A 58 year old right hand dominant painter presents to the emergency department with right shoulder pain. The pain started after he returned a particularly forceful serve during a tennis match earlier that afternoon. He states that it has a similar quality to the shoulder pain he typically feels at night, but more intense and not improving with analgesia. He did not feel a “pop” or other mechanical symptoms, but has dislocated that …
CJEM Visual Abstract: Removing patient clothing in trauma
View PostCRACKCast E192 – Airway
View PostHiQuiPs: Quality of Care and the ED
You have just finished a busy ED shift on a warm summer evening and feel that you have been able to help a lot of people today. You plan to visit a patio and relax as you have earned it! On your way out you overhear a patient and their family members saying that they came to this ED because they heard it was “the best”, and they would never go back to …
Blood and Clots Series: What are the complications of transfusion? What symptoms/signs should I worry about?
All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert, Communicator, Leader Case Description You are a resident physician rotating through the ICU. You’ve been taking care of a 32-year-old woman who sustained injuries in a high-speed motor vehicle collision two days ago. She is now stable and extubated in the ICU. Her hemoglobin has been stable in the 80s since arriving in the ICU …
QI Series Part 3 | Differentiating Quality Improvement and Clinical Epidemiology
How do Quality Improvement methods differ from classical clinical research? This article is the last in a three-part series on Quality Improvement (QI) in health care. The first article, “What is Quality Improvement?”, defined this field of study and provided a brief history of its origins. The second article defined “quality” and briefly described tools used to achieve improvement. This article seeks to differentiate QI methods and goals from those encountered in clinical …