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Should Ketamine be Used for Trauma Analgesia?

In All Posts, Medical Concepts by Casey PetrieLeave a Comment

Case Description: A 21-year-old male presents to your emergency department via EMS after suffering a motorcycle accident.  He was travelling at approximately 80 km/h when he lost control of his vehicle and slid into a median.  He has an open fracture of his left tibia and fibula, but bleeding is controlled, and his left foot is neurovascularly intact.  Despite receiving 10mg of intravenous morphine given by paramedics, he is screaming in pain and …

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SHoC-ED2: Ultrasound and ECG findings as predictors of cardiac arrest outcomes in the emergency department

In Infographics, Medical Concepts by Simon Huang1 Comment

This month CanadiEM is featuring an article from the Canadian Journal of Emergency Medicine that looks at the use of point-of-care ultrasound (PoCUS) and ECG findings in emergency department (ED) cardiac arrest patients. While current Advanced Cardiac Life Support (ACLS) protocols do not mandate the use of echocardiography, cardiac PoCUS is increasingly being used in ED cardiopulmonary resuscitation1,2. Studies have shown that an absence of cardiac activity on ultrasound is associated with a …

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Is there a role for a single intravenous bolus dose of corticosteroid in reducing pain in Emergency Department patients with radicular back pain?

In Medical Concepts by Jessie Grewal1 Comment

Clinical vignette A 45-year-old healthy male, presents to the emergency department (ED) with a one-day history of back pain.  The pain started while working out at the gym – he lifted a heavy weight above his head and felt a sudden lower back pain (LBP). The patient describes sharp, burning and stabbing pain in the low back that radiates down the posterior and lateral aspect of the left leg to the dorsum of the …

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Spot the Diagnosis! The case of the sick artist with his physician

In Arts PRN, Medical Concepts by Sabrina YeungLeave a Comment

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 on Jeopardy)! …