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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 …

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TREKK Series | Diabetic Ketoacidosis

In Guidelines, Medical Concepts by Ashley Lubberdink2 Comments

Mark is a 7-year old boy who was brought into the ED by his mom who noticed he has been more fatigued than usual over the past day. Three days ago, he had rhinorrhea and a cough, and since then has been complaining of generalized abdominal pain, nausea, 2 episodes of nonbloody, nonbilious emesis today, and increased thirst. He is otherwise healthy, takes no medications, has no allergies, has up to date immunizations …

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CAEP FEI | Critical Incident Stress Management

In Featured Education Innovations (FEI) by Andrew Dixon0 Comments

Glenn is an Emergency Department RN who has basically seen it all through his fifteen years of practice. One day, a teenager is rolled into the trauma bay in cardiac arrest after a horrific car crash. Despite the team’s best efforts, the resuscitation fails and the teenager dies. Afterwards, Glenn is shaken and wants to talk. The trauma team leader organizes a debrief but doesn’t seem like she knows what to say, and there’s …

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QI Series Part 1 | What is Quality Improvement?

In Education & Quality Improvement by Shawn.Mondoux0 Comments

As physicians involved in Quality Improvement (QI) work, we are often asked by colleagues  and learners, “What is QI exactly?”  And this makes sense, given that few resources exist for those unfamiliar with the concepts and goals of QI.  Here, we hope to provide any health-care professional with the introductory knowledge to better understand how and why QI became so important in healthcare, and what this means for the future of health-care delivery. …

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Tiny Tips – Taking a Social History

In Medical Concepts, Tiny Tips by Aaron Leung0 Comments

While often overlooked, a patient’s social history can help narrow the differential diagnosis as well as help guide their final disposition. A mnemonic to help with the essential parts of the social history is ETOH SHOTS: Education Level of education of the patient; are they able to understand discharge instructions. Treatment Coverage Does the patient have a drug plan to help cover medication costs, can they afford the medications you are prescribing. Offspring/Supports …