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Clinical Question: When should patients be allowed to eat in the Emergency Department?

In Clinical Questions by Edward FengLeave a Comment

You have just finished seeing a 12-year-old boy who fell off the monkey bars about an hour ago. He has an obvious deformity to his right elbow and you suspect a displaced fracture that will require reduction. You would like to use procedural sedation to facilitate the reduction, but an empty granola bar wrapper stops you in your tracks. “We missed dinner rushing here and he couldn’t resist,” his mom says. Staring at …

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Hyperthermic Conditions in the Psychiatric Patient

In Infographics by Edward FengLeave a Comment

A 32 year-old female presents to your Emergency Department one afternoon with the presenting complaint of altered level of consciousness.  On examination you find her to be agitated and confused, as well as tachycardic and febrile at 39.5o C.  Collateral history from EMS is negative for any substance misuse.  When reviewing her chart, you find that she has recently been started on Risperidone for her schizoaffective disorder… Fever vs Hyperthermia It is important …

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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 Edward FengLeave 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 …

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Methoxyflurane- an alternative to opioid and NSAID analgesia in the Emergency Department?

In Medical Concepts by Edward FengLeave a Comment

Introduction Methoxyflurane, also known as Penthrox, is an inhaled analgesic that was first used in the early 1960s for general anaesthesia.​1​ While initially popular, reports of serious side effects including hepatotoxicity and irreversible dose-dependent nephrotoxicity led to its reduced usage as a general anesthetic by the 1970s.​2​ Nevertheless, due to its non-opioid nature and short half-life, methoxyflurane has found new life as a short acting analgesic for moderate to severe pain in several …

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Introducing the CanadiEM Newsletter

In Featured by Edward FengLeave a Comment

The CanadiEM team is excited to bring you a newly minted newsletter!  This regular feature will exhibit a handful of topical CanadiEM articles in a digestible format for your consumption.   We will be curating posts and infographics both past and present to highlight excellent content that you might have missed. To subscribe, simply click the link or follow the prompts on our home page.  Our first issue is included below.  We’re always …