View Post

HiQuiPs: Introduction to Biomedical and Health Informatics and its Role in the Emergency Department

In Education & Quality Improvement, HiQuiPs by Ryan TamLeave a Comment

You are attending your departmental monthly team meeting where you are all discussing your emergency department’s (ED) plan to switch to an electronic healthcare record (EHR) system in the coming months. There is also a lot of discussion about utilizing more health informatics tools to improve patient care. The presenter discusses the emerging role of health informatics in the ED, as well as the utility of connecting to regional health information exchanges. You …

View Post

CAEP FEI | GridlockED: An Emergency Medicine Game and Teaching Tool

In Featured, Featured Education Innovations (FEI) by Paula SneathLeave a Comment

Ken is a second year Emergency Medicine resident who just received the following feedback from his attending: “The shift went well, but as you continue in your training, it is important to think about the flow of the department”. Ken acknowledges that managing the department is something he needs to learn, but he wishes there was a way he could practice his department flow skills even as a junior resident.  This Feature Educational …

View Post

Sirens to Scrubs: Wolff-Parkinson-White Syndrome

In Medical Concepts, Sirens to Scrubs by Paula Sneath1 Comment

You are dispatched to Jasmine, a 31yo patient, for palpitations. On arrival, you find her clinically stable in a narrow-complex, regular tachycardia at a rate of 180bpm. As you begin to coach her through vagal maneuvers and reach for your adenosine she advises you ‘I have something called Wolff-Parkinson-White – does that change anything?’ You think maybe it does, but you’re not sure. About Sirens to Scrubs Sirens to Scrubs was created with …

View Post

Tiny Tips: STEMI? Don’t forget your PAILS!

In Medical Concepts, Tiny Tips by Thomas WinterLeave a Comment

Reading ECGs is a bread and butter emergency medicine skill. At busy centres a triage nurse may hand you tens of them to glance at per shift. It can be a mindless, monotonous task, but your brain needs to know where to look. So, when you identify legitimate ST elevation and you are concerned about a STEMI, where are those reciprocal changes found again? Think of PAILS! This mnemonic identifies that ST segment …

View Post

HiQuiPs: Patient Safety in the ED Part 5 – Patient Communication in the ED

In Education & Quality Improvement, HiQuiPs by Sachin TrivediLeave a Comment

You are working in the Emergency Department on a day when it is busy and bed blocked. You assess a patient presenting with chest pain in the EMS offload area. Standing next to the stretcher, stopping to move every time a porter comes by with another patient stretcher, you sense that your patient is frustrated.  After the initial workup is complete, you go to reassess your patient and review the results. As you …