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Pneumothorax in the Emergency Department – Part 1

Pneumothorax in the Emergency Department – Part 1

by Simon Wells, James Gilbertson | Dec 17, 2020 | Airway, Featured, Grand Round Summaries, Procedural care, Respirology

Pneumothorax is a relatively rare emergency department presentation with a number of controversies existing regarding its management. Over the last decade, the standard of care has shifted from invasive strategies to more conservation management approaches. What...
Performance Mindset: Expertise in Emergency Medicine

Performance Mindset: Expertise in Emergency Medicine

by Justin Godbout, James Gilbertson | Nov 26, 2020 | Featured, Grand Round Summaries, Medical Education, Pre-Hospital, Trauma

“The differences between expert performers and normal adults are not immutable, that is, due to genetically prescribed talent. Instead, these differences reflect a life-long period of deliberate effort to improve performance.” – K. Anders Ericsson What defines...
The D-Dimer Dilemma: It’s Use In Low-Risk PE

The D-Dimer Dilemma: It’s Use In Low-Risk PE

by Jim Yang, Kaitlin Endres, Josee Malette | Nov 19, 2020 | Critical Care, Featured, Grand Round Summaries, Medical Education, Thrombosis

Pulmonary embolism is often a nebulous diagnosis with various nuances. COMMON: They affect 25-100 people per 100,000, or approximately 30,000 Canadians every year Potentially FATAL: 3rd most deadly cardiovascular disease, after Heart Attack and Stroke Associated with...
Subarachnoid Hemorrhage in the ED- What a Headache!

Subarachnoid Hemorrhage in the ED- What a Headache!

by Michael Hale, Kate O'Connell | Nov 5, 2020 | Featured, Grand Round Summaries, Neurosurgery, Radiology

  The diagnosis of subarachnoid hemorrhage (SAH) carries with it remarkable morbidity and mortality. Case fatality rates approach 50% 1,2 Of those who survive, half will experience chronic disability and a significant reduction in health-related quality of...
Aortic Dissection – A Needle in a Haystack

Aortic Dissection – A Needle in a Haystack

by Simon Wells, Pascale King | Oct 22, 2020 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries

A 65-year-old male self-presents to the Emergency Department (ED) with sudden-onset severe chest pain. The pain was sharp, lasted 30 minutes, and has now resolved. His vitals and ECG are normal, and his high-sensitivity troponin testing is negative. He has a normal...
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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.

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