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Is there a role for a single intravenous bolus dose of corticosteroid in reducing pain in Emergency Department patients with radicular back pain?

In Medical Concepts by Heather Murray1 Comment

Clinical vignette A 45-year-old healthy male, presents to the emergency department (ED) with a one-day history of back pain.  The pain started while working out at the gym – he lifted a heavy weight above his head and felt a sudden lower back pain (LBP). The patient describes sharp, burning and stabbing pain in the low back that radiates down the posterior and lateral aspect of the left leg to the dorsum of the …

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Where is the love? Engaging students in research and critical appraisal

In Mentorship by Heather Murray3 Comments

Editor’s Note: This is the third in a series of BoringEM research week posts. Dr. Murray is an editor at BoringEM and an expert at teaching medical students about research and the art of critical appraisal. She has been at the helm of designing and implementing a critical appraisal and research curriculum for the undergraduate medical students at Queen’s University. The graduated curriculum spans all four years and sets students up with a strong foundation in both evidence-based medicine …

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#TipsforEMexams: Heather Murray’s Exam Tips

In Mentorship, TipsForEMExams by Heather Murray1 Comment

Survivor of the 1997 exam (wow… does the exam really go that far back?) There is not much to add to the excellent tips already posted. But here I go with my tips. Incidentally they are the same things that I frequently tell my children! Answer practice questions – over and over again. There is a whole pile of evidence which supports what you already know: highlighting an article or a textbook is …