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“Allergies” – Sometimes they’re real, but usually they’re not

In Editorial, Featured, Opinion by Shahbaz Syed4 Comments

How often have you seen a patient with more documented allergies than medications they’re taking? Commonly; patient’s will often suggest that they are allergic to medications like sulfa, penicillin, codeine and morphine in the Emergency Department. We often think for a moment, and prescribe something different – but I’d like to argue that this line of thinking is far more harmful than we think, and is doing our patients and the healthcare system …

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FRCPC or CCFP-EM: What is best for you?

In CaRMS Guide, Mentorship by Brent Thoma28 Comments

  FRCPC or CCFP-EM? (FRCPC = Fellow of the Royal College of Physicians of Canada; CCFP = Canadian College of Family Physicians – Emergency Medicine certificate.) This is a question that EM mentors spend a lot of time discussing with their mentees. Why are there two EM designations in Canada? What’s the difference? Which route is right for you? These are great questions. Unfortunately, as with many important decisions, you’ll probably get as …

The Use of the Modified Valsalva Maneuver for Stable SVT

In Medical Concepts, Tiny Tips by Paula Sneath0 Comments

Please note that, while “supraventricular tachycardia (SVT)” is a term that can be used more broadly to refer to any tachyarrhythmia originating above the ventricles, I use its more conventional meaning here to describe AVnRT and AVRT. LITFL has a good summary of narrow-complex tachycardias. SVT is a narrow complex tachycardia commonly seen in the emergency department. In hemodynamically stable patients the first-line treatment is vagal stimulation, usually the Valsalva maneuver. However, success …