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Can diltiazem replace adenosine as part of the initial management of stable supraventricular tachycardia?

In Clinical Questions by Raymond YuLeave a Comment

A 50-year-old female presents to your ER with a chief complaint of palpitations. A 12-lead ECG shows supraventricular tachycardia at a rate of 165 bpm, and she is put on telemetry. She is clinically stable. You attempt the modified Valsalva maneuver with no effect. You explain that you will have to give her medication to bring her heart rhythm back to normal. She asks if you will give her “that adenosine drug” and …

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CJEM Visual Abstract – Buprenorphine/naloxone initiation and referral as a quality improvements intervention for patients who live with opiate use disorder

In Infographics by Samuel WilsonLeave a Comment

For this issue of CJEM, we collaborated with their team to present “Buprenorphine/naloxone initiation and referral as a quality improvements intervention for patients who live with opiate use disorder”​1​ in a visual abstract format. Opioid use disorder is a major public health concern that accounts for a high number of potential years of life lost. Often, these patients use the ED as their primary contact with the healthcare system. The recommended treatment, buprenorphine/naloxone, …

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Tiny Tips: The 6 S’s Mnemonic for Mitigating Cognitive Bias in the Emergency Department

In Tiny Tips by Jason WangLeave a Comment

The chaos and rapidity associated with the ED make it an environment much more prone to diagnostic error.1 96% of these incidents involving missed diagnoses can be attributed to various cognitive biases/factors.2 The consequence of these biases ultimately lead to incomplete H/P’s (20-42% of errors),2,3 failure to consider competing diagnoses (32% of errors),3 or failure to order or follow-up on investigations (44-58% of errors).2,3 So what can be done? Presented below are 6 …

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CAEP Capsule 23: Day 3 (May 30th-The Finale)

In Featured by Revathi NairLeave a Comment

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 …

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CAEP Capsule 23: Day 2 (May 29th)

In Featured by Revathi NairLeave a Comment

Hi Folks! The second day of CAEP truly embodied the essence of phrase “Work Hard, Play Hard.” It was a jam-packed day filled with remarkable talks, enlightening presentations, and a thought-provoking plenary by Dr. Heather Patterson on using photography to cope with burnout. To wrap up the day on a high note, we were treated to the highly anticipated annual Docs that Rock concert. Hailing from different parts of the country, this incredible …

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CAEP Capsule 23: Day 1 (May 28th)

In Featured by Revathi NairLeave a Comment

Hi Folks! The atmosphere at the Canadian Association of Emergency Physicians (CAEP) conference was electric as attendees gathered for the first day of an event that promised to be both informative and transformative. From the heartwarming reunions of old friends and colleagues to the forging of new friendships, the day was already off to an engaging start. However, it was the poignant plenary session on reinventing oneself after a major life event that …