by emottawa | Oct 25, 2016 | Grand Round Summaries, Procedural care
The ability to administer peripheral nerve blocks in the ED has the potential to provide fast and direct analgesia with less systemic side effects compared to parenteral medications. When administered by an experienced provider, studies have shown that peripheral...
by emottawa | Oct 24, 2016 | Journal Club
Journal Club Summary Methodology Score: 4.5/5 Usefulness Score: 3.5/5 Pathan SA, et al. Lancet. 2016 May 14;387(10032):1999-2007 Abstract Link Editorial: Non-steroidalanti-inflammatory drugs for renal colic Knoedler JJ, et al....
by emottawa | Jan 6, 2016 | Grand Round Summaries, Resuscitation
You deftly sweep the tongue aside, slide into the vallecula, lift the epiglottis, and have a great view of the cords. You smoothly pass the tube, secure it, and walk away – a superstar. Meanwhile your nurses wonder “what now?” as your patient begins to wake up pulls...
by EMOttawa | Oct 26, 2015 | Journal Club
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2/5 Motov S, Rockoff B, Cohen V, et al. Ann Emerg Med. 2015 Mar 26. pii: S0196-0644(15)00191-2. Abstract Link This prospective, RCT found sub-dissociative ketamine (0.3mg/kg) and...
by emottawa | Sep 17, 2015 | Grand Round Summaries, Toxicology
The ED patient in acute severe pain can be a challenge to treat. Even when we prescribe opioids appropriately (which is less often than you think), patient contraindications, side effects, and a poor analgesic response may limit their use. There is lots of new...
