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Point of care ultrasound: a hyperechoic future in Med Ed?

In Knowledge Translation by Chris Byrne5 Comments

A little over a year ago, I was working a shift in the emergency department when I noticed an enthusiastic consultant briskly wheeling a portable ultrasound machine to a patient’s bedside.  I introduced myself and asked if I could observe the scan.  Until this point, ultrasound had retained a certain mystique. However, that was quickly erased by a deep, yet efficient, bedside lesson in anatomy, physiology and clinical medicine that left a lasting …

Type and SCREAM STAT! Futility of ordering routine Blood Type and Screens in the ER

In Medical Concepts by Nadim Lalani1 Comment

My awesome hematology colleague Dr Karen Dallas was here again – giving us a learn-on on a recent audit of routine Type and Screen testing in our ER’s Background: Our biggest ER routinely sends a STAT Type & Screen to the Transfusion Medicine Lab [TML]. These requests are often accompanied with a request for blood. Sometimes these tests are performed appropriately for emergent cases, but the TML saw an opportunity to study this …

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A Pictorial Approach to Ultrasound in Shock

In Medical Concepts by Paul Olszynski6 Comments

I just finished preparing an introductory talk on shock & ultrasound. Ultrasound in shock in 50 minutes! After having struggled considerably with the breadth of the topic, i struggled even more with the summary. How does one sum up such a huge topic? In the end, I decided to go with a picture (we all know the saying). Learning theories suggest that in order for a person to learn something new, that new …

New authors at BoringEM

In Knowledge Translation by Brent ThomaLeave a Comment

BoringEM is excited to announce the addition of two new authors! Please help to welcome them by following them on twitter and distributing their first posts. Joel D’Eath is a Canadian paramedic that has previously been active in the world of FOAM through his twitter account @cmedik and website Post 88. He has committed to compiling the Canadian FOAM of the Week on an ongoing basis and writing some posts on Boring Pre-hospital …

The Agitated Patient in the ED: Moderate & Severe Agitation

In Medical Concepts by Brent Thoma10 Comments

In my first post of a trilogy on the agitated patient in the ED I outlined BARS sedation score for defining levels of agitation, discussed how to risk stratify a potentially agitated patient and offered some tips on how to deal with the mildly agitated patient. This post will discuss what to do with moderately and severely agitated patients while the final chapter will delve into the work-up of these challenging patients. If you’ve been …

A Commitment to Pre-publication Peer Review

In Knowledge Translation by Brent Thoma5 Comments

Many keys have been tapped relating the merits and problems with various mechanisms of peer review for FOAM (Free Open-Access Meducation). It has been discussed on this site in multiple forms (Crowdsourced Instantaneous Review, FOAM: A Market of Ideas, Arguments for a Journal of FOAM, FOAM + Curriculum = FOAM-U?) by Aaron Sparshott at IVLine (Capturing the Great FOAM), by Damian Rolond at The Rolobot Rambles (Peer Review: Pointless, Perfunctionary or Practical) as well as on twitter (thanks …