 month starting while he was swimming in the ocean. He had not been diving. He has no significant medical history and takes no medications. Two weeks after the onset of symptoms the patient had seen his family physician.Read More →

Diagnosis of Acute Cardiogenic Pulmonary Edema (ACPE) with Point-of-Care Ultrasound

By: EMottawa

On: April 3, 2017

In: Ultrasound

Point-of-Care Ultrasonography (POCUS) is a valuable tool in the diagnostic armamentarium of the emergency physician. We have been successfully using it to the place lines, diagnose AAAs and assess the cardiac function of our dyspnea patients for awhile now. But what about the lungs? Typically air isRead More →

Clindamycin versus trimethoprim-sulfamethoxazole for uncomplicated skin infections

By: EMottawa

On: March 13, 2017

In: Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 Miller LG, et al. N Engl J Med. 2015 Mar 19;372(12):1093-103. Full Article Editorial: Choosing an antibiotic for skin infections. Wessels MR N Engl J Med. 2015 Mar 19;372(12):1164-5. http://www.nejm.org/doi/full/10.1056/NEJMe1500331 This multicenter, prospective, randomized, double-blind trial compared the treatment of uncomplicated skin infections with clindamycinRead More →