In this episode of First Year Diaries, I am joined by Dr. Daniel Ting and Dr. Jared Baylis. Dr. Daniel Ting is a first-year staff at UBC, who is currently working from the Vancouver General Hospital and BC Children’s Hospital. Dr. Jared Baylis is also a first-year staff, working at the Kelowna General Hospital. I asked them what it is like to transition from residency to working as staff physicians. Later, we discussed …
Learning to fly in #PGWHY5: Five tips for survival in the exam year
Five practical tips on surviving the Emergency Medicine Royal College Exam!
The Canadian Enhanced Competency Directory
Ever wondered how you might carve out a niche within emergency medicine? With well over 50 opportunities for fellowships and enhanced competency programs, you aren’t the only one! The journey to produce this resource began two years ago when the Canadian Association of Emergency Physicians (CAEP) Resident Section generated an initial Excel list of “fellowships” that had been pursued based on chief emergency medicine residents across the country. This was posted to CanadiEM …
IV Lipid emulsion for drug toxicity in the ED
What is the role of intravenous lipid emulsion in drug toxicity in the emergency department? A 32-year-old male with depression and chronic neuropathic pain presents to your ED after an intentional overdose of 50 x 75 mg tablets of amitriptyline one hour ago. On exam, his blood pressure is 92/54 mmHg and his heart rate is 128 bpm. He is somewhat somnolent and gets rushed to your resuscitation bay from triage. His initial …
The Case of the Awake Intubation Kit, Episode 3
Thank you to all who have participated in the discussion to crowd-source an awake intubation kit in both previous installments of this series (Episode 1 and Episode 2). In this final installment, we discuss the implementation of our kit and the ongoing process involved in making this an effective and sustainable quality improvement intervention. Introduction Two years ago, we treated a critically ill patient in our trauma bay who needed an awake intubation. …
Mechanical Heart: a basic approach to LVADs in the ED
You may be wondering; why do we need another post on left ventricular assist devices ( LVADs ) when there are already several phenomenal articles out there in the #FOAMed universe? There are two reasons for this. First, to my knowledge, there has not yet been a #FOAMed article regarding community emergency department (ED) management of LVAD related complications. LVADs are surgically placed in tertiary care, academic centres with specialized LVAD teams. However, …
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