Game Time: The CaRMS Interview

In CaRMS Guide, Mentorship by Brent Thoma8 Comments

This is part two of the CaRMS Trilogy and will focus on CaRMS interviews. See Pre-game: CaRMS Interview Preparation and Post-game: The CaRMS Rank List for discussion of other aspects of CaRMS and the full CaRMS Guide for the complete series of medical student mentorship posts. There are generally three parts to the CaRMS interview: the social, the tour, and the interviews. I can speak best to the FRCPC-EM tour because that is the one I …

Pre-Game: CaRMS Interview Preparation

In CaRMS Guide, Mentorship by Brent Thoma21 Comments

It’s that time of year again. The references are in, the applications are complete, interviews have been accepted, flights are booked and medical students across Canada are preparing themselves for the rigamarole known as CaRMS that will determine where they will be living for the next 2-5 years and what kind of medicine they will be practicing for the rest of their lives. All you can do now is some CaRMS interview preparation.

Medical Concepts: Acute Angle Closure Glaucoma

In Medical Concepts by Stephanie Cargnelli3 Comments

A 62 year old woman presents to your Emergency Department with a chief complaint of severe right eye pain. Upon further questioning, she reveals reduced vision in the affected eye and colored halos around lights. She reports a diffuse headache and two episodes of vomiting. A quick physical exam reveals significant conjunctival injection and a fixed, mid-dilated pupil. Does your differential contain acute angle closure glaucoma? What is Acute Angle Closure Glaucoma? Acute angle …

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FLOW Hacks 2 – Reducing Coagulation Studies in the ED

In FLOW Hacks by David Savage2 Comments

To continue our  FLOW Hacks series, Dr. Shawn Dowling of Calgary, AB writes about his team’s innovation: Reducing Coagulation Studies in the Emergency Department. FLOW Hacks: The Concept The FLOW (Featured Leadership & Organizational Workplace) Hacks Series highlights innovative strategies for increasing patient flow in the emergency department (ED).  This series is unique given its focus on the administrative aspect of emergency medicine. We are interested in small or large interventions that increase patient …

An Approach to Palliative Care in the ED

In Medical Concepts by Brent Thoma18 Comments

Palliative care is “the prevention and relief of suffering.” Given how much suffering that we see in the ED, emergency medicine physicians should have a working knowledge of some of the key skills in this specialty: managing pain and symptoms, delivering bad news, and helping families to make difficult decisions. These are three things that we do on a daily basis and could likely improve upon with increased focus.

Adult Epiglottitis: Not just a hot potato

In Medical Concepts by Tanya ViaznikovaLeave a Comment

It was an early morning shift at Janus General when I picked up the chart of a 36-year-old female with a two-week history of sore throat. I walked into the room and see a healthy looking 36 year old woman. Her vitals were stable, but she was febrile. She was reclining on a stretcher, breathing normally and did not appear to be in respiratory distress. She presented with a two-week history of sore throat with intermittent fever, no cough, no …