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Isolated distal DVT – Diagnosis and Management

In Clinical Questions by David Wonnacott3 Comments

Case: A 51-year-old woman presents to the ED with the chief complaint of left leg swelling. She recently underwent bunion correction surgery to her left foot 7 weeks ago, and her cast was removed one week ago. Over the last day or two she has had significantly increased leg swelling and more recently reports some dull pain described as” heaviness” to the affected leg. The patient denies chest pain, shortness of breath, or …

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CAEP FEI | Teaching Rotation for Emergency Medicine Residents – MERIT

In Featured Education Innovations (FEI) by Brian Chung2 Comments

Delaney is a first year Emergency Medicine resident. Over the course of her first few months, she works a number of shifts with Dr. Pan. Most of the ED staff really like whenever Dr. Pan works, because he treats a high volume of patients, “moves the meat,” and keeps patient waiting times low. Conversely, Delaney dislikes working with Dr. Pan because it seems that every time she works with him, he is too …

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CAEP GeMES | Simulation Versus Case-Based Teaching

In Featured, Great Evidence in Medical education Summary (GEMeS) by Daniel Ting3 Comments

Dr. Jonah is a self-identified “old school” Emergency Physician. He has been teaching learners for decades and has a great knack for collecting cases. Dr. Jonah’s favorite way of teaching is taking these cases and discussing them with students in a small group setting. In recent years, he has seen many of his younger colleagues taking learners to the simulation lab and running various cases. It almost seems like simulation is the only way …

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FAQ About Medical Student Electives

In Mentorship by Brent Thoma5 Comments

This is a topic for which the “how to” seems to be passed down from senior to junior medical students and never written down. I remember being pretty clueless about this process when I went through it. I was a relative late-comer to the Royal College EM sweepstakes, having decided to pursue that program only during the summer before fourth year. This was compounded by my inability to plan anything in advance, ever. I …

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Mechanical Heart: a basic approach to LVADs in the ED

In Medical Concepts by Jared Baylis0 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, …

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Tiny Tips – Approach to Diabetic Ketoacidosis

In Medical Concepts, Tiny Tips by Larissa Hattin0 Comments

Don’t Know Anything about Diabetic Ketoacidosis (DKA)? In Canada, 5 000 – 10 000 patients are admitted to the hospital with diabetic ketoacidosis (DKA) each year.1 Most of these patients will initially present to the Emergency Department.  The initial assessment and management of these patients in the ED is crucial, as 50% of DKA deaths occur in the first 48-72hrs.2  Managing DKA can be overwhelming for learners; interpreting blood gases, thinking about electrolyte and fluid …