Bran Stark, a 10-year-old boy, was exploring Winterfell during King Robert Baratheon’s visit to Winterfell. This patient is the son of Ned Stark, Lord of the North, and heir of the powerful House Stark. As a curious young boy, he wanted to watch the festivities from the view of a tower. This was not unusual for Bran, who “had known ever stone of those buildings, inside and out; he had climbed them all, …
Resuscitative Endovascular Balloon Occlusion Of The Aorta (REBOA): A Squid Game Case Report
Our patient for today’s case is Kang Sae-byeok, also known as Player 067. A North Korean defector struggling to make ends meet as a pickpocket in Seoul, Sae-byeok accepts an invitation to compete in the mysterious “Squid Game” for the chance to win millions of won and improve the lives of her and her family. She eventually comes to learn that the Squid Game competition pits hundreds of participants against one another in …
CJEM Visual Abstract: The cost of In- vs Out-patient antibiotic therapy
In this issue, we collaborated with the CJEM team to create a visual abstract on the article “Outpatient parenteral antibiotic therapy (OPAT) and inpatient treatment strategies for emergency department patients with cellulitis: a cost analysis”.1 Skin and soft tissue infections in the ED almost always equals antibiotic prescription. Depending on severity and patient characteristics, the question is whether oral or intravenous (IV) administration is required, and patients receiving IV antibiotics for these infections …
Managing Agitation in the ED: Part 2 – Restraints, Medical Approach, and Discharge
This post is part two of a two-part series. You may review the previous post here. In the last post, we followed Lucas, a 26 year old male who presented to the ED with bizarre behaviour and aggression. When we left off, he was becoming increasingly agitated and paranoid despite your best efforts in de-escalating the situation. He is beginning to yell at staff and refuses to cooperate with any questioning. Approach to …
Managing Agitation in the ED: Part 1 – Overview and Deescalation Strategies
Lucas is a 26 year old male who presents to the ED by his parents for bizarre behaviour and increasing aggression at home. He has a history of IV drug use but is not forthcoming about which drugs he has used and how recently he has used them. There are two hospital security employees behind him. He is frequently looking behind and around him, and appears dishevelled and unkempt. Lucas appears quite anxious …
How to Study Effectively: Powering Up Your Study Habits
Kuldeep is a 29 yo medical student who has been studying daily but can’t seem to keep up with the content. His friends seem to be scoring higher than him on tests. How can Kuldeep add some new habits and learn how to study more effectively? When it comes to studying, we are often poor judges of when we are learning well and when we are not. Evidence shows that information sticks better …