Wellness in Emergency Medicine: A letter to my younger self – Dr. Hazel Park

Dr. Park is an Emergency physician and trauma team leader at Lions Gate Hospital, North Vancouver. She is also the Medical Director of the Regional Trauma Program at Vancouver Coastal Health,  and a simulation instructor/enthusiast. Additionally, Hazel, a University of Toronto graduate in 1987,  is a volunteer physician for the Whistler mountain ski patrol and for North Shore Rescue. In […]

Sandwich Generation – an interview with Ken Milne and nutritional advice

Today, we’re fortunate enough to be joined by Dr. Ken Milne, also known as BATDOC, from the Skeptics Guide to Emergency Medicine Ken has an impressive social media reach, and has managed to become a successful emergency medicine clinician, researcher, an internationally known podcaster and champion of evidence based medicine, all the while having a busy, fulfilling personal life. As […]

Finessing your Finances in residency

It’s no surprise to any resident that debt is a large contributor to stress. We have high debt levels that continue to rise1, and less job security as employment and career opportunities become harder to secure. We rarely talk about money during our training, and there is little discussion of income and debt management in medical school curricula. We hope […]

Canadian Emergency Medicine Wellness Week!

We’re back! Move aside John Snow, winter has arrived. The ED’s are crowded, influenza droplets permeate the air, and many of us are still recovering from the working blitz that is required of us during the holiday season (24/7/365 after all). We are feeling the drain!!! January 28th to February 3rd is the 3rd Canadian EM Wellness Week! Over the next […]

Outpatient Management of Acute Exacerbations of COPD

In this post, we review an approach to antibiotics, bronchodilators, and corticosteroids in the outpatient management for acute exacerbations of COPD. COPD – The Basics What is it? An incompletely reversible obstructive lung disease due to airway and/or alveolar abnormalities leading to airflow limitation and persistent respiratory symptoms Caused by significant exposure to noxious particles or gases Most common – […]

Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial

Journal Club Summary Methodology: 4/5 Usefulness: 2.5/5 Meltzer AC, et al. JAMA Intern Med. 2018 Aug 1;178(8):1051-1057.  Editorial: Medical Expulsive Therapy for Ureteral Stones – Stone Age Medicine. Methods: This multi-center RCT of emergency department patients presenting with symptomatic renal colic compared Tamsulosin vs placebo in the rate of stone passage at 28 days based on patient report. Findings: It showed a very […]

Polypharmacy, Prescribing, & Deprescribing in the ED

Care of the Elderly is an ever-growing, important, and prevalent part of an Emergency Physician’s repertoire of skills. With increasing numbers of elderly patients presenting to EDs across Canada, we look to discuss the issue of polypharmacy, prescribing, and deprescribing for this high risk population in the ED. After reading this post, we hope you will: Understand polypharmacy and deprescribing, […]

Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2/5 Atkinson PR, et al. Ann Emerg Med. 2018 Oct;72(4):478-489 Question and Methods: This was the first multicenter, prospective, RCT examining the effect of POCUS on 30-day survival of undifferentiated hypotensive patients presenting to ED. Findings: There was no important survival benefit with the use of POCUS, including no important differences in IV fluids, […]