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Tweeting and Medicine: Counterpoint from a new Twitterer

In Counterpoint, Knowledge Translation by Teresa Chan3 Comments

By Teresa Chan, MD    |    Peer-reviewed by Brent Thoma, MD Dr. Christopher Labos (@drlabos) has confessed his hate for Twitter.  I would like to confess that I have fallen in love with it. Once again I find myself with a contrary opinion – I think tweeting and medicine go hand in hand – and thus, I have published my second BoringEM.org Counterpoint (see the first one here). Twitter is the Message The great Canadian Media …

ID Badges: You’re the who in the what now?

In Medical Concepts by Brent Thoma16 Comments

In every hospital I have ever worked at I have been confused about who was who at one point or another. Although it hasn’t always been verbalized, I’ve mistaken ward clerks, nurses, nursing students, medical students, residents, respiratory therapists, pharmacists, physical therapists, occupational therapists and attendings in almost every conceivable way. While it might be intuitively obvious to us that respiratory therapists wear red scrubs, medical students wear short lab coats and the …

D-Dimer: Should we adjust the cut-off value for age?

In Medical Concepts by Brent Thoma5 Comments

Recently this article flew across my twitter feed via a link from Cliff Reid: Diagnostic accuracy of conventional or age adjusted D-dimer cut-off values in older patients with suspected venous thromboembolism: systematic review and meta-analysis (open access BMJ June 2013).   After a quick read of the abstract I was like this: A way to adjust the D-Dimer that preserves sensitivity while increasing specificity? That sounds MORE awesome than peach yogurt! Fewer negative CT’s would only be …

Tiny Tips: The CATCH Rule

In Tiny Tips by Brent Thoma2 Comments

Yesterday CJEM tweeted out one of their latest article to become open-access: Review of the CATCH study: a clinical decision rule for the use of computed tomography in children with minor head injury. While I understand that they are not able to make all of their articles open-access due to financial considerations, they have made the effort to make those articles published >1 year ago freely available. This article provides an overview and …

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My Approach to Clearing C-Spines

In Clinical Questions, Medical Concepts by Nadim LalaniLeave a Comment

I gave a talk the other day on clearing C-Spines, with Prezi linked here. As a disclaimer, this is my approach based on my clinical experience and from reading the literature – you should discuss this amongst your colleagues and review the literature to see if you reach the same conclusions.  I would appreciate some comments – peer review if you will. Objectives of the Talk: Apply the Canadian C-Spine Rule and NEXUS criteria …

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Tiny Tips: PERC Rule

In Medical Concepts, Tiny Tips by Brent Thoma7 Comments

The “Tiny Tips” series aims to provide helpful memory aids for remembering difficult to recall exam material for emergency medicine. You can get all of them compiled in an easy-to-review way by downloading the Tiny Tips deck of Boring Cards. This post outlines a mnemonic to help remember the PERC rule (Pulmonary Embolism Rule-out Criteria). PERC is a useful clinical decision rule to help rule-out pulmonary embolism in patients a clinician’s gestalt suggests …