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Substance use in the ED: Alcohol Use Disorders and the Emergency Department

In Clinical Questions, Medical Concepts by Gaibrie StephenLeave a Comment

Think back to your last three shifts. Did you see an alcohol related condition? You might even notice a pattern— the same patient, the “regular” who returns time and time again with the same presentation. You may even find yourself writing “discharge home when ambulatory” as you’ve “reached your wits end” and don’t know what to do anymore.  The use of alcohol is common and the emergency department is often where we see …

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What to do if your Patient is Poisoned by a Nerve Agent

In Clinical Questions, Medical Concepts by Gaibrie StephenLeave a Comment

While working in your emergency department, you receive news a number of patients have been found at a bus station unconscious. It is suspected that some sort of attack may have occurred. The first patient is brought to your ER, with obviously soiled clothing, vomiting and aggravated. As you make your way towards the bedside, the patient suddenly begins to seize. Overview: This past month, the assassination attempt of a Russian ex-spy and …

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Routes to emergency medicine practice following a Family Medicine residency

In CaRMS Guide by Gaibrie StephenLeave a Comment

Believe it or not, CCFP graduates provide the majority of emergency care in Canada. I don’t mean CCFP physicians with an emergency medicine (EM) designation – I’m referring to regular non-EM family physicians. From the very northern settlements of Canada to southern border cities, family physicians have been working in emergency departments since their earliest days in Canada. This begs the important question: what is the value added through a recognized college competency …