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!
When it comes to EDI, can we get it wrong?
Equity, Diversity and Inclusion (EDI) has become an important rallying point and component of organizational structures. Recognizing the importance of equity in the social determinants of health, healthcare organizations have begun to place very specific focus on this...
A randomized double-blind trial comparing the effect on pain of an oral sucrose solution versus placebo in children 1-3 months old needing bladder catheterization
Methodology: 4/5 Usefulness: 2/5 Desjardins MP, et al. CJEM. 2021 Sep;23(5):655-662. doi: 10.1007/s43678-021-00130-x. Epub 2021 May 26. Question and Methods: This double-blinded RCT compares analgesic efficacy of oral sucrose versus placebo in bladder catheterization...
COMET-ICE Trial on Sotrovimab
Sotrovimab Sotrovimab is a monoclonal antibody that neutralizes sarbecoviruses (respiratory viruses detected by PCR on oral/nasal swabs or from bronchial/lung/respiratory tract specimens). This antibody was first isolated from a patient with SARS-CoV-1 (the virus...
Rapid Agitation Control With Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial
Methodology: 3.5/5 Usefulness: 3.5/5 Barbic D, et al. Ann Emerg Med. 2021 Aug 2:S0196-0644(21)00433-9. Question and Methods: Randomized, single center, blinded clinical trial comparing the rapidity of onset, level of sedation and adverse effect profile of Ketamine...
Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest
Methodology: 5/5 Usefulness: 5/5 Dankiewicz J, et al. N Engl J Med. 2021 Jun 17;384(24):2283-2294. Question and Methods: Open-label multicentre randomized controlled trial to determine whether targeted hypothermia reduces mortality compared to targeted normothermia in...
Shouldering the load: Shoulder dislocations in the ED
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...
Milrinone as Compared with Dobutamine in the Treatment of Cardiogenic Shock
Methodology: 3.5/5 Usefulness: 3.5/5 Mathew R, et al. N Engl J Med. 2021 Aug 5;385(6):516-525. Question and Methods: The authors performed a double-blinded RCT to determine if milrinone was superior to dobutamine for the treatment of cardiogenic shock in the ICU. ...
Ottawa POCUS Symposium
Do you want to take your POCUS game to the next level? Then look no further than the Ottawa POCUS Symposium. This symposium will offer some of the best POCUS teachers in Ottawa and Nationwide. Who should attend this conference? Staff and resident physicians and other...
Efficacy of ketamine for initial control of acute agitation in the emergency department: A randomized study
Methodology: 2.5/5 Usefulness: 3/5 Lin J, et al. Am J Emerg Med. 2021 Jun;44:306-311. Question and Methods: Open-label prospective study comparing the efficacy and safety of ketamine versus haloperidol plus lorazepam in the treatment of acute combative agitation in...
Tacit Knowledge: The ER Physician’s Secret Weapon
Onboarding and transition to independent practice are challenging (1–3). New attending physicians need knowledge to function in novel roles (4), (Yeung, Cheung et al, personal communication) However, this knowledge is often tacit. By improving our understanding of ...
