Shows
Emergência Rules15: Pedido de Parecer aos outros EspecialistasCurso: https://simulamedbr.comSaber fazer um bom parecer ao especialista é uma habilidade crucial do emergencista, que pode definir o desfecho do paciente. Sempre coloque a segurança do paciente em primeiro lugar, haja com cortesia, mas seja incisivo ao advogar pelo bem do seu paciente.Aqui as principais referências:https://canadiem.org/requesting-consultations-dr-rob-woods/https://canadiem.org/tipsfornewdocs-how-to-give-a-great-consult/ https://shortcoatsinem.blogspot.com/2012/10/sweating-bullets-and-killing-em-with.html https://rebelem.com/how-to-call-a-consult/
2023-12-1359 min
Clinical ConversationsImpromptu Teaching on the Wards (24 Jul 2023)This week, Dr Libby Sampey interviews Ian Lee on impromptu teaching on the medical ward. Ian discusses the importance in facilitating teaching on the wards and how to recognise and overcome challenges, as both educators and learners, to provide good quality training in a clinical setting.
Ian Lee is a Lecturer in Medical Education and Senior Fellow of the Higher Education Academy who works mainly on the University of Edinburgh's Clinical Educator Programme.
With a background in nursing, Ian's past clinical teaching includes; teaching resuscitation and clinical skills; ALS instruction; roles in simulation based education and of course supporting medical...
2023-07-2445 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP Capsule 23: Day 3 [E04]In the final episode of the series, Sam Savard interviews Dr. Kevin Wasko on the power packed panel he hosted. Additionally, we highlight a member of the CanadiEM team who was featured in the conference.
2023-06-0424 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP Capsule 23: The Intro [E01]As the highly anticipated annual CAEP conference approaches, we are thrilled to announce our partnership with CanadiEM to bring you "The CAEP Capsule," a dynamic podcast series that will give you a brief overview of each conference day. Get ready for insightful interviews, succinct summaries, and thought-provoking discussions, all designed to capture the essence of this renowned conference. The first episode serves as a trailer to both the conference and the series. Stay tuned for more amazing summaries from CAEP 2023!
2023-05-2502 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesTales From The Trenches E06 : Covid Transitions- Resident to Med StaffOverview: In this episode, Tiffany shares her transition from Resident to Med Staff during the COVID pandemic. She candidly shares her challenges balancing job uncertainty, family, kid zoom classes, finishing residency and a cross country move. Take a listen! Host: Tiffany Proffitt DO, Staff Emergency Medicine Physician Honor Health Short Bio: Dr. Tiffany Proffitt is an Emergency Medicine Physician in Scottsdale, Arizona, USA. I completed residency in Michigan, USA with Spectrum Health Lakeland. During my time I graduated from the Medical Education Track. I am honored to be one of the inaugural fellows o...
2022-06-2224 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesTales From The Trenches E06 : Covid Transitions- Resident to Med StaffOverview: In this episode, Tiffany shares her transition from Resident to Med Staff during the COVID pandemic. She candidly shares her challenges balancing job uncertainty, family, kid zoom classes, finishing residency and a cross country move. Take a listen! Host: Tiffany Proffitt DO, Staff Emergency Medicine Physician Honor Health Short Bio: Dr. Tiffany Proffitt is an Emergency Medicine Physician in Scottsdale, Arizona, USA. I completed residency in Michigan, USA with Spectrum Health Lakeland. During my time I graduated from the Medical Education Track. I am honored to be one of the inaugural fellows o...
2022-06-2224 min
MacEmerg PodcastEp 38 - James Leung and Pediatric Preparedness - Resident's Corner CanadiEM App - Monika BilicWelcome to Episode 38 of our MacEmerg podcast.
In this episode:
1) Dr. James Leung explains what we can do to enhance pediatric preparedness.
2) Dr. Monika Bilic tells the story behind the CanadiEM Junior Learner Primer in this month's resident's corner. This is a free app that has been generously supported by the Government of Ontario's Virtual Learning Strategy program from eCampus Ontario.
Apple store link: https://apps.apple.com/ca/app/canadiem/id1596525775
Google Play store link:
https://apps.apple.com/ca/app/canadiem/id1596525775
ALSO, make sure to check out our new DIY Mentorship Playbook - on sale now!
https...
2022-03-0229 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesJournal Club by CanadiEM E05: The ARREST trial and ECMO programsIn this episode, hosts Jayneel Limbachia, Dakoda Herman, and Jake Domm discuss ECMO and mature ECMO programs, appraise the ARREST trial and consider the future of cardiac arrest care with expert guest Dr. James Gould. References: Yannopoulos D, Bartos J, Raveendran G, Walser E, Connett J, Murray TA, Collins G, Zhang L, Kalra R, Kosmopoulos M, John R, Shaffer A, Frascone RJ, Wesley K, Conterato M, Biros M, Tolar J, Aufderheide TP. Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, open-label, randomised controlled trial. Lancet. 2020 Dec 5;396(10265):1807-1816. d...
2022-03-011h 03CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesTales From The Trenches E05: Two Years in a PandemicIn this episode, Tiffany talks with Dr. Kevin Dong from Hamilton, Canada, and CanadiEM podcast extraordinaire! We reflect on two years of practicing medicine during the COVID pandemic and share our own unique challenges, lessons learned and motivation to continue to work in the department as we enter our third year of the pandemic. Take a listen! Short Bio: Dr. Kevin Dong. Kevin is an Emergency Medicine physician at the Hamilton Health Sciences in Hamilton, Canada. He is an assistant clinical professor at McMaster University and he is currently the Director of Continuing Professional Development with the Tri-Divisions of E...
2022-02-2328 minCRACKCast & Physicians as Humans on CanadiEMTales From The Trenches E05: Two Years in a PandemicIn this episode, Tiffany talks with Dr. Kevin Dong from Hamilton, Canada, and CanadiEM podcast extraordinaire! We reflect on two years of practicing medicine during the COVID pandemic and share our own unique challenges, lessons learned and motivation to continue to work in the department as we enter our third year of the pandemic. Take a listen! Short Bio: Dr. Kevin Dong. Kevin is an Emergency Medicine physician at the Hamilton Health Sciences in Hamilton, Canada. He is an assistant clinical professor at McMaster University and he is currently the Director of Continuing Professional Development with the Tri-Divisions of E...
2022-02-2328 min
2 View: Emergency Medicine PAs & NPs13 - Nystagmus, SCAD, Sotrovimab, Paxlovid, Molnupiravir, and more.Welcome to Episode 13 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 13 of “The 2 View” – Nystagmus, SCAD, Sotromivab, Paxlovid, Molnupivarvir, and more.
Nystagmus
Mehar A. CanadiEM Frontline Primer - Vertigo workup. CanadiEM. Published April 25, 2020. Accessed January 11, 2022. https://canadiem.org/canadiem-frontline-primer-vertigo/
Nystagmus. NeurologyNeeds.com. Accessed January 11, 2022. https://www.neurologyneeds.com/neurological-examination-tips-tricks/nystagmus/
Nystagmus. The Proceduralist. Published January 10, 2022. Accessed January 11, 2022. https://www.youtube.com/watch?v=fW3sVsNgJ2k
Talmud JD, Coffey R, Edemekong PF. Dix Hallpike Maneuver. NCBI. StatPearls...
2022-01-271h 20
The World’s Okayest Medic PodcastSaturday Night ClinicalAddendums on the calcium episode and the heart failure episode...as always...random ramblings as well...
Citations:
Anand IS, Gupta P. Anemia and Iron Deficiency in Heart Failure: Current Concepts and Emerging Therapies. Circulation. 2018 Jul 3;138(1):80-98. doi: 10.1161/CIRCULATIONAHA.118.030099. PMID: 29967232.
Hayes. (2013). Mythbuster: Calcium Gluconate Raises Serum Calcium as Quickly as Calcium Chloride. Retrieved at https://www.aliem.com/mythbuster-calcium-gluconate-raises-serum-calcium-as-calcium-chloride/
Calcium Chloride. RK.MD Blog. (2018). Retrieved at https://rk.md/2018/calcium-chloride/
Maak CA, Tabas JA, McClintock DE. Should acute treatment with inhaled beta agonists be withheld from patients with dyspnea who may have...
2021-11-0730 min
CRACKCast & Physicians as Humans on CanadiEMJournal Club by CanadiEM - E04 Approach to Systematic Reviews and Meta AnalysesCanadiEM Journal Club E04 Systematic reviews and meta analyses show notes Welcome back to Journal Club by CanadiEM! In this episode we go over an approach to systematic reviews and meta analyses based on Oxford centre of EBM, and learn about diagnosing pneumothorax with ultrasound vs X-ray Using the Oxford centre of EBM tool, we will ask: What question(s) did the systematic review address? Is it likely that important, relevant studies were missed? Were the criteria used to select articles for inclusion appropriate? Were the included studies sufficiently valid for the type of...
2021-07-0537 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesJournal Club by CanadiEM - E04 Approach to Systematic Reviews and Meta AnalysesCanadiEM Journal Club E04 Systematic reviews and meta analyses show notes Welcome back to Journal Club by CanadiEM! In this episode we go over an approach to systematic reviews and meta analyses based on Oxford centre of EBM, and learn about diagnosing pneumothorax with ultrasound vs X-ray Using the Oxford centre of EBM tool, we will ask: What question(s) did the systematic review address? Is it likely that important, relevant studies were missed? Were the criteria used to select articles for inclusion appropriate? Were the included studies sufficiently valid for the type of...
2021-07-0537 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP Daily: Day 2 (June 16)This year, CanadiEM has partnered with the Canadian Association of Emergency Physicians, EMOttawa, and the Skeptic's Guide to Emergency Medicine to help promote #CAEP21: CAEP at the Forks - Rising to the Challenge. From June 15-17, 2021 we will be publishing The CAEP Daily, a journalistic summary of highlights from the conference. Please join the discussion!
2021-06-1511 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesThe CAEP Daily: Day 1 (June 15)CanadiEM has partnered with the Canadian Association of Emergency Physicians, EMOttawa, and the Skeptic's Guide to Emergency Medicine to help promote CAEP at the Forks - Rising to the Challenge. From June 15-17, 2021 we will be publishing The CAEP Daily, a journalistic summary of highlights from the conference. Please join the discussion!
2021-06-1509 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP 2021: Recent EM Literature and Global EM Track ChairsThis is the third episode of our CanadiEM's podcast series in collaboration with CAEP 2021. In this episode, Dr. Hans Rosenberg is joined by two CAEP 2021 Track Chairs, who give a sneak peak about the great speakers lined up! First, we are joined by Dr. Ken Milne, who outlines the Recent Emergency Medicine Literature track. Afterwards, Dr. Caroline Kowal highlights the Global Emergency Medicine track.
2021-06-1006 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP 2021: Tracts and Plenary Speakers This is the third episode of our CanadiEM's podcast series in collaboration with CAEP 2021, with our guest host Ken Milne. You may recognize Ken Milne's voice from the popular podcast Skeptic's Guide to Emergency Medicine. In this series, Ken breaks down will tell you everything you need to know about the upcoming CAEP 2021 conference, CAEP at the Forks: Rising to the Challenge! In today's episode, Ken Milne meets with Dr. Tamara McColl to discuss everything you need to know about the upcoming CAEP conference tracks and plenary speakers. Dr. Tamara McColl breaks down...
2021-06-0716 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP 2021: Pre-Conference Details This is the second episode of our CanadiEM's podcast series in collaboration with CAEP 2021, with our guest host Ken Milne. You may recognize Ken Milne's voice from the popular podcast Skeptic's Guide to Emergency Medicine. In this series, Ken breaks down will tell you everything you need to know about the upcoming CAEP 2021 conference, CAEP at the Forks: Rising to the Challenge! In today's episode, Ken Milne meets with Dr. Tamara McColl to discuss everything you need to know about the upcoming CAEP pre-conference. Dr. Tamara McColl breaks down the meaning behind CAEP...
2021-05-3109 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP 2021: Goals of the Conference This is the first episode of our CanadiEM's podcast series in collaboration with CAEP 2021, with our guest host Kevin Milne. You may recognize Kevin Milne's voice from the popular podcast Skeptic's Guide to Emergency Medicine. In this series, Kevin breaks down will tell you everything you need to know about the upcoming CAEP 2021 conference, CAEP at the Forks: Rising to the Challenge! In today's episode, Kevin Milne meets with Dr. Tamara McColl to discuss everything you need to about the upcoming CAEP Conference. Dr. Tamara McColl breaks down the meaning behind CAEP at...
2021-05-2416 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP Conference + CanadiEM Collaboration Ep 2: Introducing Track ChairsIn this collaboration CAEP Conference + CanadiEM promotions podcast episode - We introduce some of our amazing track chairs from the conference. They discuss their guest speakers and some of the awesome content they will be hosting at their respective tracks! Track Chairs - Tracks: Dr. Brandon Ritcey - Procedures Dr. Hasan Sheikh - Advocacy and Public Affairs: Leading System-Wide Change as an Emergency Physician Dr. Lisa Thurgur - CORE-EM Dr. Eddy Lang - Leadership and Admin (LeAd) and Flow Check out the podcast and register for the conference at CAEP Conference website at www.caepconference...
2021-05-1713 minCRACKCast & Physicians as Humans on CanadiEMCAEP Conference + CanadiEM Collaboration Ep 2: Introducing Track ChairsIn this collaboration CAEP Conference + CanadiEM promotions podcast episode - We introduce some of our amazing track chairs from the conference. They discuss their guest speakers and some of the awesome content they will be hosting at their respective tracks! Track Chairs - Tracks: Dr. Brandon Ritcey - Procedures Dr. Hasan Sheikh - Advocacy and Public Affairs: Leading System-Wide Change as an Emergency Physician Dr. Lisa Thurgur - CORE-EM Dr. Eddy Lang - Leadership and Admin (LeAd) and Flow Check out the podcast and register for the conference at CAEP Conference website at www.caepconference...
2021-05-1713 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesJournal Club by CanadiEM - E03: Randomized Controlled Trials (RCTs) - Part 2Purpose: Learn the importance of treatment studies (RCTs) in EBM Understand and interpret methods and results of treatment based studies Become familiar with critically appraising treatment based studies Hosts: Dylan Collins Levi Johnston Dakoda Herman Jayneel Limbachia Jake Domm Paper: Warren, Jaimee, et al. "Antacid Monotherapy Is More Effective in Relieving Epigastric Pain Than in Combination With Lidocaine: A Randomized Double‐blind Clinical Trial." Academic Emergency Medicine 27.9 (2020): 905-909. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14069 EBM Checklist for therapy studies (University of Oxford: https://www.cebm.net/wp-conte...
2021-04-0548 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEP21 + CanadiEM Pre-Conference Podcast CAEP and CanadiEM are collaborating to help promote the Virtual CAEP Conference 2021! Did you know Canadian Association of Emergency Physicians (CAEP) is hosting a virtual CAEP Conference in 2021? CAEP at the Forks: Rising to the Challenge When is it? June 15-17, 2021 Where is it? It's virtual but its hosted by the organizers at University of Manitoba, Winnipeg in collaboration with educators from all over Canada. How can I register? caepconference.ca #CAEP2021 The CAEP Conference 2021 Social Media and Promotions team consists of...
2021-03-2911 minCRACKCast & Physicians as Humans on CanadiEMCAEP21 + CanadiEM Pre-Conference Podcast CAEP and CanadiEM are collaborating to help promote the Virtual CAEP Conference 2021! Did you know Canadian Association of Emergency Physicians (CAEP) is hosting a virtual CAEP Conference in 2021? CAEP at the Forks: Rising to the Challenge When is it? June 15-17, 2021 Where is it? It's virtual but its hosted by the organizers at University of Manitoba, Winnipeg in collaboration with educators from all over Canada. How can I register? caepconference.ca #CAEP2021 The CAEP Conference 2021 Social Media and Promotions team consists of...
2021-03-2911 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesJournal Club by CanadiEM - E02: Randomized Controlled Trials (RCTs) - Part 1Purpose: 1. Learn the importance of treatment studies (RCTs) in EBM 2. Understand and interpret methods and results of treatment based studies 3. Become familiar with critically appraising treatment based studies Hosts: Dylan Collins Levi Johnston Dakoda Herman Jayneel Limbachia Jake Domm Paper: Warren, Jaimee, et al. "Antacid Monotherapy Is More Effective in Relieving Epigastric Pain Than in Combination With Lidocaine: A Randomized Double‐blind Clinical Trial." Academic Emergency Medicine 27.9 (2020): 905-909. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14069EBM Checklist for therapy studies (University of Ox...
2021-03-2251 min
CRACKCast & Physicians as Humans on CanadiEMJournal Club by CanadiEM E01: Meet the TeamJournal Club by CanadiEM is a podcast designed to help medical learners at all stages of training develop the skills necessary to properly appraise, interpret, and apply medical research to the practice of Emergency Medicine, all in the spirit of evidence based medicine.
2021-03-0121 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesJournal Club by CanadiEM E01: Meet the TeamJournal Club by CanadiEM is a podcast designed to help medical learners at all stages of training develop the skills necessary to properly appraise, interpret, and apply medical research to the practice of Emergency Medicine, all in the spirit of evidence based medicine.
2021-03-0121 min
CRACKCast & Physicians as Humans on CanadiEMCarmsCast E03: Preparing for InterviewsIn this week’s episode, we are covering how to best prepare for your all-important interviews! From what questions to expect to how to leave a positive impression, we cover it all! Helping break this all down for us is a panel of resident guests from diverse programs across Canada: Dr. Larissa Hattin, Dr. Dillan Radomske, and Dr. Ben Forestell. Dr. Larissa Hattin is a 4th-year emergency medicine resident at UBC and co-chief resident of the Victoria site. She completed medical school at McMaster and quickly moved out to the island to escape the snow. This year she is c...
2021-02-2443 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCarmsCast E03: Preparing for InterviewsIn this week's episode, we are covering how to best prepare for your all-important interviews! From what questions to expect to how to leave a positive impression, we cover it all! Helping break this all down for us is a panel of resident guests from diverse programs across Canada: Dr. Larissa Hattin, Dr. Dillan Radomske, and Dr. Ben Forestell. Dr. Larissa Hattin is a 4th-year emergency medicine resident at UBC and co-chief resident of the Victoria site. She completed medical school at McMaster and quickly moved out to the island to escape the snow. This year she is com...
2021-02-2443 minCRACKCast & Physicians as Humans on CanadiEMCanadiEM Presents - Dr. Brent ThomaThis new CanadiEM series features Emergency Medicine figures from around Canada while they participate in some sort of ice-breaking activity. First up, how can Dr. Brent Thoma from the University of Saskatchewan manage increasingly spicy chicken wings while talking about his academic interests? This podcast is the audio-only version of a video that you can watch on www.canadiem.org.
2021-01-2633 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCanadiEM Presents - Dr. Brent ThomaThis new CanadiEM series features Emergency Medicine figures from around Canada while they participate in some sort of ice-breaking activity. First up, how can Dr. Brent Thoma from the University of Saskatchewan manage increasingly spicy chicken wings while talking about his academic interests? This podcast is the audio-only version of a video that you can watch on www.canadiem.org.
2021-01-2633 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCarmsCast E01: Preparing For Emergency Medicine Electives In today's episode, we cover how to prepare for your upcoming emergency medicine elective and how best to ask for that coveted reference letter. Helping us navigate this subject is our expert guest Dr. Brent Thoma. Dr. Thoma works clinically as a trauma and emergency medicine physician. Academically, he studies technology-enhanced medical education and works for the Royal College of Physicians and Surgeons of Canada as a Clinician Educator. He is also the CEO of CanadiEM. Click here for resources mentioned in today's episode.
2020-10-2638 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesDanger Zone E01 - Surgical AirwayIn this episode of Danger Zone, our hosts examine a relatively rare procedure performed in the ED – the Surgical Airway! They discuss indications, procedural considerations, and important clinical pearls.
2020-08-1122 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E216 - JaundiceCore Questions Explain broad causes of elevated bilirubin (obstructive, hepatocellular, and hemolysis) and the significance of direct vs. indirect hyperbilirubinemia (Fig 25.1) Explain your approach to the history and physical exam in patients with jaundice (Fig 25.2) List 10 causes of jaundice (Table 25.2) Explain your approach to ancillary testing in patients with jaundice. Wisecracks What are the stages of hepatic encephalopathy? What is the triad of acute hepatic failure? What is Charcot's triad and Reynold's pentad? What is the "1000s Club" and how do you become a member?
2020-08-0424 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesFirst year Diaries E05In this episode, Kevin Dong interviews Dr. Mohamed Hagahmed on his transition to practice and how to prepare for your board/licensing exams after you graduate from residency. Dr. Mohamed Hagahmed is an Assistant Clinical Professor in the Department of Emergency Medicine at UT Health San Antonio.
2020-07-1323 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E215 - Abdominal PainCore Questions What are risk factors for serious underlying causes of abdominal pain? (Box 24.1) Explain key symptoms and signs to look for in the evaluation of the patient with abdominal pain. What diagnoses are associated with different patterns of abdominal pain? (Fig 24.1) List 5 critical and 5 emergent causes of abdominal pain (Table 24.1, 24.2) Explain an approach to ancillary testing in abdominal pain. Outline a diagnostic algorithm for patients with abdominal pain (Fig 24.4) Outline an empiric management algorithm for abdominal pain. (Fig 24.5) Wisecracks What are the structures included in the foregut, midgut, and hindgut? More importantly, why do you care? ...
2020-07-0653 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesFirst Year Diaries E04In this episode of First Year Diaries, I am joined by Dr. Daniel Ting and Dr. Jared Baylis. Dr. Daniel Ting is a first-year staff at UBC, who is currently working from the Vancouver General Hospital and BC Children's Hospital. Dr. Jared Baylis is also a first-year staff, working at the Kelowna General Hospital. I asked them what it is like to transition from residency to working as staff physicians. Later, we discussed the challenges they face as staff physicians and how residency prepared them for life as Emergency Physicians.
2020-06-2349 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E214 – Chest PainCore Questions Describe an approach to key history and physical exam for chest pain patients presenting to the ED. (Table 23.2 and 23.3) List 5 critical diagnoses, 5 emergent, and 5 nonemergent diagnoses to consider in the patient presenting with chest pain. (Table 23.1) Describe an approach to the critically ill patient with undifferentiated chest pain. (Figure 23.1) Describe an approach to ancillary testing in chest pain. (Table 23.4 and 23.5) List the risk factors associated with each critical chest pain diagnosis (Box 23.1) Explain the approach to risk stratification of ED chest pain patients. Wisecracks What are the X-ray findings of aortic dissection? What are your...
2020-06-0146 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesClerkCast Ep04 - Adult Fever Today we are sitting down with Dr Alim Pardhan. Dr Pardhan is the FRCP EM program director at McMaster University, Hamilton General Hospital ED side lead, and a passionate medical educator. Your key takeaways from this episode are: Understanding the mechanisms behind fever and hyperthermia The causes of hyperthermia - think drugs, CNS infections, thyroid storm, and environmental exposure Five big, bad, and deadly causes of fever in our patients in the ED - necrotizing fasciitis! Endocarditis! Meningitis! Ascending cholangitis! Sepsis! Identification and management of the patient with sepsis
2020-05-1136 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E213 - DyspneaCore Questions Define the following terms: Dyspnea Tachypnea Hyperpnea Hyperventilation Dyspnea on exertion Orthopnea Paroxysmal Nocturnal Dyspnea What anatomical structures are responsible for controlling respiratory effort? Outline an approach to the history for the dyspneic patient. Detail the physical examination for the dyspneic patient and highlight pivotal exam findings that point to specific pathologies. Outline the differential diagnosis for the patient presenting with dyspnea and highlight 5 critical, 5 emergent, and 5 non-emergent causes of shortness of breath. What ancillary tests are indicated for the dyspneic patient? Detail the utility of point-of-care ultrasound in the assessment of the dyspneic patient. Outline...
2020-05-0444 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E212 - HemoptysisCore Questions: Define "massive hemoptysis". Which vessels, when injured, are typically associated with small and massive hemoptysis, and how do the vessel characteristics influence the degree of bleeding? Outline an approach to the history and physical examination for a patient presenting with hemoptysis. Outline the differential diagnosis for hemoptysis and highlight five critical and five emergent diagnoses that cause hemoptysis. (Box 21.1 and 21.2) What ancillary tests are warranted in the patient with hemoptysis? Detail the utility of imaging studies in patients with hemoptysis. Detail the diagnostic approach to the patient with hemoptysis. (Figure 21.1) Outline an approach to ma...
2020-04-0634 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesClerkCast E03 - Abdominal PainWe are finally back with episode 3 of ClerkCast! Today we will be talking about ABDOMINAL PAIN with McMaster FRCP EM resident Dr Rakesh Gupta Key takeaways from this episode include: 1. Thinking outside the GI tract for patients with abdominal pain 2. The importance of a good physical exam 3. What type of imaging is best for your patient? Hint: it depends! 4. How to consult your inpatient colleagues! P-I-Q-U-E-D Thanks for the listen!
2020-03-3043 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E211 – Sore ThroatCore Questions: What are the three anatomically-distinct zones of the pharynx, and what structures outline their borders? Ultrasound of the Neck Lateral neck radiograph Nasopharyngoscopy CT Soft Tissues Neck Describe the utility of the following imaging modalities in the patient with sore throat. Outline five viral, five bacterial, and five other potential aetiologies of sore throat in the ED patient? (Table 20.1) Outline the components of the Modified Centor Score and describe its application. Describe the diagnostic algorithm for the patient with sore throat. (Figure 20.4) Outline the approach to managing a patient with sore throat in the ED...
2020-03-0331 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E210 - Red and Painful EyeCore Questions: Detail the pertinent points to review when taking the history of a patient presenting with a red and painful eye - Box 19.2 Outline an approach to the ocular physical examination - Box 19.3 Outline the components of the slit lamp examination - Box 19.4 What signs and symptoms, if present, likely indicate the presence of serious ocular pathologies - Box 19.1 What is a relative afferent pupillary defect and what conditions cause it? List ten causes of increase intraocular pressure List five causes for an absent red reflex - Box 19.5 Name three critical, emergent, urgent, and non-urgent cau...
2020-02-051h 15CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E209 – DiplopiaCore Questions: What is diplopia and how is it classified? What four questions help clinicians delineate the potential cause of a patient's diplopia? What are the cardinal directions of gaze and how are they tested? Outline the physical exam for the patient with monocular and binocular diplopia. Outline the DDx for monocular diplopia? Outline the DDx for binocular diplopia? [Table 18.1] Detail the different oculomotor palsies. [Figure 18.3] Detail the various lacunar stroke syndromes. [Box 18.1] Define internuclear ophthalmoplegia. What ancillary tests are required for the patient presenting with diplopia? [Figure 18.4] Wisecracks: What are t...
2020-01-0750 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesClerkCast E02 - Chest PainWelcome to ClerkCast! A podcast for medical students by medical students, focusing on cognitive approaches to common EM presentations. This episode covers how to approach patients with chest pain in the Emergency Department as a medical student with our guest co-host Dr. Shawn Mondoux, staff EM doc at St Joseph's Hospital in Hamilton, and a Quality Improvement guru We cover: 1. The SIX CAN'T MISS chest pain diagnoses 2. Acute coronary syndrome and the Terrible Triad 3. Aortic dissection history pearls 4. Investigations in patients with chest pain Enjoy!
2019-12-1645 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E208 – HeadacheCore Questions: List three primary headache disorders Describe the pathophysiology of migraines and name three Emergency Department treatments for same List five critical and five emergent causes of headache (Table 17.1) Outline your approach to the history for the patient presenting with headache ( Box 17.1) Outline your approach to the physical exam for the patient presenting with headache (Table 17.3) Describe your diagnostic approach to the patient with a suspected SAH Detail the findings on LP that would suggest your patient has bacterial meningitis Wisecracks: What percentage of patients presenting with head...
2019-12-0255 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesClerkCast - Ep00 - What Is ClerkCast!An intro to the latest CanadiEM podcast, ClerkCast! Hosted by two McMaster medical students, Lauren Beals and Ben Forestell, ClerkCast is your one stop shop for approaches to common EM presentations... enjoy!
2019-11-2906 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesClerkCast E01 - Emergency Medicine 101Welcome to ClerkCast! A podcast for medical students by medical students, focusing on cognitive approaches to common EM presentations. This episode covers how to succeed in the Emergency Department as a medical student with our guest co-host Dr. Teresa Chan, staff EM doc at Hamilton Health Sciences, CanadiEM co-founder, and medical educator extraordinaire We cover: 1. How to structure your differential diagnosis in the ED 2. Eye-balling a patient - edits have been made clarifying the ABCs 3. How to prioritize management in the ED using the RAPID mnemonic 4. How...
2019-11-2935 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesFirst Year Diaries E03On this episode of First Year Diaries, I am joined by Dr. Mike Kirlew, a rural family and emergency medicine physician from Sioux Lookout in Northern Ontario. I asked him about how he ended up working in a rural area, and what it is like working with scarce medical resources. Later, we discussed how a resident physician can prepare themselves for working in a rural community, and how best to transition to living in a rural area.
2019-11-2643 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E207 – Dizziness and VertigoCore Questions: What is dizziness and what pathologies can cause it? Define vertigo and acute vestibular syndrome What three systems are involved in the maintenance of equilibrium and how many of these systems must be affected to cause vertigo? Trace the neuronal impulse from the vestibular apparatus to the muscle endplate Define nystagmus List five peripheral causes of vertigo (see Table 16.2) List five central causes of vertigo (see Table 16.2) Differentiate between central and peripheral vertigo based on history and clinical exam findings Describe the Dix Hallpike Test Outline your approach to the HINTS exam What is th...
2019-11-0451 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E206 – SeizuresCore Questions: Define seizure and provide an explanation of the classification systems for seizure Define recruitment as it relates to seizure development and progression Differentiate between seizure and syncope Differentiate between neurogenic and psychogenic seizures List 5 diagnoses that can mimic seizures (see Box 15.2) Define status epilepticus and differentiate between convulsive and non-convulsive status epilepticus List 10 causes of status epilepticus in adults (see Box 15.1 and 15.3) Outline management of status epilepticus. List indications for head CT for first seizure. Wisecracks: List 5 properties of ictal events Isoniazid Toxicity TCA Toxicity Eclampsia Hypoglycemia Hyponatremia What medic...
2019-10-0744 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesRe-starting Anti-Coagulation After Intracranial Hemorrhage The same 65-year-old man who was seen earlier with an ICH has now recovered. His past medical history is remarkable for hypertension, dyslipidemia, a mechanical aortic valve replacement, diabetes, and sleep apnea. His list of medications include ramipril, atorvastatin, aspirin, metformin, and warfarin. Should his anti-coagulation be resumed? If so, how long should the clinician wait prior to re-starting his medications? Objective 1: Summarize the most recent guidelines regarding when to re-start anti-coagulation after ICH (ASA, DVT-P, Xa inhibitors, warfarin) Objective 2: What factors need to be taken into consideration when making this decision? Objective 3: Interpret the...
2019-09-1621 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E205 – ConfusionCore Questions: Define confusion. What is your differential diagnosis for the confused patient? Differentiate between organic and functional causes of confusion. What is the Quick Confusion Scale (QCS) and how is it calculated? What is the Brief Confusion Assessment Method (bCAM) and how is it used? What is the Mini-Mental State Examination (MMSE) and how is it scored? What ancillary tests are used when working up the confused patient? What is the role of thiamine in the treatment of the acutely confused patient? Wisecracks: What simple tests can you use to as...
2019-09-0338 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesFirst Year Diaries E02 - My Philosophy By David CarrToday on First Year Diaries I am joined by Dr. David Carr, a University Health Network emergency physician, renowned medical education speaker, and Toronto Blue Jays physician. In this episode, I asked him to impart his wisdom to new staff physicians like myself and share his approaches to a successful career in medicine. Later in the interview, we also discuss workflow strategies for the ED, common mistakes made by new physicians, and tips on how to maintain wellness/avoid burnout. Questions: 01:57 – 03:05 - Can you please introduce yourself? (name, training, where you work, interests, etc.). ...
2019-08-2339 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E204 – Depressed Consciousness and ComaCore Questions: 1. Define coma and differentiate coma from lethargy and stupor. 2. Name five neuroanatomic structures involved in maintaining arousal. 3. List five critical and five emergent causes of depressed consciousness. (see Table 13.1) 4. Describe your approach to the history and physical examination for the patient with depressed consciousness. 5. Outline your exam to accurately assess the Glasgow Coma Scale (GCS). (see Table 13.2) 6. What is the FOUR score, and how is it calculated? (see Table 13.3) 7. What ancillary tests should be ordered in the patient with depressed consciousness? 8...
2019-08-0534 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E203 – SyncopeCore Questions: List 10 life-threatening causes of syncope List 10 medications that can precipitate syncope What are the red flags on history and physical exam in syncope? What are markers of increased short-term risk in syncope patients? (box) What are 5 ECG findings to look for in the syncopal patient? List five indications for admission and inpatient evaluation for the patient with syncope? Wisecracks: What is the significance of a patient presenting with syncope vs. near syncope? What is the utility of orthostatic vital signs? What degree of cerebral hypoperfusion is needed to cause unconsc
2019-07-0127 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E202 – CyanosisCore Questions: Define cyanosis and explain what causes it? What is central cyanosis and what typically causes it? What is peripheral cyanosis and what typically causes it? At what concentration of deoxyhemoglobin does cyanosis present? List 10 differential diagnoses for cyanosis - Box 11.2? Describe your initial workup for the patient with cyanosis.- Figure 11.3/11.4 What is the oxyhemoglobin dissociation curve and what information can be taken from it? - Figure 11.1 Name four factors that shift the oxyhemoglobin dissociation curve to the left and three factors that shift it to the right. Differentiate between ferrous and ferric hemoglobin a...
2019-06-0346 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCAEPCast: The SIM Olympiad with Dr. Tamara McCollFrom CAEP 2019 I always love the activities and experiences at CAEP, but year after year I'm drawn to the Simulation Olympiad. Every time I think it's just incredible. This year, I decided to talk with some of the people who make the SIMOlympiad such a great experience for audiences and participants alike. In my first interview, I heard about what the average SIM team looks like, how the competition runs, and what the scope of the material covers. We also got the details on what the characteristics of a winning team look like and how SIM hopefuls can...
2019-05-2912 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCanadiEM Call for Digital Scholars Fellowship 2019-2020
2019-05-2305 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E201 – WeaknessCore Questions: 1. What structures are affected by UMJ, LMJ, and NMJ lesions, and what are causes of weakness associated with each? 2. What are common signs of UMN, LMN, and NMJ dysfunction? 3. What are (7) pathophysiologic causes of non-neurologic weakness (Box 10.1)? 4. What is the DDx of neuromuscular weakness? (Table 10.1) 5. Describe an approach to general weakness in the ED. Wisecracks: 1. Differentiate between "plegia" and "paresis". 2. List (5) DDx's for non-neurologic weakness (based on pathophysiologic processes). 3. List (5) non-emergent causes of peripheral neuropathy (Box 10.2) 4. Explain...
2019-05-0628 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesFirst Year Diaries E01 - Transition to EM PracticeToday's episode is to aid new physicians to traverse through the first few months of their independent practice safely and effectively. As a new physician myself, I had the luxury of having many mentors and colleagues who were gracious enough to help me find my way in providing safe patient care. Additionally, they assisted me on integral aspects that we don't necessary learn or get exposed to as a resident, such as billing, department flow, and the politics of the ED. However, as a new staff, there are so many uncertainties that you must face alone, and I wanted...
2019-04-0939 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E200 – Fever in the Adult PatientCore Questions: What structure controls body temperature and how does it go about controlling it? What are pyrogens and how are they classified? What is the difference between fever and hyperthermia? What is the role of PGE2 in fever and what medications can you give to combat its effects? List four factors that blunt the febrile response. What are the benefits and pitfalls of the febrile response? List five infectious and five non-infectious causes of fever. (see Box/Table 9.1) Describe your approach to the febrile patient. (see Figure 9.1/9.2) Wisecracks: What is the most accurate temperature measurement...
2019-04-0124 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E199 – Adult ResuscitationCore Questions: Describe your history and physical exam in the patient being actively resuscitated. Discuss the process of deterioration to cardiac arrest with respiratory failure and cardiac obstruction. List 6 aspects of optimal CPR. What medications have been shown to improve outcomes in cardiac arrest? List 8 differential diagnoses for PEA arrest (See Table 8.4) What is electromechanical dissociation (EMD) and how does it differ from pseudo electromechanical dissociation (pseudo EMD)? What is echo-guided life support (EGLS) and how is it used? Carotid or femoral pulse CPP Arterial relaxation (diastolic) pressure PETCO2 SCVO2 What are your targets during CPR f...
2019-03-0435 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E198 – Brain ResuscitationCore Questions: What is cerebral autoregulation? Describe your parameters for post-arrest care of a brain injured patient. List 7 interventions for management of a patient with elevated ICP. What are the equations for cerebral blood flow and cerebral perfusion pressure? Describe a protocol for induced hypothermia after cardiac arrest. In the patient with a traumatic brain injury, what is the optimal drug for and duration of seizure prophylaxis? Wisecracks: What are Lundberg A waves? What is the relationship between PaCO2 and CBF? What is the Monro-Kellie hypothesis? How do these values change in patients with sev...
2019-02-0434 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E197 – ShockThis episode covers Chapter 6 in Rosen's 9th edition, shock.
2019-01-0741 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesSteps to Success in Enhanced Training in Emergency MedicineAre you a Family Medicine resident about to graduate and embark on an extra year of training in Emergency Medicine (EM)? Are you worried you don't know what it is really like to be an Emergency Medicine resident and you want to find a guide to help maximize your learning in a short and extremely fast year? As a recent CCFP-EM graduate, I can strongly relate to your fears. The one year of extra training is an important one, and you will learn a plethora of information that will be pertinent to your success as...
2019-01-0213 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E196 - Monitoring the Emergency PatientThis updated episode of CRACKCast covers Rosen's Chapter 005, Monitoring the Emergency Patient (9th Ed.). Core Questions: List modalities for measurement of BP and note which modalities are likely to over and underestimate blood pressure. What is pulse pressure and how does it relate to stroke volume? List 4 indications for an arterial line. What is the Beer-Lambert Law and how does it allow us to measure pulse oximetry? How do dyshemoglobinemias affect your measured SpO2? What are the 4 phases of the ETCO2 waveform? List 5 uses for ETCO2. Wisecracks: List the pitfalls of pulse oximetry. Purple...
2018-12-0332 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E195 – Procedural Sedation and AnalgesiaThis updated episode of CRACKCast cover's Rosen's Chapter 004, Procedural Sedation and Analgesia (9th Ed.).
2018-11-0533 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E194 - Pain ManagementThis episode of CRACKCast covers Chapter 3 in Rosen's Emergency Medicine (9th Ed.) – Pain Management. This podcast will give you a solid approach to the basics pain management to use on your next shift! Core Questions: 1. Define the following terms (Box 3.1): Allodynia Amnesia/amnestic Local anesthesia Analgesia Hypnotic Narcotic Nociceptor Noxious stimulus Opiate Opioid Pain Procedural Sedation Sedative 2. Describe a practical approach to stepwise management of pain in the ED. 3. Describe the adult parenteral and oral doses for: Morphine Hydromorphone Fentanyl 4. Differentiate between opioid side effects and opioid toxicity. 5...
2018-10-0134 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesThrombophonia E01: Mechanical Valves and Intracranial HemorrhageThe first episode of the Thrombophonia podcast addresses three objectives: 1. Summarize an approach to the acute management of patients with intracerebral hemorrhage while on anticoagulation for a mechanical heart valve 2. Describe the benefits and risks of anticoagulant reversal, including the risk of thromboembolism 3. Describe the principles of effective communication and collaboration of bleeding & clotting cases with consultants
2018-09-1131 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E193 - Mechanical Ventilation and Noninvasive Ventilatory SupportThis episode of CRACKCast covers Chapter 2 in Rosen's Emergency Medicine (9th Ed.) – Mechanical Ventilation and Noninvasive Ventilatory Support.
2018-09-0340 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E192 – AirwayThis Episode of CRACKCast covers Rosen's Chapter 1 - Airway. We are updating the first several episodes with 9th edition content. Enjoy! There's a reason that the first chapter of Rosen's is devoted to airway. These are some of the most critical skills we need to know as emergency clinicians. This episode provides an overview of core airway knowledge and skills.
2018-08-0646 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E191 – Weapons of Mass DestructionThis episode of CRACKCast covers Chapter 193 in Rosen's Emergency Medicine (9th Ed.) – Weapons of Mass Destruction. Although attacks involving WMD's are relatively uncommon, being thoroughly prepared for these events will prove invaluable for the community affected. Sit tight and listen in to make sure you are ready if the unthinkable should happen. Core Questions: 1) List 6 potential agents that may be used as weapons of mass destruction. 2) List 6 features of weapons of mass destruction threats that make them unique. 3) Describe 6 signs suggesting biologic weapon deployment. 4) What are recommendations for prevention of...
2018-07-0222 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E190 – Disaster PreparednessCore questions Define a disaster Describe PICE nomenclature List 6 potentially paralytic PICE List 6 critical substrates for hospital operations Describe START triage and SAVE List the 5 functional elements of an incident command system Describe the 4 stages comprehensive emergency management Describe the 5 elements of a hospital disaster response plan List the 8 basic components of a hospital comprehensive disaster response planning process Wisecracks: Describe the SALT triage approach Describe TTDAD SAD approach (see EM Cases Episode 100 on disaster medicine) What is "surge capacity"?
2018-06-2822 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E189 – Air Medical TransportCore Questions List 6 criteria for air medical transport. When should/could helicopter EMS transport be beneficial? List advantages and disadvantages of rotor-wing aircraft and fixed-wing aircraft, relating to each other and land-transfer. What are 6 principles of landing zone safety? Wisecracks: What are the most common in-flight emergencies on commercial flights? What are some practical implications of providing in-flight emergency care?
2018-06-2513 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E188 – Emergency Medical Service: Overview and Ground TransportThis episode of CRACKCast covers Chapter 190 of Rosen's Emergency Medicine(9th Ed.). After listening to this podcast, you will have a more comprehensive understanding of the intricacies of pre-hospital care and be better able to address issues in your community's out-of-hospital healthcare network.
2018-06-2120 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E187 – The Combative and Difficult PatientThis episode of CRACKCast covers Chapter 189 in Rosen's Emergency Medicine (9th Ed.) – The Combative and Difficult Patient. Next time a severely agitated patient rolls into the department, you won't even break a sweat!
2018-06-1822 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E186 - Substance AbuseThis episode of CRACKCast covers Rosen's Chapter 140 (9th Edition), Substance Abuse. This chapter gives a brief overview regarding the burden of substance abuse from adolescent to elderly patients. An important consideration in the emergency department is self-awareness and advocacy for these patients that often are challenging to interact with and can provoke countertransference.
2018-06-1416 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E185 - Alcohol Related DiseaseThis episode of CRACKCast covers Rosen's Chapter 142 (9th Edition), Alcohol Related Disease. This chapter covers the spectrum of alcohol use, including effects of mild, moderate, and severe use disorders, including prevention, screening, diagnosis and management. We also examine the wide variety of complications associated with acute and chronic alcohol use.
2018-06-1428 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E184 - The Solid Organ Transplant PatientThis episode of CRACKCast covers Rosen's chapter 188, The Solid Organ Transplant Donor. Although short in duration, this chapter has straightforward and useful information for emergency physicians in regards to complications possible with transplant donors.
2018-06-1111 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E183 - The Immunocompromised PatientThis episode of CRACKCast covers Rosen's Chapter 187, The Immunocompromised Patient. This chapter covers the unique population of immunocompromised patients, including management of febrile neutropenia, as well as common infections seen in these patients and how to treat them.
2018-06-0422 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E182–Drug Therapy in the Geriatric PatientCore Questions List 4 factors altering pharmacokinetics in the elderly (ADME) List 6 factors contributing to adverse events from medications in the elderly Beers List Which 8 meds are most responsible for adverse events in the elderly? List 5 harmful drug interactions in the elderly What are top 10 STOPP criteria?
2018-05-3110 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E181 - Approach to the Geriatric PatientThis episode of CRACKCast covers Rosen's chapter 183, approach to the geriatric patient. Our geriatric patients can often mask serious diagnoses with vague presentations and multiple co-morbidities.
2018-05-2914 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E180 - Labor & DeliveryThis episode of CRACKCast covers Rosen's Chapter 181, Labor and Delivery. This chapter covers the high risk realm of ED deliveries, including potential complications such as PROM, malpresentation and umbilical cord emergencies.
2018-05-2437 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E179 - Drug Therapy in PregnancyThis episode of CRACKCast covers Rosen's Chapter 179, Drug Therapy in Pregnancy. There is a lot of fear and anxiety often present within pharmacologic therapy in pregnancy, but having informed, shared decision making with patients can lead to safer outcomes and adherence when treating.
2018-05-2110 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E178 - Co-Morbird Medical Emergencies During PregnancyThis episode of CRACKCast covers Rosen's Chapter 178, Co-Morbid Medical Emergencies during Pregnancy. This chapter covers many complicated issues that arise during the care of pregnant patients already suffering from concomitant medical illness, and how to manage these conditions balancing risks to both mother and fetus.
2018-05-1715 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E177 - Acute Complications of PregnancyThis episode of CRACKCast covers Rosen's Chapter 177, Acute Complications of Pregnancy. This chapter covers many acute issues that arise during the unique physiologic state that is pregnancy, from first trimester bleeding to diagnostic challenges and management of other conditions during pregnancy.
2018-05-1436 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E176 – Musculoskeletal DisordersCore questions What are the indications for orthopedic surgery for clavicle fracture? List 5 Xray features of supracondylar fracture Describe the Gartland Classification for Extension-type supracondylar fractures List specific complications of a supracondylar fracture. Describe the sequence of ossification around the elbow. What is Baumann's Angle? (shownotes) Monteggia fracture-dislocation Toddler's fracture Nursemaid's elbow. Describe the radiographic findings and management of: Describe the Ortolani and Barlow maneuvers. (shownotes) List 3 physical exam findings consistent with DDH. List 10 causes of hip pain in children Provide a differential diagnosis of limp in the toddler, school-aged child and adolescent. How would you differentiate between...
2018-05-1037 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E175 – Neurologic DisordersThis episode of CRACKCast covers Chapter 174 in Rosen's 9th Edition. Today, we will go over common topics in paediatric neurology and emergency medicine that will help you on your next shift! Knowledge of neurologic disorders is essential for any practitioner of emergency medicine, so strap in for a high-yield post. Core Questions List ten causes of provoked (acutely symptomatic) seizures. List four episodic disorders that may mimic seizures in neonates and four in non-neonates. How does it differ if you are unable to obtain IV or IO access? Give an approach to acute seizure control in...
2018-05-0740 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E174 – Genitourinary and Renal Tract DisordersThis episode of CRACKCast covers Rosen's Chapter 173, Genitourinary and Renal Tract Disorders. Torsion, phimosis, UTIs, stones, and priapism are some of the high-yield topics covered here. Core questions: 1. List a DDx for priapism and describe treatment. 2. Describe the management of a paraphimosis. 3. Describe the management of a phimosis. 4. What is the pathophysiology of balanoposthitis? What is the most common bug in balanoposthitis? 5. How is balanoposthitis managed? 6. Describe the diagnosis and management of pediatric epididymitis and orchitis. 7. Describe the diagnosis and management of testicular...
2018-05-0335 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E173 – Infectious Diarrheal Disease and DehydrationCore Questions: 1) What are three pathophysiologic types of diarrhea? Give an example of a cause for each. 2) List 6 common causes of childhood infectious diarrhea in developed countries. 3) List 5 important differential diagnoses of diarrhea in children. 4) List 5 important differential diagnoses of vomiting in children. 5) When should you initiate a medical evaluation of children with acute diarrhea? 6) Describe the typical presentation of: Rotavirus Norovirus Salmonella Shigella Yersinia E. Coli C. Difficile 7) List routine and high risk treatment recommendations for common bacteria causing acute infectious diarrhea in children:
2018-04-3030 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E172 – Gastrointestinal DisordersCore questions: List 8 causes of neonatal jaundice and indicate whether they are conjugated or unconjugated List indications for work-up of a jaundiced infant What are RFs for hyperbilirubinemia? (8) What is the differential diagnosis for vomiting in a child? Describe the typical presentation of each of the following: Hypertrophic pyloric stenosis Malrotation with midgut volvulus NEC GERD Intussusception Hirschsprung's Disease Meckel's Diverticulum HSP List Xray findings for each of the following: Malrotation with midgut volvulus (2) NEC (4) Intussusception (5) Hirschsprung's Disease (2) Describe the conservative management of a patient with GERD. What is the preferred diagnostic test for di...
2018-04-2631 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E171 – Pediatric Cardiac Disorders - PART BThis episode of CRACKCast reviews Rosen's Chapter 170, Pediatric Cardiac Disorders. This podcast covers the common infectious complications leading to pediatric cardiac issues. Additionally, we will review Kawasaki's Disease, Acute Rheumatic Fever, HOCM, and much more. Episode Overview: 1. Describe procedures and conditions for which prophylaxis for bacterial endocarditis is recommended. 2. Describe 2 potential prophylaxis regimens. 3. What is the differential diagnosis of myocarditis? What is the most common cause of myocarditis in children? 4. What is the differential diagnosis of pericarditis in children? Describe any differences b/n adults and children. 5. W...
2018-04-2333 min
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E171 – Pediatric Cardiac Disorders - PART AThis episode of CRACKCast covers Rosen's Chapter 170, Pediatric Cardiac Disorders. This podcast covers cyanotic and acyanotic cardiac defects, the presentation and management of congestive heart failure in pediatric populations, and the management of common arrhythmias in children. A second podcast will release next week detailing other issues in pediatric cardiology. Episode Overview: 1. What is the most common form of congenital heart disease? 2. List 6 Acyanotic and 8 Cyanotic types of CHD. 3. What are the ductal dependent heart lesions? 4. Describe the emergent management of the hypoxic infant with a suspected ductal dependent...
2018-04-1928 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesCRACKCast E170 – Pediatric Respiratory Emergencies: Disease of the LungsCore questions: Name 8 non-infectious causes that may present as pneumonia Describe the workup for a child with suspected pneumonia? What are the typical causes of bacterial pneumonia and viral pneumonia in the following age groups: < > Wisecracks: What is the cause of whooping cough? What are the stages of whooping cough? How is whooping cough managed? How is the flu shot used in the pediatric population? Describe common pneumonia syndromes: Chlamydia trachomatis Mycoplasma pneumonia What is the most common bacterial infection in CF?
2018-04-1622 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesPhysicians as Humans Podcast E04: A break for parenthoodIn the fourth episode of the Physicians as Humans project, I speak with Dr. Kevin Dueck, a family medicine resident at McMaster, about his decision to take parental leave during residency. Also check out his blog https://abootmedicine.wordpress.com/! This is an ongoing project, so if you or anyone you know have a story about managing personal struggles while in medicine, please contact velmurug@ualberta.ca. If you are unfamiliar with the project, please read this post for more information on the origin of this podcast series. The CanadiEM podcast can be added to your podcast applic...
2017-10-0413 min
MedEdTalkOpen resources and social medias influences in how we learn and educate - T. ChanWhat can we learn from social media in the more traditional medical education? Listen to Teresa Chan talk about lessons learned through the years and what is around the corner.Social medias role in Medical Educationwebpage: http://bit.ly/2tD3uwHIn the interview Dr Chan explain how she uses social media herself as personal continuous medical education (CME). Both in her practice area and in the medical education fieldIt is a way to connect with other medical educators and get different perspectives on things. It works well for asynchronous contacts...
2017-07-0934 minCanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year DiariesPhysicians as Humans Podcast E02: An Illness Close to HomeIn the second episode of the Physicians as Humans project, I speak with Dr. Rob Rogers (@EM_Educator), a leading educator in emergency medicine and director of The Teaching Course. He shares his experiences of dealing with a devastating illness in his own family and the effect it had on his career as an emergency physician. This is an ongoing project, so if you or anyone you know have a story about managing personal struggles while in medicine, please contact velmurug@ualberta.ca. If you are unfamiliar with the project, please read this post for more information on the...
2016-09-2119 min