The Canadian Enhanced Competency Directory

In Mentorship by Jared BaylisLeave a Comment

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

In Medical Concepts by Jared Baylis3 Comments

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 …

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The Case of the Awake Intubation Kit, Episode 3

In Medical Concepts by Jared BaylisLeave a Comment

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

In Medical Concepts by Jared Baylis4 Comments

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, …

Finding your niche in emergency medicine: The Canadian Fellowship Guide

In Mentorship by Jared Baylis1 Comment

The Royal College of Physicians of Canada emergency medicine Specialty Training Requirements mandate: “…a minimum of six months, usually in PGY-4, be devoted to achieving particular expertise either in a scholarly activity or a clinical area, pertinent to the practice of the specialty of Emergency Medicine.”1 You may have found yourself pondering what it is that you might want to do with your fourth year of residency that could provide you with a …