Point-of-Care Echocardiography

In non-emergency medicine literature, cardiac Point-of-Care Ultrasound is termed “focused cardiac ultrasound” or “FoCUS,” and has been the subject of national cardiology and...

GCS Remastered: Recent Updates to the Glasgow Coma Scale (GCS-P)

Most clinicians are familiar with and utilize the Glasgow Coma Scale (GCS) on a daily basis, but many are not aware of the updates and additions to the score that were made in...

End-of-life care in the ED related to COVID-19

Hot off the press from CJEM; End-of-life care in the Emergency Department for the patient imminently dying of a highly transmissible acute respiratory infection (such as COVID-19).

Protocol for lung ultrasound in COVID-19 patients

Lung PoCUS can rapidly diagnose the underlying etiology at the bedside of the acutely dyspneic patient. Lung PoCUS has excellent test characteristics for the diagnosis of...

ATLS Trauma Update (2018)

Dr. Michael Woo is a staff Emergency Physician and trauma team leader at the Ottawa Hospital. At this years NCCEM conference he presented an update on ATLS trauma care. The 10th...

Ottawa Handbook of Emergency Medicine

The Ottawa Handbook of Emergency Medicine is a peer-reviewed resource designed to help you succeed in the Emergency Department. Developed for clerkship students, junior...

Managing Stress and Anxiety related to COVID-19

As Bob Dylan once said; “Times, they are a-changin'”. With respect to the novel coronavirus-19 (COVID-19), the situation in Canada and around the globe is changing rapidly and...
The STI Cheat sheet

The STI Cheat sheet

Here we present a STI 'cheat sheet' to commonly encountered STIs - their etiology, workup and treatment. The following recommendations are based on the Canadian PHAC guidelines. We will not cover the important aspect of taking a sexual history, but an excellent...

An approach to acute diarrhea

An approach to acute diarrhea

Does diarrhea run in your family? Ok, that one's bad, we apologize. There is significant practice variation when it comes to acute diarrheal illness - fortunately, there are some recommendations to help guide our practices, and in particular, when we should be sending...

Distilling it Down Part II: Optimizing Discharge from the ED

Distilling it Down Part II: Optimizing Discharge from the ED

In part 1 of this 2-part series, we discussed diagnosis and initial management of alcohol withdrawal. In part 2, we discuss the role of the benzodiazepines on discharge, how to use gabapentin, naltrexone, and communication strategies to optimize discharge to help your...

Alcohol Withdrawal Algorithm

Alcohol Withdrawal Algorithm

1. If your patient fits DSM5 diagnostic criteria for alcohol withdrawal: NALTREXONE GABAPENTIN Naltrexone 25mg PO daily x 4d, then 50mg PO daily ~$2.81 per pill, or LU code 532 if on Ontario Drug Benefit/ODSP Contraindications: -        Liver disease (LFTs >3x ULN)...

Distilling it Down Part I: Alcohol Withdrawal in the ED

Distilling it Down Part I: Alcohol Withdrawal in the ED

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...

Patient Handout for Help with Substance Use – Ottawa

Download PDF of Patient Handout HERE Patient Handout for Help with Substance Use Health care professionals can help you achieve your goals for your substance use. Depending on your situation, there are medications available to help decrease cravings and resources to...

High Sensitivity Cardiac Troponin Testing (hs-cTnT) in ACS

High Sensitivity Cardiac Troponin Testing (hs-cTnT) in ACS

Case: You are the emergency physician taking care of a 45-year-old male who has a background history of hypertension and dyslipidemia for which he is on a ACEi and a statin. He presents with 2.5 hours of ongoing non-radiating chest discomfort while at work. His...

Trust the Process

Trust the Process

“Trust the process” – a promise that our assistant Program Director (PD), Jen Leppard, makes on our first day of the EM year. I am new here, and I am nervous. But, as I walk into the ED, this feeling quickly vanishes, as I am reminded of what drew me to Ottawa in the...

Mission Statement

World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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