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Ohle R, Yan JW, Yadav K, Cournoyer A, Savage DW, Jetty P, Atoui R, Bittira B, Wilson B, Gupta A, Coffey N, Callaway Y, Middaugh J, Ansell D, Rubens F, Bignucolo SJ, Scott TM, McIsaac S, Lang E. Diagnosing acute aortic syndrome: a Canadian clinical practice guideline. CMAJ 2020; 192:E832-E843. [PMID: 32690558 PMCID: PMC7828987 DOI: 10.1503/cmaj.200021] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Affiliation(s)
- Robert Ohle
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
| | - Justin W Yan
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Krishan Yadav
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Alexis Cournoyer
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - David W Savage
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Prasad Jetty
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Rony Atoui
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Bindu Bittira
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Brock Wilson
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Ashish Gupta
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Niamh Coffey
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Yvonne Callaway
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Jeffrey Middaugh
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Dominique Ansell
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Fraser Rubens
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Stephen J Bignucolo
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Terena-Marie Scott
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Sarah McIsaac
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
| | - Eddy Lang
- The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta
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