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Should Ketamine be Used for Trauma Analgesia?

In All Posts, Medical Concepts by Casey PetrieLeave a Comment

Case Description: A 21-year-old male presents to your emergency department via EMS after suffering a motorcycle accident.  He was travelling at approximately 80 km/h when he lost control of his vehicle and slid into a median.  He has an open fracture of his left tibia and fibula, but bleeding is controlled, and his left foot is neurovascularly intact.  Despite receiving 10mg of intravenous morphine given by paramedics, he is screaming in pain and …

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The Problem with Mandatory Wellness

In Commentary, Featured, Opinion by Alex SengerLeave a Comment

Introduction “Medical School is bad for your health” – a direct quote from orientation on my very first day of classes. Along with this statement came a myriad of statistics highlighting the risk of burnout, depression, anxiety, and suicide for medical students, residents, and physicians. My excitement for my first day started to be replaced by a feeling that I was not so comfortable with, like catching a fish that is too big …

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SHoC-ED2: Ultrasound and ECG findings as predictors of cardiac arrest outcomes in the emergency department

In Infographics, Medical Concepts by Simon Huang1 Comment

This month CanadiEM is featuring an article from the Canadian Journal of Emergency Medicine that looks at the use of point-of-care ultrasound (PoCUS) and ECG findings in emergency department (ED) cardiac arrest patients. While current Advanced Cardiac Life Support (ACLS) protocols do not mandate the use of echocardiography, cardiac PoCUS is increasingly being used in ED cardiopulmonary resuscitation1,2. Studies have shown that an absence of cardiac activity on ultrasound is associated with a …

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CanadiEM Advertisements: What do you think?

In Featured, Uncategorized by Brent ThomaLeave a Comment

Hello CanadiEM readers. You may have noticed some changes to the website this week. Specifically, the presence of advertisements on our pages. Since CanadiEM was founded at the beginning of 2016 we’ve largely resisted the urge to incorporate advertisements. However, as we’ve grown (we are now receiving >2,000,000 pageviews annually), so have our costs. This has strained our usual method of accessing funding through grants and, if not addressed, would limit our ability …

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Is there a role for a single intravenous bolus dose of corticosteroid in reducing pain in Emergency Department patients with radicular back pain?

In Medical Concepts by Jessie Grewal1 Comment

Clinical vignette A 45-year-old healthy male, presents to the emergency department (ED) with a one-day history of back pain.  The pain started while working out at the gym – he lifted a heavy weight above his head and felt a sudden lower back pain (LBP). The patient describes sharp, burning and stabbing pain in the low back that radiates down the posterior and lateral aspect of the left leg to the dorsum of the …