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My Heart Goes Boom… ß-Blockers in Cardiac Arrest

In Infographics, Medical Concepts by Sameer Sharif0 Comments

A 52-year-old male presents with chest pain. He arrests upon arrival to the Emergency Department and is found to be in ventricular fibrillation. You provide good CPR and defibrillate the patient, and treat him with doses of epinephrine and amiodarone in keeping with the ACLS algorithms. The patient continues to be in ventricular fibrillation despite even trying dual-sequential defibrillation and you are running out of other options for treatment. Should ß-Blockers be tried …

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Tiny Tips: How ready is this child?

In Medical Concepts, Tiny Tips by Sarah Luckett-Gatopoulos0 Comments

Not many neonates are delivered in the Emergency Department, but those rare babies who greet the world for the first time under the fluorescent lights of the resuscitation bay are precisely those who warrant urgent and concise communication about their clinical status to our obstetric, paediatric, and neonatologist colleagues. The Apgar score is an assessment tool designed for precisely this kind of communication. Developed by Virginia Apgar, an American obstetrical anaesthesiologist, the Apgar score …

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A letter to my younger self

In Commentary, Opinion by Shahbaz Syed2 Comments

I recently took an extended vacation at the end of residency, and had some time to reflect upon nearly an decade of medical training. I write this as an letter to my younger, naive self, in hopes that trainees may learn from my experiences. Dear PGY-1 Shahbaz, I have some big news for you: things are going to change. Don’t bother memorizing the SIRS criteria, its going to be gone in a few years. …

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How useful is the physical examination in suspected cauda equina syndrome?

In Clinical Questions, Medical Concepts by Taft Micks0 Comments

Background Cauda equina syndrome (CES) is a syndrome consisting of one or more of the following: (1) bladder and/or bowel dysfunction, (2) reduced sensation in the saddle area (i.e. the perineum and inner thighs), and (3) sexual dysfunction, with possible neurological deficit in the lower limb (motor/sensory loss or reflex change) [1]. The cauda equina is a latin name meaning horse’s tail and represents nerve roots L2 through L5. CES is caused by …

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Spot the Diagnosis! The Case of The Ugly Duchess

In Arts PRN, Medical Concepts by Tetyana Maniuk0 Comments

As part of the Arts PRN series, we will intermittently be featuring pieces of historic art that hint at an underlying medical condition. They say a picture is worth 1000 words… can you Spot the Diagnosis after examining only a painting? Read on to learn not only about the art, but about these fascinating medical conditions. Who knows, maybe they’ll help you make a diagnosis some day (or at least help you out …

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The Canadian Enhanced Competency Directory

In Mentorship by Jared Baylis0 Comments

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 …