View Post

The Case of the Missing Awake Intubation Kit: Episode 2

In Medical Concepts by BoringEM1 Comment

Thank you to all those who contributed to the discussion in Episode 1 of The Case of the Missing Awake Intubation Kit. In Episode 2, I compile the feedback from the first part of the series and some pearls from a discussion with local airway expert, Dr. Nick Kuzak. I have also included advice and instruction from emergency physicians Drs. Paul Linden and Nick Balfour, both qualified AIME (Airway Intervention and Management in Emergencies) …

View Post

The Boring Guide to ECG’s: Fascicular blocks

In Medical Concepts by BoringEM1 Comment

There are few things in ECG interpretation more irritating to a junior learner than fascicular blocks. You might find yourself asking whether the pattern is qR. Or maybe it’s rO. sO? ss? And what are these fascicle things anyway? (Figure 1) In this article, we will briefly explore the physiology of cardiac depolarization, with and without fascicular blocks. Then we get to the important stuff: how to recognize these syndromes on ECG, and how to …

View Post

Flashcards

In Mentorship, TipsForEMExams by BoringEM3 Comments

This page is the home of CanadiEM Flashcards including both the CRACKCast and “Boring Cards” series. The CRACKCast set parallels the CRACKCast podcast, adding flashcards shortly after each new episode is released so that you can review the key concepts and memorize the relevant information that they presented. The “Boring Cards” series builds on the many ‘Tiny Tips’ presented on CanadiEM and was the study deck used by Dr. Brent Thoma to prepare …

View Post

#TipsForNewDocs | Using spaced repetition to study

In Mentorship, TipsForEMExams by BoringEM3 Comments

The Canadian Royal College licensing exam in emergency medicine has a certain mystique. While the pass rate for Canadian graduates is spectacular [1], exam survivors speak of the test in hushed whispers that have an air of PTSD. Having recently survived the exam myself, I have some understanding of where these whispers come from. Prior to my exam year I had planned to write a blog post to reassure the residents following me that it was …

Boring Question: What is the risk of Contrast-Induced Nephropathy?

In Clinical Questions by BoringEM3 Comments

I once encountered a patient who was empirically started on warfarin therapy after a presumed diagnosis of pulmonary embolus. The treating team did not want to risk an AKI by performing a CT-PE as the patient’s creatinine was 120 and a V/Q scan was not an option due to underlying lung disease. This made me uncomfortable. There’s a known risk of hemorrhagic stroke (~0.5% per year) and other major bleeding events with warfarin, …