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Blood and Clots Series: My patient has a pulmonary embolism. Should I screen them for cancer?

In Blood & Clots, Medical Concepts by Eric TsengLeave a Comment

CanMEDS Roles addressed: Expert, Leader An 83 year old female presents for follow-up after completing 3 months of oral anticoagulant therapy with Rivaroxaban for her unprovoked deep vein thrombosis. She did some research online and heard about a link between venous thrombosis and cancer, and asks why you are not getting a CT scan to rule out malignancy. Should you screen her for cancer? If so, which tests are necessary? What is the …

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Wellness Criteria for P.E. (Practice Enjoyment)

In Infographics by Gerhard DashiLeave a Comment

Editors Note: As part of emergency medicine’s annual wellness week (#iEMWell18), Dr. Gerhard Dashi riffed off of the well known Well’s Criteria for Pulmonary Embolism to create the Wellness Criteria for Practice Enjoyment! Score yourself using our infographic to determine how likely it is that you are enjoying your practice! When to use the Wellness Criteria: The Wellness Criteria risk stratifies residents for P.E. (practice enjoyment) and provides an estimated pre-test probability. The …

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Narrative Medicine and Resilience in Emergency Medicine

In Opinion by Sarah Luckett-GatopoulosLeave a Comment

How do we treat suffering? It’s simple enough to trawl the depths of wisdom collected in Rosen’s. Journal clubs, podcasts, and blogs keep us abreast of the latest updates to evidence-based practice. There is no substitute for the experience gained on clinical shifts. Reading around cases we see in the Emergency Department helps. We may struggle to memorize every list, table, and pathway, but the material itself is pretty straightforward. It’s all laid …

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EM Wellness Week: Reflections of a wellness skeptic

In Featured by Gerhard DashiLeave a Comment

This post describes how an EM resident’s perception of wellness takes a turn after he recognizes the symptoms of burnout in himself. It was submitted as part of EM Wellness Week. ​Honestly, I’m not really into this “wellness” stuff. I don’t get it. I like what I do – yes, it’s hard, but it’s worth it. All I hear from the “wellness” crowd is talk about burnout, depression, failure, errors, quitting, crying, etc., etc.  Does anyone still like this job? ​That’s …