A 40-year-old gentleman is brought into your Emergency Department by EMS in Pulseless Electrical Activity (PEA) arrest. With CPR in progress, monitors being placed, and epineprine being prepared, both nurses on either side of the patient report they couldn’t get IV access. A third nurse tries. Then a fourth. What should be done next? What is IO access, and when should it be used? Obtaining vascular access to deliver fluids, medications, and blood …
Predicting Occult Scaphoid Fractures in the ED Using Clinical Features
Clinical scenario A 27-year old female presents to the emergency department (ED) after a fall onto her hand from amotorized scooter. She has pain on the radial aspect of her left wrist and anatomical snuffbox.However, the X-rays do not indicate an obvious scaphoid fracture. Clinical question: What are the predictive clinical features for occult scaphoid fractures in patients with normal initial radiographs in the ED? Background Scaphoid fractures commonly occur from a fall …
CJEM Visual Abstract – Hypotension and respiratory events related to electrical cardioversion for atrial fibrillation or atrial flutter in the emergency department
Welcome back to the 2024 CJEM year! In this issue, we collaborated with the CJEM team to present “Hypotension and respiratory events related to electrical cardioversion for atrial fibrillation or atrial flutter in the emergency department” in a visual abstract format1. Electrical cardioversion (ECV) is extremely common in the emergency department for paroxysmal atrial rhythms. These patients are often treated with beta- or calcium-channel blockers, both at home and in the ED. Little …
Images in Emergency Medicine Competition: A Showcase of Diversity and Representation
📸Calling all photography enthusiasts and advocates for diverse representation in healthcare!📸 What it is: A first-ever CAEP photography competition designed to promote equity, representation, and inclusivity in emergency medicine education by showcasing images that reflect the diversity of healthcare providers and patients in Canada. Accepted photographs will be showcased in CAEP’s new open access Images in Emergency Medicine webpage. Top ranking photos will be featured in a presentation at CAEP24 in Saskatoon (click …
CJEM Visual Abstract – Just the facts: traumatic cardiac arrest
For the September 2023 issue of CJEM, we collaborated with their team to present “Just the facts: traumatic cardiac arrest”1 in a visually simplified format. Traumatic cardiac arrest shares many similarities, yet a few subtle differences from your typical medical resuscitation. Prognostically favourable factors such as shockable rhythm, and organized cardiac activity on ultrasound still exist. Compared to the medical counterpart, neurologically intact survival is often reliant on reversing the cause of the …
CAEP Capsule 23: Day 3 (May 30th-The Finale)
Hi Folks! The third day of the CAEP 2023 Conference was marked by an atmosphere of enthusiastic engagement, as attendees continued their quest for knowledge, networking, and collaboration. It was filled with some extremely insightful sessions, including a panel featuring powerful leaders in Medicine hosted by Dr. Kevin Wasko. The panel discussion fostered thought-provoking conversations and highlighted the importance of leadership in shaping the future of medicine in general. Additionally, in a special …