To continue our FLOW Hacks series, Dr. Shawn Dowling writes about his team’s innovation aimed at reducing the number of Emergency Department (ED) revisits for repeated IV antibiotic administration. Setting This intervention was carried out in all of the EDs in Calgary, Alberta. Across all four sites, there is an average of 320, 000 patient visits annually. Description of the innovation In order to reduce the number of revisits to the ED for …
CJEM Visual Abstract: Use of Ottawa Ankle Rules by non-physician providers in a paediatric emergency department
View PostSpot the Diagnosis! The Case of the Dropsical Child
In this Spot the Diagnosis! post, we have the case of an ill looking child, brought in for healing by a worried mother. Through the symbolic ox, the haloed saint is identified as St Luke, a physician in the New Testament. (Note the book at his lap entitled “Hippocrates”.) (Can you also see St. Luke’s other noted profession? Answer: An artist!) What does this scene depict? This scene depicts three people: an adult …
Blood & Clots Series: ThromboPhonia E01, Mechanical Valves and Intracranial Hemorrhage
Blood & Clots Podcast, Thrombophonia: Episode 1 A 65-year-old man presents to the Emergency Department after suffering from an intracerebral hemorrhage (ICH). He has a past medical history of hypertension, dyslipidemia, a mechanical aortic valve replacement, diabetes, and sleep apnea. His medications include ramipril, atorvastatin, aspirin, metformin, and warfarin. How should this patient be managed? What should be done with his anticoagulation? Listen to the podcast below and read the blog post below! Objectives …
The CPR Coach – A Paradigm Shift in Resuscitation Teams for Cardiac Arrest Management
View PostTiny Tip: START Triage Protocol RPM – 30 – 2 – Can Do
If you’re like me, you appreciate the value of triage systems in emergency medicine and prehospital care but find it hard to remember the components of each. The START Triage (Simple Triage And Rapid Treatment) protocol was designed to quickly assess victims of mass casualty, categorising them into four colour-coded groups that communicate the urgency of treatment.1 Patients designated ‘green’ are the walking wounded; these individuals can move and follow commands. They should …