HiQuiPs: Resource Issues in the Emergency Department

In HiQuiPs by Shirley LeeLeave a Comment

Emergency departments are busy and are getting busier1, 2. Emergency physicians are faced with issues of overcrowding, departmental closures, and insufficient staffing. These issues are exacerbated by both the Covid pandemic3 and pressures found in the post-Covid “return to normal”4. Physicians are still expected to provide safe medical care in the face of these challenges. But what does that look like when your emergency department lacks appropriate resources? And how can physicians minimize …

View Post

HiQuiPs: Optimizing your diagnostic reasoning – themes from CMPA medico-legal cases

In HiQuiPs by Shirley LeeLeave a Comment

A 49-year-old male presents to the emergency department with shortness of breath on exertion and left lower chest discomfort for the past 3 days. His past medical history is significant for hypertension and he has a family history of heart disease. At triage he is noted to have a pulse of 117 and normal blood pressure. His oxygenation is 94% on room air. His cardiac and respiratory exam are normal, and no other …

Quality Improvement in Nephrology Part 1 – Examining Patient Follow-up Practices

In HiQuiPs by Meherzad KutkyLeave a Comment

The Quality Improvement paradigm has been applied to a wide spectrum of settings and patient populations. There has been an exponential rise in QI publications over the recent decades.1​ In this new HiQuiPs Series we explore the QI paradigm applied to different medical specialties and settings. We start with an example of an outpatient nephrology setting.  Quality Improvement (QI) in nephrology for patients with kidney disease takes on many different forms depending on …

View Post

The Many Paths to Emergency Medicine in Canada

In CaRMS Guide, Mentorship, Working in EM by Kathleen HughesLeave a Comment

What is an emergency medicine doctor? The answer likely differs between a major academic centre and a rural hospital. Perhaps the simplest definition is any physician who staffs an emergency department (ED). When it comes to training, emergency medicine (EM) certainly holds the title of most heterogeneous specialty in Canada. While some physicians complete a five-year residency in EM and are Royal College certified, others complete a one-year EM fellowship after two years …

View Post

ABCDE Approach

In Education & Quality Improvement, Guidelines, Knowledge Translation by Devika SinghLeave a Comment

The ABCDE approach applies to the initial assessment of critically ill patients. For each step, appropriate treatment should be started regardless if there is a definitive diagnosis. Airway​1–3​ Fatal in minutes. Think of this separately from breathing! Consider what would you do if the airway became threatened, e.g. Have you assessed for predictors of difficult airway management? Assessment Management ● Determine if patient can speak.● Inspect for secretions or foreign bodies.● Check for …

View Post

How to Study Effectively: Powering Up Your Study Habits

In TipsForEMExams by Devika SinghLeave a Comment

Kuldeep is a 29 yo medical student who has been studying daily but can’t seem to keep up with the content. His friends seem to be scoring higher than him on tests. How can Kuldeep add some new habits and learn how to study more effectively? When it comes to studying, we are often poor judges of when we are learning well and when we are not. Evidence shows that information sticks better …