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Clinical Question: What is the Role of Contrast in Abdominal CT for Adult Patients presenting with Acute Abdominal Pain?

In Clinical Questions by Edward FengLeave a Comment

Clinical Question: Role of Contrast in Abdominal CT for Adult Patients presenting with Acute Abdominal Pain A 73-year-old male presents to your Emergency Department with vague LLQ abdominal pain. Your differential includes stones/pyelonephritis, diverticulitis, obstruction, and neoplasm. You want a CT scan to assist in diagnosis. A colleague mentions you need oral contrast to diagnose obstructions, and intravenous contrast to diagnose diverticulitis but intravenous contrast hinders the diagnoses of stones. What is the …

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Methoxyflurane- an alternative to opioid and NSAID analgesia in the Emergency Department?

In Medical Concepts by Edward FengLeave a Comment

Introduction Methoxyflurane, also known as Penthrox, is an inhaled analgesic that was first used in the early 1960s for general anaesthesia.​1​ While initially popular, reports of serious side effects including hepatotoxicity and irreversible dose-dependent nephrotoxicity led to its reduced usage as a general anesthetic by the 1970s.​2​ Nevertheless, due to its non-opioid nature and short half-life, methoxyflurane has found new life as a short acting analgesic for moderate to severe pain in several …

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Introducing the CanadiEM Newsletter

In Featured by Edward FengLeave a Comment

The CanadiEM team is excited to bring you a newly minted newsletter!  This regular feature will exhibit a handful of topical CanadiEM articles in a digestible format for your consumption.   We will be curating posts and infographics both past and present to highlight excellent content that you might have missed. To subscribe, simply click the link or follow the prompts on our home page.  Our first issue is included below.  We’re always …