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Delirium revisited

by Simranjeet Singh | October 31, 2024 | Featured, Geriatrics, Grand Round Summaries, Infectious Disease, Recently Featured | 0 Comments

Delirium is a medical emergency. It is characterized by acute disturbance of consciousness, with changes in perceptual disturbances and fluctuation of symptoms. Delirium is often the initial manifestation of an underlying acute illness and can be present before fever,...

By the Hammer of Thora: Pleural Effusions in the ED (part 1)

by Alie Wudwud | August 15, 2024 | Anesthesiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries, Infectious Disease, Recently Featured, Respirology, Resuscitation | 0 Comments

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. In this post, I’ve tried to highlight some key information about an approach to...

Lung Protective Ventilation

by Cameron Leafloor | February 1, 2024 | Anesthesiology, cardiac arrest, Critical Care, Featured, Recently Featured, Respirology | 0 Comments

In our first part, we talked about the basics of mechanical ventilation and how to set up the ventilator for the busy ED doc! In part two, we discuss lung protective ventilation and go through a few cases to help solidify what we've learned. If you haven't read part...

Mechanical Ventilation Basics

by Cameron Leafloor | January 25, 2024 | Airway, Anesthesiology, cardiac arrest, Critical Care, Featured, Recently Featured, Respirology | 0 Comments

Mechanical ventilation has a lot of nuance associated with it, but a lot of reference guides focus on care in the ICU. There is certainly a need for more practical application for the ED doc or initial setup of patients on the vent. With both ER and ICU experience,...

Nailed it! A guide to Fingertip Injuries

by Caroline Gregory | January 16, 2025 | Featured, Grand Round Summaries, Orthopedics, Recently Featured, Trauma | 0 Comments

A stable and functional fingertip is essential for sensation, fine motor skills, grip strength, and the overall durability and cosmetic appearance of the hand. Fingertips, often the first point of contact during daily activities, are particularly susceptible to...

Posterior Circulation Strokes

by Kathleen O'Connell | March 14, 2024 | Critical Care, Featured, Grand Round Summaries, Neurology, Recently Featured, Resuscitation | 1 Comment

Posterior circulation ischemia accounts for approximately 20-25% of all ischemic strokes and is a significant cause of patient disability. The diagnosis can be extremely challenging as findings are often not typically focal. Posterior strokes are misdiagnosed more...

Invasive Group A Strep (iGAS).. It’s Backkkk (Part 1)

by Max Zworth | July 11, 2024 | cardiac arrest, Critical Care, Dermatology, Grand Round Summaries, Infectious Disease, Recently Featured | 0 Comments

In Fall 2023, I was working an evening shift at a community hospital when we got a patch. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. CPR was ongoing, and their ETA was 10 minutes. We prepared the ED for the patient’s arrival....

Stable Vaginal Bleeding in Pregnancy

by Caitlin Hutchings | November 21, 2024 | Featured, OBGYN, Recently Featured | 0 Comments

A common Emergency Department (ED) presentation, vaginal bleeding in pregnancy affects approximately 30% of pregnancies in the 1st trimester and 1-2% in the 2nd trimester. About half of these result in pregnancy loss. Here we will use cases to highlight an ED approach...

These are the ‘Roids you are looking for – Steroids in the ED

by Naman Arora | January 9, 2025 | Critical Care, Endocrinology, Featured, Grand Round Summaries, Infectious Disease, Recently Featured | 0 Comments

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of...

Functional Neurologic Disorders

by Maria Berliant | April 11, 2024 | Featured, Grand Round Summaries, Neurology, psychiatry, Recently Featured | 0 Comments

Note: This grand rounds presentation and summary had contributions from Dr. Anne-Marie Abe, a neuropsychiatrist specializing in functional neurological disorders in Ottawa. Patients living with functional neurologic disorders (FND) have been deeply stigmatized...

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!

Trimethoprim-Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess

by emottawa | Jun 6, 2016

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3.5 /5 Talan DA, et al. N Engl J Med. 2016 Mar 3;374(9):823-32 Abstract Link This RCT conducted at 5 US emergency departments including over 1200 outpatients aged over 12 years...

Naproxen With Cyclobenzaprine, Oxycodone/ Acetaminophen, or Placebo for Treating Acute Low Back Pain A Randomized Clinical Trial

by emottawa | May 30, 2016

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Friedman BW, et al. JAMA. 2015;314(15):1572-1580. Full Article In this pragmatic 3-arm RCT of Naproxen + placebo or cyclobenzaprine or acetaminophen/oxycodone for acute low back...

What to expect when your patient is expecting! Medical emergencies in pregnancy.

by emottawa | May 26, 2016

The pregnant or postpartum patient presents a unique set of challenges to the emergency physician. Although life-threatening emergencies are relatively rare, they require specialized protocols and different considerations than we’re used to (i.e. medications...

Assessment of Clinical Criteria for Sepsis For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)

by emottawa | May 24, 2016

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3 /5 Seymour CW, et al. JAMA. 2016 Feb 23;315(8):762-74 Abstract Link Editorial: New Definitions for Sepsis and Septic Shock Continuing Evolution but With Much Still to Be Done Abraham...

You CAN reverse that! Reversal of NOAC’s and more..

by emottawa | May 5, 2016

We have seen a large surge of the utilization of New Oral Anticoagulants (NOAC's) in the past few years, as such, it has been a novel challenge when these patients present to the Emergency Department (ED) with life threatening bleeding. Dr. Michael Ho looks to discuss...

Does This Patient With Chest Pain Have Acute Coronary Syndrome? The Rational Clinical Examination Systematic Review

by emottawa | May 2, 2016

Journal Club Summary Fanaroff AC, et al. JAMA. 2015 Nov 10;314(18):1955-65 Abstract Link Methodology Score: 4.5/5 Usefulness Score: 3/5 This meta-analysis found that few clinical variables were strong predictors of ACS amongst ED patients presenting...

Derivation and validation of two decision instruments for selective chest CT in blunt trauma: a multicenter prospective observational study (NEXUS Chest CT)

by emottawa | Apr 26, 2016

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 3/5 Authors: Rodriguez RM, et al. PLoS Med. 2015 Oct 6;12(10):e1001883. Full Article This study derived and validated a clinical decision rule for CT imaging in blunt thoracic trauma...

Oral Prednisolone in the Treatment of Acute Gout: A Pragmatic, Multicenter, Double-Blind, Randomized Trial.

by emottawa | Apr 18, 2016

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 4/5 Rainer TH, et al. Ann Intern Med. 2016 Feb 23. doi: 10.7326/M14-2070. Abstract Link This multi-centre, double-blind, randomized equivalence trial enrolled 416 patients in 4 EDs in...

Transgender Health in the ED

by emottawa | Apr 14, 2016

Transgender awareness is currently at an all time high, helped by portrayals in award winning shows such as Orange is the New Black and Transparent, and also by the recent public transition of Caitlyn Jenner. Transgender health is also an emerging area of research,...

Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

by emottawa | Apr 11, 2016

Journal Club Summary Methodology Score: 4.5/5 Usefulness Score: 4/5 Neumar RW, Shuster M, Callaway CW, et al. Circulation. 2015 Nov 3;132 (18 Suppl 2):S315-67 Full Article The 2015 update to the AHA guidelines on CPR and ECC, though not a complete revision of the...

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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.

Delirium revisited

By the Hammer of Thora: Pleural Effusions in the ED (part 1)

Lung Protective Ventilation

Mechanical Ventilation Basics

Nailed it! A guide to Fingertip Injuries

Posterior Circulation Strokes

Invasive Group A Strep (iGAS).. It’s Backkkk (Part 1)

Stable Vaginal Bleeding in Pregnancy

These are the ‘Roids you are looking for – Steroids in the ED

Functional Neurologic Disorders

Trimethoprim-Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess

Naproxen With Cyclobenzaprine, Oxycodone/ Acetaminophen, or Placebo for Treating Acute Low Back Pain A Randomized Clinical Trial

What to expect when your patient is expecting! Medical emergencies in pregnancy.

Assessment of Clinical Criteria for Sepsis For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)

You CAN reverse that! Reversal of NOAC’s and more..

Does This Patient With Chest Pain Have Acute Coronary Syndrome? The Rational Clinical Examination Systematic Review

Derivation and validation of two decision instruments for selective chest CT in blunt trauma: a multicenter prospective observational study (NEXUS Chest CT)

Oral Prednisolone in the Treatment of Acute Gout: A Pragmatic, Multicenter, Double-Blind, Randomized Trial.

Transgender Health in the ED

Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

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