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A Junior Learner’s Approach to Dealing with Difficult Situations during Patient Care

In All Posts, Education & Quality Improvement, Knowledge Translation by Alexander WymaLeave a Comment

Why is this topic important? As a learner, you will inevitably experience “difficult” encounters during patient care. In fact, clerks and junior residents are more likely to label patient encounters as “difficult”.1 These encounters often involve patients that refuse to answer questions, use profanity, demand specific investigations or treatments, and express frustration with wait times. But why is it important for clerks and junior residents to learn how to handle difficult encounters with …

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Requesting Consults in the Emergency Department

In All Posts, Education & Quality Improvement, Knowledge Translation, Mentorship by Julia HeightonLeave a Comment

You are halfway through your very first Emergency Medicine shift. You have a 23 year old male patient who appears to be a slam dunk for acute appendicitis – he has symptoms that are consistent with the presentation, pain on palpation at McBurney’s point, a high white count, and CT findings of appendicitis. Your staff is being pulled in a thousand different directions, and asks you if you feel comfortable calling General Surgery …

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Identification of Emergency Department Patients for Referral to Rapid-Access Addiction Services

In Infographics, Knowledge Translation by Samuel WilsonLeave a Comment

This month, CanadiEM is featuring an article from the Canadian Journal of Emergency Medicine that looks at substance-related ED presentations and the need for direct referral to a rapid-access addiction services. Recent national data shows that substance-related emergency department visits are rapidly increasing.​1​ Despite this finding, previous studies show that many EDs do not have referral protocols for rapid-access addiction services.​2​ A prospective cohort study was conducted by Hann et al. to better characterize substance-related …