Hans Rosenberg
@hrosenberg33
Emergency physician/Associate Prof at TOH/uOttawa. #SoMe/Knowledge Dissemination. Love Bayern München and the not so successful Toronto Maple Leafs.
If you work in an ED or other setting where you see patients presenting with a Thunderclap Headache, then consider taking a look at this article from @bmj_latest bmj.com/cgi/content/fu… With huge assists from @lilninjadoc, Drs. Albert Jin and Jeff Perry

EMOttawa Pub Evaluating a Canadian tertiary care ED physician wellness program Lipinski M, Ahn E, @wjcheungem Yiu S. link.springer.com/article/10.100… Conclusion While social events were appreciated, initiatives focusing on addressing barriers to occupational wellness were valued the most.
EMOttawa JC Phenobarbital treatment of alcohol withdrawal in the ED via @AcademicEmerMed emottawablog.com/2025/06/phenob… Interpretation: While phenobarbital will not be replacing benzodiazepines as 1st line for EtOH withdrawal, these results are reassuring from a safety perspective
Beyond the regular medications in ACLS, what do guidelines and evidence tell us about adjuncts? What drugs do you always reach for in Cardiac Arrest cases? Dr. Brenkel with much more: emottawablog.com/2025/07/the-co…
🧫 Positive blood cultures in kids = clinical dilemma. A new @CJEMonline study finds major variation in how Canadian ED docs manage pediatric bacteremia. 98% would adopt a high-sensitivity decision rule, time to build one? 🔗 link.springer.com/article/10.100… #PedsEM #bacteremia #FOAMed…
ICYMI yesterday - the 6th Edition of the Ottawa Handbook of Emergency Medicine is out now! Filled with bedside approaches to common ED presentations, this is really useful as a bedside or educational resource! emottawablog.com/sdm_downloads/…
The 6th edition of the Ottawa Handbook of Emergency Medicine is HERE! A shift-friendly resource for junior learners in the ED. Check it out: emottawablog.com/sdm_downloads/… Help us improve by filling out our quick survey: forms.gle/VJ4w6G7y19ySRe…
EMOttawa JC 🩺 Can a 0/1-hour troponin protocol boost safe discharges from the ED? A new stepped-wedge RCT across 9 US EDs finds no significant increase in discharge rates vs 0/3-hour protocol — but safety is maintained. 🔗 emottawablog.com/2025/07/rapid-… #FOAMed #EmergencyMedicine
Congratulations to Dr. Christian Vaillancourt @vaillancourt_c, who received the King Charles III Coronation Medal bestowed by the @HeartandStroke for decades of voluntary work to improve survival from cardiac arrest. More info here: canada.ca/en/department-…
EMOttawa Award Congratulations to Dr. Alie Wudwud for receiving the Resident Award for Outstanding Trauma Care. Recognizing residents who have consistently demonstrated exceptional performance in both clinical and educational aspects of trauma care.
Thunderclap headache is associated with high risk aetiologies, such as subarachnoid haemorrhage and intracranial haemorrhage. What are the differential diagnoses to consider? Practice Pointer includes a #BMJInfographic outlining diagnosis bmj.com/content/389/bm…
🚨 New on the EMOttawa Blog! Sudden vision loss can be a true emergency. 👁️ From CRAO to endophthalmitis, learn to spot and manage 6 critical causes of vision loss in the ED. 🧠 Cases, pearls, and expert tips inside. 🔗 Read now: emottawablog.com/2025/07/code-b…
In case you missed it, we need to have our approach and imaging decisions around BCVI in Trauma down cold. Dr. Wudwud spoon-feeds us some great pearls around this entity: BCVI Part 1: emottawablog.com/2025/06/naviga… Part 2: emottawablog.com/2025/06/naviga…
🇨🇦 Happy Canada Day from CJEM! Today we celebrate the people, research, and frontline care that make Canadian emergency medicine world-class. Explore the latest in ➡️link.springer.com/journal/43678 #CanadaDay #CJEM #EmergencyMedicine
We wanted to take a moment to introduce our incoming CCFP-EM @CFPC_e resident cohort for the 2025-26 academic year. Dr. Dan Czikk (Ottawa) Dr. Steve Hale (McMaster) Dr. Faran Khalid (Ottawa) Dr. Gabrielle Ouellette (Ottawa) Dr. Anchaleena Mandal (Queen's)
We wanted to send a quick message of welcome to our amazing crew of new R1’s from the @Royal_College Michael Baskey James Bunker Jason Chung Garret Conquer-van Heumen Eadan Farber Nikki Huebener Natalia Kruger Janelle Lazor Kaitlyn Lee Cameron Sartor Jacob Sartor Robin Smyth
Last evening we had our Graduation and Awards dinner. We would like to congratulate all the amazing individuals who were nominated for the awards and the winners! Thank you for all you do to contribute to our program!
BCVI requires a high level of clinical suspicion; otherwise, it can be fairly easy to miss. There should be a standardized approach, and Dr. Wudwud covers it in part 2 of Navigating Twists, Turns and Tears, BCVI in the ED: emottawablog.com/2025/06/naviga…
EMOttawa JC 🫀ECMO in AMI Cardiogenic Shock? Meta-analysis of RCTs (Lancet 2024) shows no overall mortality benefit 🔹 Possible benefit in STEMI + low neuro injury risk 🔹 ECMO & Impella included 🔹 Practice-changing? Not for EM. emottawablog.com/2025/06/tempor… #FOAMed #EM
🚨 Just the Facts – Evaluation & Management of Epistaxis 🩸 From initial compression to TXA, balloon devices, & when to call ENT — this is your go-to guide for nosebleeds in the ED. 🔗 Read more: rdcu.be/eqzUM ✍️ @long_brit @hrosenberg33 @PaulAtkinsonEM #FOAMed #EM…
🚨 Inhaler prescribing in the ED just got greener 🌍 A simple staff education campaign led to a 43% drop in metered-dose inhaler use over 12 months—saving emissions equal to driving 96,000 km. by Laura F. Wilson 🔗 rdcu.be/epB4i A practical win for cost, climate, &…