All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical expert, scholar, advocate Case Description A 45-year-old patient is diagnosed with COVID-19 and is receiving supportive care on the inpatient medicine ward. It is early in her clinical course and she continues to require supplemental oxygen via nasal prongs, but remains in stable condition with mild shortness of breath and intermittent fevers. One day while in …
CRACKCast E215 – Abdominal Pain
This updated episode of CRACKCast covers Rosen’s Chapter 24 (9th Ed.), and while it may not be the most glamorous topic, abdominal pain is both common and potentially life-threatening. In this episode we hope to solidify an approach to your next patient’s gut ache. Shownotes – PDF Here Rosen’s in Perspective Alright, everyone. It is time for yet another cruise down Rosen’s lane. Today, we are covering one of the most important chapters …
Is design thinking the way forward for physician innovation?
In an attempt to better understand the inefficiencies in the emergency department, Kristian Simsarian, a renowned professor in the field of design, feigned a foot injury.1 With a video camera hidden, he documented his experience from start to finish.1 The insights he brought back to his team were both expected and sobering.1 The video tape showed hours of Simsarian staring at a monotone ceiling with no idea of what to expect.1 In the …
Blood & Clots Series: Subsegmental PE – To Treat or Not To Treat?
All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical expert, scholar Main Messages Improved technology has led to an increase in the detection of subsegmental PE (SSPE) An algorithmic approach can help identify patients who will benefit from anticoagulation: generally those with concomitant DVTs and patients with additional risk factors for progression There is clinical equipoise regarding the decision to anticoagulate in this case, and …
How to Read Patient Monitors
It’s your first day as a clerk in the Emergency Department and your staff has asked you to see an 80 year old patient with known COPD presenting with increasing shortness of breath. He reminds you to check the patient monitor when you go in there to look for any abnormalities and to record a new set of vitals on the chart. Patient monitors can be overwhelming early in your training when you’re …
First Year Diaries E04: Dr. Daniel Ting & Dr. Jared Baylis – Transitioning to EM Practice
In this episode of First Year Diaries, I am joined by Dr. Daniel Ting and Dr. Jared Baylis. Dr. Daniel Ting is a first-year staff at UBC, who is currently working from the Vancouver General Hospital and BC Children’s Hospital. Dr. Jared Baylis is also a first-year staff, working at the Kelowna General Hospital. I asked them what it is like to transition from residency to working as staff physicians. Later, we discussed …