Virtual ER not yet Reality.

In Editorial by Edmund Kwok3 Comments

I was recently asked for an opinion on an article that was published on LinkedIn, boasting “the virtual ER is here today, saving time and money“. Could this really be true? When a patient is facing a medical emergency, can he/she really access an emergency room virtually, without the wait while lowering overall cost to the system at the same time? Sounds too good to be true. As someone who works in a …

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Tweeting and Medicine: Counterpoint from a new Twitterer

In Counterpoint, Knowledge Translation by Teresa Chan3 Comments

By Teresa Chan, MD    |    Peer-reviewed by Brent Thoma, MD Dr. Christopher Labos (@drlabos) has confessed his hate for Twitter.  I would like to confess that I have fallen in love with it. Once again I find myself with a contrary opinion – I think tweeting and medicine go hand in hand – and thus, I have published my second BoringEM.org Counterpoint (see the first one here). Twitter is the Message The great Canadian Media …

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Tech Corner: Podcasts in Emergency Medicine

In Mentorship by Maxim Ben-Yakov6 Comments

I’m Maxim Ben-Yakov (aka @DocMaximum) – PGY4 in the FRCP (EM) program at University of Toronto, and current 1st year Fellow in Pediatric Emergency Medicine at Sick Kids. Often folks ask me: “what’s that awesome lecture or podcast you were talking about?” or “What do you think of this app?”  Well this is the place where we are going to bring it all together. We’ll talk podcasts, apps, blogs, and anything having to do …

ID Badges: You’re the who in the what now?

In Medical Concepts by Brent Thoma16 Comments

In every hospital I have ever worked at I have been confused about who was who at one point or another. Although it hasn’t always been verbalized, I’ve mistaken ward clerks, nurses, nursing students, medical students, residents, respiratory therapists, pharmacists, physical therapists, occupational therapists and attendings in almost every conceivable way. While it might be intuitively obvious to us that respiratory therapists wear red scrubs, medical students wear short lab coats and the …

D-Dimer: Should we adjust the cut-off value for age?

In Medical Concepts by Brent Thoma5 Comments

Recently this article flew across my twitter feed via a link from Cliff Reid: Diagnostic accuracy of conventional or age adjusted D-dimer cut-off values in older patients with suspected venous thromboembolism: systematic review and meta-analysis (open access BMJ June 2013).   After a quick read of the abstract I was like this: A way to adjust the D-Dimer that preserves sensitivity while increasing specificity? That sounds MORE awesome than peach yogurt! Fewer negative CT’s would only be …

Tiny Tips: The CATCH Rule

In Tiny Tips by Brent Thoma2 Comments

Yesterday CJEM tweeted out one of their latest article to become open-access: Review of the CATCH study: a clinical decision rule for the use of computed tomography in children with minor head injury. While I understand that they are not able to make all of their articles open-access due to financial considerations, they have made the effort to make those articles published >1 year ago freely available. This article provides an overview and …