In this Spot the Diagnosis! post, we have the case of an ill looking child, brought in for healing by a worried mother. Through the symbolic ox, the haloed saint is identified as St Luke, a physician in the New Testament. (Note the book at his lap entitled “Hippocrates”.) (Can you also see St. Luke’s other noted profession? Answer: An artist!) What does this scene depict? This scene depicts three people: an adult …
CJEM Visual Abstract: Use of Ottawa Ankle Rules by non-physician providers in a paediatric emergency department
View PostBlood & Clots Series: ThromboPhonia E01, Mechanical Valves and Intracranial Hemorrhage
Blood & Clots Podcast, Thrombophonia: Episode 1 A 65-year-old man presents to the Emergency Department after suffering from an intracerebral hemorrhage (ICH). He has a past medical history of hypertension, dyslipidemia, a mechanical aortic valve replacement, diabetes, and sleep apnea. His medications include ramipril, atorvastatin, aspirin, metformin, and warfarin. How should this patient be managed? What should be done with his anticoagulation? Listen to the podcast below and read the blog post below! Objectives …
The CPR Coach – A Paradigm Shift in Resuscitation Teams for Cardiac Arrest Management
View PostTiny Tip: START Triage Protocol RPM – 30 – 2 – Can Do
If you’re like me, you appreciate the value of triage systems in emergency medicine and prehospital care but find it hard to remember the components of each. The START Triage (Simple Triage And Rapid Treatment) protocol was designed to quickly assess victims of mass casualty, categorising them into four colour-coded groups that communicate the urgency of treatment.1 Patients designated ‘green’ are the walking wounded; these individuals can move and follow commands. They should …
I heard a snap! Clay Shoveler’s Fracture
Reginald, a 73-year-old man, presents to your Emergency Department with neck pain. He tells you that last night he was straining to lift a heavy box. He heard and felt a snap in his neck. This morning, he awoke with neck pain, dizziness, and mild confusion. You examine Reginald and find that he has pain with neck rotation, flexion, and extension. He also has exquisite, sharp tenderness on palpation over the C6 vertebrae. …