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Tiny Tips: Canadian CT Head Rule

In Medical Concepts, Tiny Tips by Omar Anjum0 Comments

“But Doc, I didn’t hit my head THAT hard” Computed tomography (CT) scans are frequently performed after a head injury to rule out acute intracranial findings. However, most Emergency Department patients with a head injury have no acute CT findings. The Canadian CT Head Rule (CCHR) was developed to help clinicians determine when to order a CT image for patients with minor head injury.1 In 2010, a multi-centre prospective trial implemented the CCHR and …

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Tiny Tips: History taking in a returning traveler

In Medical Concepts, Tiny Tips by Anali Maneshi0 Comments

Following a trip abroad, up to 8% of travelers will present for medical attention1. Many of these complaints are mild, but some are life-threatening. A detailed travel history and history of the presenting illness are essential in identifying serious illnesses and preventing over-investigation of more common non-dangerous infectious complaints (i.e. URTI’s). An easy mnemonic to help you remember key aspects of the travel history is TRAVEL: T – Time of onset The timing of …

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Tiny Tip: The Ottawa Ankle and Foot Rules – To Image or Not to Image

In Medical Concepts, Tiny Tips by Maeghan Fu0 Comments

Ankle and foot injuries are common presentations to the Emergency Department, and it can often be difficult to know whether imaging is required. In 1992, Dr. Ian Stiell and his colleagues developed The Ottawa Ankle Rules 12 to facilitate this decision. The Ottawa ankle and foot rules are highly sensitive and widely used as a tool to reduce unnecessary imaging in Emergency Departments.

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Tiny Tips: SALTR for Pediatric Growth-plate Fractures

In Tiny Tips by Larissa Hattin0 Comments

Up to one half of all children’s visits to the ED are orthopedic in nature [1]. Of these visits, approximately 35% are fractures that involve the growth plate, or physis, of a developing bone [2]. ED physicians must be familiar with the Salter-Harris classification system, which is the most commonly used system [3] for describing growth plate fractures. An easy mnemonic to remember the fracture type and description is SALTR:   References Thornton …

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Tiny Tip: Ranson’s Criteria in Pancreatitis

In Medical Concepts, Tiny Tips by Doran Drew1 Comment

Editor’s Note: Last week we ran a tiny tip for the BISAP score which is an emergency department friendly way to evaluate the severity of disease. The more traditional RANSON criteria hasn’t gone completely out of style though. It may be particularly helpful when coordinating admission and prognosticating in those who will become inpatients.  Ranson’s Criteria [1] is a well-validated clinical tool designed for the risk stratification of acute pancreatitis. Based on parameters collected …