Flipside: A Dissenting Opinion on Crystalloid Fluids

In Medical Concepts by Brent Thoma1 Comment

As mentioned in my previous posts on Peer-review in FOAM (here and here), following my post on Ringer’s Lactate and Normal Saline I received feedback via e-mail in an e-mail from Dr. Rory Spiegel, an EM resident from Newark, NJ. He offered a well thought out dissenting opinion on Crystalloid Fluids that I felt deserved a post of its own to counterbalance my previous one (Greetings/goodbyes removed for length). On the topic of …

FOAM: A Market of Ideas

In Knowledge Translation by Brent Thoma7 Comments

Following my post on the FOAM peer review process (Crowdsourced Instantaneous Feedback) there were some excellent comments made on my blog and twitter that led me to consider FOAM peer-review in the context of a market of ideas. Thanks especially to Nadim Lalani (ERMentor), Simon Carley (St. Emlyns) and Elisha T (The Chart Review) who commented on my post and inspired this entry. In particular, Simon Carley noted criticisms of the current peer …

Crowdsourced Instantaneous Review: The Peer Review of FOAM?

In Knowledge Translation by Brent Thoma21 Comments

I was talking to my PD about FOAM the other day and mentioned how crazy it was that we have the ability to produce and disseminate content so widely, easily and cheaply. How great it was that this, in some respects, allowed us to unhinge CME from the clutches of drug and device companies and potentially speed up knowledge translation. He agreed that it was awesome before adding a “but” of wisdom. “But …

Normal Saline: The Coke of Crystalloid Fluids

In Medical Concepts by Brent Thoma15 Comments

The nurse looked up from my orders with a quizzical expression on her face. “Why do you always order Ringer’s Lactate?” She asked. I immediately launched into an intense discussion… errr… one sided conversation… about the merits of various IV solutions and their respective electrolyte values and pH. As her eyes quickly glazed over and she glanced at the clock her expression shifted to one of regret. I sensed that I was losing …

Group A Strep: The Stray Dog of Bacterias (Addendum)

In Medical Concepts by Brent Thoma9 Comments

Well consider me embarrassed! Last week I made a post on Group A Strep. As with most of my posts, it was intended to be an overview of a common topic discussing primarily discussing its pathophysiology. However, I definitely should have taken a little more time to delve into the efficacy and necessity of treatment with antibiotics. A huge thank you to Dr. Lars Peterson (@LarsKristofer), an EM resident from Rochester, NY, who …

Top 10 Ways to Rock EM Clerkship

In CaRMS Guide, Mentorship by Brent Thoma15 Comments

In our commitment to keeping posts up-to-date, this post was updated by Eve Purdy in December 2014.  You’re a bright-eyed young medical student and you think you want to be an emergency doctor. You haven’t made life easy for yourself. While it may not be the case in other parts of the world, Emergency Medicine in Canada has become a highly sought-after specialty. The stats from our matching service indicated that last year …