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How to Read Patient Monitors

In All Posts, Education & Quality Improvement, Infographics by Megan ChuLeave a Comment

It’s your first day as a clerk in the Emergency Department and your staff has asked you to see an 80 year old patient with known COPD presenting with increasing shortness of breath. He reminds you to check the patient monitor when you go in there to look for any abnormalities and to record a new set of vitals on the chart. Patient monitors can be overwhelming early in your training when you’re …

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Sirens to Scrubs: Thermal Burns

In Sirens to Scrubs by Monika BilicLeave a Comment

You are dispatched to Jack, a 3-year-old with a burn. When you arrive, you’re told by Jack’s frantic mother that she turned her head for a second in the kitchen and Jack pulled a pot of boiling water off the counter, spilling hot water on his left arm and upper chest. Jack is crying in pain. Jack’s mother asks what his treatment will be and whether this will leave a permanent scar. You’re …

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Use of Anticoagulation in Patients with COVID-19 Infection

In Medical Concepts by Johnny HuangLeave a Comment

Introduction The novel coronavirus, known as COVID-19, was originally reported in a cluster of pneumonia cases in Wuhan (China) near the end of 2019​1​. Over the next 6 months, COVID-19 has emerged as the world’s newest pandemic disease with over 7 million cases worldwide​1​. The clinical presentation of COVID-19 is broad and classically involves fever, cough, dyspnea, malaise, and bilateral infiltrates on chest imaging. Less typical symptoms including diarrhea, myalgia, confusion, anosmia, and …

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COVID-19 Self-Management and Self-Isolation Patient Infographics

In Infographics, Medical Concepts by Alessandra CeccacciLeave a Comment

A 55 year-old primarily Punjabi-speaking man presents to the Emergency Department (ED) and describes a three day history of fever, cough, with five days of myalgia and general fatigue. He is not in acute distress, his vital signs are within normal limits, and he does not meet testing criteria for COVID-19. You suspect he could have COVID-19, and he is worried about infecting his wife. Your priority is to give him advice he …

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A “Friends” Case Report – Joey’s Urolithiasis

In Case Series, Featured by Anna BlackLeave a Comment

Presentation Joey Tribbiani, a previously healthy 28-year-old male, presents to the ED with left-sided flank pain. In the past 12 hours, he has had four 20-minute episodes of sudden onset, severe left flank pain radiating to the groin. During these episodes he was unable to find a comfortable position. He felt nauseous and had one episode of emesis. He denies hematuria and any lower urinary tract, gastrointestinal, or respiratory symptoms. He reports no …

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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 …