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Tiny Tip for Acute Visual Loss: CAN U GO STARE at HIM

Acute visual loss is distressing to patients of any age. A careful history and physical exam alone may help direct you to the diagnosis in most cases. However, when the cause isn’t immediately obvious, it is helpful to have an approach to go to for considering all of the possibilities. If you’re a Canadian EM resident studying for your Royal College exams, you might also want to have this available for quick recall. Mnemonic …

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Tiny Tip: The NBG Pacemaker Code

Pacemaker codes. After our exams are over we do not think about them very often. However, they’re still a useful thing for us to understand when talking to educated patients and our colleagues. Unfortunately, their 5 letter code isn’t the easiest thing to remember.

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Tiny Tip: Anaphylaxis Treatment

Anaphylaxis is a common presentation to the emergency department requiring rapid treatment as death can occur within minutes. From 1986 – 2011, in Ontario, Canada alone there were 82 deaths from anaphylaxis (1). Epinephrine 0.5mg IM (1:1000) is the first line treatment for anaphylaxis and the only lifesaving treatment (2). The other medications are for symptomatic control or can help prevent the biphasic reaction anywhere from 8-72 hours from the initial reaction. For …

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Tiny Tips: Epinephrine Dosage

Epinephrine is a commonly used medication in the emergency department for the management of anaphylaxis and cardiac arrest. Administering this drug can be confusing as the dosage and concentration are different for each indication. The “allergy epi” 1:1000 concentration is 10 times more concentrated than the “cardiac epi”. The “allergy epi” is delivered IM while the “cardiac epi” is delivered IV. This difference leads to an increased risk of error as the incorrect …

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Tiny Tips: weakness MADE NICER

Editor’s Note: This is a great mnemonic developed by two Canadian medical students Anali Maneshi and Matthew Cherian. This tool serves as a framework for an approach to a common ED presentation. If you have a tiny tip for us please consider sending it along by following our author instructions here.  Geriatric patients make up 20% of all visits to Canadian EDs (1). General weakness, which can have a large differential, is a common …

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Tiny Tip: Banning Factor Xa – How to remember NOACs

There has been an increase in novel oral anticoagulants (NOACs), which often thought of by many as the non-warfarin anticoagulants. Within this group there are two subclasses: Factor IIa (thrombin) inhibitors Factor Xa inhibitors One of our @MacEmerg PGY3 residents, Laura Morrison (no relation to esteemed resuscitation Canadian researcher Laurie Morrison) recently told me about a quick and dirty tip to remember what class each of the NOACs belongs to… and thereby helping you …