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!
Improving Morbidity and Mortality Rounds – the “OM3”
In the post, Dr. Edmund Kwok presents the Ottawa Morbidity and Mortality Model (OM3), and provides users with an helpful guide on how to implement change to effectively improve M&M rounds at any institution. OM3 Guide In modern medicine, the concept of keeping...
Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest: A Cohort Study.
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Cournoyer A, et al. Acad Emerg Med. 2017 Sep;24(9):1100-1109. Question and Methods: Retrospective observational cohort study to evaluate if the addition ACLS to BLS during EMS management for...
Low Back Pain – a management guide
A primer on this article: it is intended for use by healthcare professionals and patients. Many of the insights on therapy and non-medical management for patients with low back pain are provided by our guest author Halli Pedlow, a Registered Physiotherapist, with a...
Evaluation of computed tomography in patients with atypical angina or chest pain clinically referred for invasive coronary angiography: randomised controlled trial
Journal Club Summary Dewey M, et al. BMJ. 2016 Oct 24;355:i5441. Methodology: 2.5/5 Usefulness: 2.5/5 Question and Methods: Prospective single center RCT to determine whether patients with intermediate probability of CAD and atypical chest pain/angina should undergo...
Diagnosis and Management of Acute Renal Colic: An Evidence Based Update
Renal colic is an diagnostic entity emergency providers see almost every shift, often cited as the "worst pain imaginable". Here, Dr. Landreville takes use through an evidence based update so that we can provide the best possible care to these patients. Introduction...
Rapid Rule-out of Acute Myocardial Infarction With a Single High-Sensitivity Cardiac Troponin T Measurement Below the Limit of Detection: A Collaborative Meta-analysis
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Question and Methods: This meta-analysis included prospective studies to assess the ability of a single negative hs-cTnT and non-ischemic ECG to identify patients at low risk for AMI....
Code Silver: Sanctuary Under Fire
A Code Silver represents the planned response for a person with a weapon within the hospital. The Ontario Hospital Association has recommended the addition of Code Silver to separate the response of a person who is actively killing from that of a hostage situation...
My Heart is Racing! Select Cardiac Arrhythmias in the ED
There are a few specific arrhythmias that we encounter often in the ED that deserve a little bit more thought. Dr. Matthew Lipinski takes us through a few updates in the area beyond the routine basics. For other Grand Rounds Summaries please see our archives. Chronic...
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 edition of ATLS was released this previous summer, and was offered to be one of the "most...
Top Emergency Medicine Articles of 2017! (and maybe some from 2016)
Dr. Stella Yiu and Dr. Shahbaz Syed presented their top Emergency Medicine (EM) articles of 2017 at the National Capital Conference on Emergency Medicine (NCCEM), we're happy to present their summary here. References for each summary may be found at the bottom of the...