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Hyperthermia in Methamphetamine Toxicity

In Medical Concepts by Amar ChakrabortyLeave a Comment

Paramedics roll in with an agitated young man, “John”. He is combative, rambling, sweaty and scared. The crew mention they found needles and a bag containing a crystalline white substance in his pockets: methamphetamine. Right away, you start thinking about your initial approach to a patient with excited delirium. In the room, four security guards are needed to restrain him.  On inspection, you observe no signs of head trauma, and symmetrical movement of …

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2021 CanadiEM Year in Review and Editor’s Choice Awards

In Commentary by Daniel TingLeave a Comment

Over the past year, healthcare workers in Emergency Departments across the world have continued to show incredible resiliency and grit during the COVID-19 pandemic. The Emergency Department is the safety net of the system, the place where the doors are always open and no patients are refused. During the pandemic, the Emergency Department has taken on an even larger role, and this work should be recognized and appreciated. On this Year in Review, …

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Clinical Question: What is the Role of Contrast in Abdominal CT for Adult Patients presenting with Acute Abdominal Pain?

In Clinical Questions by Shankar SethuramanLeave a Comment

Clinical Question: Role of Contrast in Abdominal CT for Adult Patients presenting with Acute Abdominal Pain A 73-year-old male presents to your Emergency Department with vague LLQ abdominal pain. Your differential includes stones/pyelonephritis, diverticulitis, obstruction, and neoplasm. You want a CT scan to assist in diagnosis. A colleague mentions you need oral contrast to diagnose obstructions, and intravenous contrast to diagnose diverticulitis but intravenous contrast hinders the diagnoses of stones. What is the …