Borderline Personality Disorder – Part 2

This post is a continuation of Borderline Personality Disorder – Part 1. In this second post, Dr. Beamish discusses the management of BPD in the emergency department and shares some valuable resources. Borderline Personality Disorder – Part 2 Case 2 A 22 year old female with chronic suicidal ideation is brought to the ED by police after her roommates called […]

Borderline Personality Disorder – Part 1

Borderline Personality Disorder (BPD) is a personality disorder that describes the emotional dysregulation, impulsivity, recurrent self-harm and suicidal behaviour experienced by many individuals. People suffering from this personality disorder frequently live chaotic lives characterized by extreme stress, interpersonal conflict and maladaptive behaviours – leading them to frequent emergency department visits. BPD prevalence varies between 1.6  to 5.9% of the general population, […]

Creatine Kinase: Antiquated Relic or useful adjunct in Diagnosing Acute Coronary Syndrome?

Chest pain is a common presenting complaint to Emergency Departments (ED) worldwide. Massive resource investment is required to differentiate benign from sinister causes of chest pain, and for the treatment, referral, and risk stratification of chest pain patients.  A cardiac etiology of chest pain is found in roughly 15% of those presenting to EDs. Emergency Physicians use a combination of […]