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!
Management of PEA: in need of resuscitation?
What is pulseless electric activity (PEA)? Pulseless electrical activity is diagnosed based on a patient having an organized, non-shockable rhythm and no palpable pulse. However, PEA is not always a cardiac arrest state. In many cases, patients with PEA have...
Focused Gallbladder Ultrasound – Enhance your Skills!
Point of Care Ultrasound (PoCUS) for the evaluation and diagnosis of gallbladder related disease is becoming commonplace in the Emergency Department. Here, we present a quiz to test your knowledge, some answers, and helpful tips and tricks to enhance your gallbladder...
Gallbladder Case 2
Case 2 34 year old female presenting with vomiting and abdominal pain for 3 days. She has required antiemetic therapy in the ED, and on your assessment she has a POSITIVE sonographic Murphy's sign. ...
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.