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Tiny Tips: Causes of Atrial Fibrillation

In Tiny Tips by Barrett GrattanLeave a Comment

Atrial fibrillation is the most common arrhythmia encountered and managed in the emergency department.​​1,2​ In addition to ensuring hemodynamic stability and subsequent management of the arrhythmia, the emergency physician must identify and treat potential underlying causes. Atrial fibrillation itself may be a sequela of an underlying life-threatening disease process such as pulmonary embolism or sepsis. In some instances, treatment of the underlying cause may lead to the resolution of the arrhythmia.​​1​ It is …

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FrontlineEM Primer: Human Trafficking

In Medical Concepts by Julianna DeutscherLeave a Comment

Defining Human Trafficking Human trafficking is an under-recognized health and social injustice affecting patients presenting to emergency departments across Canada.​1​ It is defined by the United Nations as the “recruitment, transportation, transfer, harbouring, or receipt of persons by improper means (such as force, abduction, fraud, or coercion) for an improper purpose including forced labour or sexual exploitation”.​2​ Human trafficking is sometimes referred to as modern day slavery or human exploitation. The three components …

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Identifying a Trafficked Patient in the Emergency Room

In Medical Concepts by Alexandra AliferisLeave a Comment

Editor’s Note: February 22 is National Human Trafficking Awareness Day. Today, CanadiEM is featuring a pair of posts with important takes on this issue. A young woman presents to the emergency department with pelvic pain. She’s accompanied by her boyfriend who insists he come into the exam room and tries to provide the history for the patient, stating that she doesn’t remember things well. The patient makes poor eye contact and defers questions …

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The AHA 2020 “Top 10 Changes” Project: CPR & ECC Guidelines Infographic Series

In Featured, Infographics by Samuel WilsonLeave a Comment

Cardiac Arrest: What Is It All About? “…After cardiac arrest, teacher wakes up in ICU four days later” “Elementary school’s first responder team saves teacher with CPR, AED” “AHA President’s heart stopped for several minutes. He’s now back at work, ready to share his story” Cardiac arrest is one of the most polarizing things we face in Emergency Medicine. The reality of its morbidity and mortality really juxtaposes the moment of joy where …

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PEM Pearls 03: Non Accidental Trauma pt. 2

In Featured, Infographics by Andrew TolmieLeave a Comment

Welcome back to PEM Pearls: the CanadiEM Infographic Series focused on providing approaches and high-yield pearls for important pediatric EM topics! This is part 2 of our 2 part Non-Accidental Trauma posts. Today we will be discussing the workup, investigations, and management for potential non-accidental trauma cases.​1​ There are a variety of goals of care that emergency physicians should perform when managing a potential non-accidental trauma case. In short, remember to treat, record, …

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PEM Pearls 02: Non-Accidental Trauma pt. 1

In Featured, Infographics by Andrew TolmieLeave a Comment

Welcome back to PEM Pearls: the CanadiEM Infographic Series focused on providing approaches and high-yield pearls for important pediatric EM topics! This is part 1 of our 2 part Non-Accidental Trauma posts. Today we will be discussing the history, physical exam, and differential diagnosis considerations for potential non-accidental trauma cases.​1​ Physical child abuse is a frequently missed emergency department presentation. It is most common in children aged 6 months or younger, although it …