We are excited to introduce the Fifth edition of The Ottawa Handbook of Emergency Medicine. Your bedside guide for approaches to various Emergency Medicine presentations.
Highlights of the Fifth edition include the addition of: general surgery emergencies, pediatric orthopedic presentations, and updates in pediatric fever + more!
Gallbladder Case 4
Case 4 A 34-year-old male presents with nausea, vomiting and diarrhea for the past 24 hours. He has required antiemetics and fluids in the ED. On your sonographic assessment, you note that the patient did NOT have a sonographic Murphy's sign. ...
Gallbladder Case 8
Case 8 A 54-year-old female with a history of liver cirrhosis presents with vomiting requiring antiemetics at triage. On your sonographic assessment, you note that the patient did NOT have a sonographic Murphy's. [WATU...
Gallbladder Case 1
Case 1 54 year old female presents with nausea and vomiting for the past 48 hours. She is asymptomatic in the Emergency Department. On your assessment, you note that the patient DID NOT have a sonographic murphy's sign. ...
Gallbladder Case 5
Case 5 A 64-year-old male presents with nausea for the past two weeks, but is asymptomatic in the ED. On your sonographic assessment, you note that the patient did NOT have a sonographic Murphy's sign. [WATU...
Gallbladder Case 3
Case 3 A 54-year-old male presents with nausea and vomiting for 8 hours. He has had recurrent symptoms fo the past 3 months, but is currently asymptomatic in the ED. On your sonographic assessment you note that the patient did not have a positive sonographic Murphy's....
Gallbladder Case 7
Case 7 A 34-year-old female presents with vomiting and epigastric pain for the past week, requiring antiemetic therapy at triage. On your sonographic assessment you note that she does NOT have a sonographic Murphy's. ...
Gallbladder Case 6
Case 6 An 34-year-old female presents with vomiting for the past two weeks, and required analgesia for RUQ pain at triage. On your assessment, you note that the patient DOES have a positive sonographic Murphy's sign.
Borderline Personality Disorder – Part 2
This post is a continuation of Borderline Personality Disorder - Part 1. In this second post, Dr. Beamish discusses the management of BPD in the emergency department and shares some valuable resources. Borderline Personality Disorder - Part 2 Case 2 A 22 year old...
Effect of Early Sustained Prophylactic Hypothermia on Neurologic Outcomes Among Patients With Severe Traumatic Brain Injury: The POLAR Randomized Clinical Trial.
Methodology Score: 3/5 Usefulness Score: 3/5 Cooper DJ, et al. JAMA. 2018;320(21):2211-2220. doi:10.1001/jama.2018.17075 Question/Methods: This study was done to determine the effectiveness of early prophylactic hypothermia compared with normothermic management of...
Borderline Personality Disorder – Part 1
Borderline Personality Disorder (BPD) is a personality disorder that describes the emotional dysregulation, impulsivity, recurrent self-harm and suicidal behaviour experienced by many individuals. People suffering from this personality disorder frequently live chaotic...