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PEM Pearls 02: Non-Accidental Trauma pt. 1

In Featured, Infographics by Andrew TolmieLeave a Comment

Welcome back to PEM Pearls: the CanadiEM Infographic Series focused on providing approaches and high-yield pearls for important pediatric EM topics! This is part 1 of our 2 part Non-Accidental Trauma posts. Today we will be discussing the history, physical exam, and differential diagnosis considerations for potential non-accidental trauma cases.​1​ Physical child abuse is a frequently missed emergency department presentation. It is most common in children aged 6 months or younger, although it …

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Expert’s Corner – Dr. Kaveh Shojania on Common QI Pitfalls

In Education & Quality Improvement, Featured, HiQuiPs by Kaveh ShojaniaLeave a Comment

Welcome to another HiQuiPS post! Our series has aimed to present foundational topics in Health informatics, Quality Improvement and Patient Safety in a practical manner. In this new section – Expert’s Corner, we ask an expert some important questions to deepen our understanding of these sciences and improve our implementation. For our inaugural Expert’s Corner post, we invited Dr. Kaveh Shojania. Dr. Shojania is the Vice Chair (Quality & Innovation) in the Department …

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2020 American Heart Association Guidelines for Systems of Care

In Guidelines, Infographics by Nadia OmriLeave a Comment

This year, the American Heart Association (AHA) released the updated 2020 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care; the first major update to the internationally recognized guideline in five years. CanadiEM and the AHA came together to create an infographic which summarizes the new updates pertaining to the Systems of Care.  Here are the top 10 things you should know!  Over 350,000 EMS-assessed cardiac arrests and 209,000 in-hospital cardiac arrests occur annually …

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Tiny Tips: Pediatric Airway Anatomy Considerations

In Medical Concepts, Tiny Tips by Justin HsuLeave a Comment

Intubation in children is an uncommon but high-risk procedure in the emergency department.​1​ The incidence of adverse events during intubation is high, particularly desaturation and hypotension.1 Thus, pediatric airway management is an important and lifesaving skill. The pediatric airway has significant anatomical differences from an adult. To remember these variations, consider the mnemonic “CHILD”.   How is it different? How do we change management? Cricoid​2​ Narrowest portion of airway. Risk of subglottic stenosis. …

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PEM Pearls 01: Pediatric Airway Differences

In Featured, Infographics by Andrew TolmieLeave a Comment

Welcome to PEM Pearls: a new CanadiEM Infographic Series focused on providing approaches and high-yield pearls for important pediatric EM topics! Today we will be discussing differences in pediatric airway anatomy and airway management considerations.​1​ Physiology Even in a healthy child, pediatric patients are incredibly prone to rapid oxygen desaturation during apnea. Furthermore, The rate of desaturation is proportional to the child’s age: infants can reach 90% SpO2 in as little as two …

Case Report: Parkour aftermath – Andy’s fall from height in The Office

In Case Series, Featured by Denise Wooding1 Comment

History A 36-year-old male with no medical conditions was brought to the ED by ambulance after a one-story fall in a workplace parkour incident at the Dunder-Mifflin Paper Company. While it’s debatable if the awkward leapfrogging preceding the incident could be considered parkour, Jim explains that the goal of parkour is “to get from point A to point B as creatively as possible, so technically they are doing parkour as long as point …