View Post

Blood&Clots Series: Performing non-neuraxial bedside procedures on patients taking anticoagulants

In Blood & Clots, Medical Concepts by Calvin YehLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical expert Case Description You are assessing a patient in the emergency room who is presenting with a unilateral large pleural effusion that is causing hypoxia and shortness of breath. She needs a thoracentesis but her INR is 3.0 due to the Warfarin she takes for atrial fibrillation. How can this procedure be performed safely? What about …

View Post

Blood&Clots Series: Anticoagulation for patients with moderate to severe renal dysfunction

In Blood & Clots, Medical Concepts by Menaka PaiLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical expert, Manager Case Description You are called to assess an active and energetic 79 year old man who has come to the ER complaining of palpitations for three months. You do an EKG which shows atrial fibrillation. The patient has a history of gout, hemorrhoids, hypertension, and diabetes. His only medications are a thiazide diuretic and …

View Post

CanadiEM MVP Infographic Series – The Canadian C-spine rule for radiography in alert and stable trauma patients

In Featured, Infographics, Medical Concepts by Kevin LamLeave a Comment

This issue of the MVP Infographic Series is focused on “The Canadian C-spine rule for radiography in alert and stable trauma patients” published by Stiell et al.1 Prior to the use of clinical decision rules, such as the Canadian C-spine Rule (CCR), clinicians varied up to 6-fold in how often they ordered C-spine X-rays. Although such X-rays have a low individual cost, they carry a high systems-level cost due to the volume of …