Standing on the corner, minding my own business in the ER

SOCMOB joins REBELEM

Hi all,

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I’m excited to report that I’ve joined the group over at REBELEM.com (Rezaie’s Evidence Based Evaluation of Literature in Emergency Medicine) and my first post on the use of Colchicine for treatment of pericarditis is now up.

For those of you who don’t follow REBEL:EM, what are you waiting for?  With Salim Rezaie (@srrezaie), Anand Swaminathan (@EMSwami), Matt Astin (@mastinmd) and multiple other guest contributors, this site is cranking out practical, evidence based content every few days.

I’ll still be posting/cross-posting here, but also have a few other projects that I’m working on.

Cheers,

Chris (@socmobem)

Novel therapies for Anterior Epistaxis (Calgary EM Journal Club)

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Epistaxis can be managed in many ways, from a simple squeeze of the nose to stuffing it with a tampon, and everything in between.  Today we'll look at two novel methods of managing anterior epistaxis, one of which has become my go to for the … [Continue reading]

A Matter of Convenience: Improper Drug Dosing in the ED

Motov-Ketorolacposter

Sergey Motov (@smotovmd) sparked an interesting Twitter debate last month with his poster that looked at ketorolac (Toradol) dosing in the ED. I have previously written about ketorolac in NSAIDs parts one, two and three. Elisha Targonsky … [Continue reading]

Calgary EM Journal Club: Therapeutic Hypothermia – Targeted Temperature Management Trial

In the January 2014 instalment of the journal club, the Calgary EM program reviewed the recent practice changing paper on cooling (AKA therapeutic hypothermia) after out of hospital cardiac arrest.  For more discussion of this paper, you can check … [Continue reading]

Paraspinous Cervical Block for Headache

DuhSilly

Previously we have discussed the use of propofol for migraine headache (part 1, part 2).  In this post, we'll look at another headache treatment that can be added to your armamentarium, the paraspinous cervical block. There are many standard … [Continue reading]

Calgary EM Journal Club: Dual Anti-Platelet Therapy for Stroke (The CHANCE Trial)

MorpheusforASA+PLAVIX

Hi all, Today is the first installment of a new addition to the site, the Calgary Emergency Medicine Journal Club! Click here to open the page in full screen width.  It will make the tables much easier to read. You can check out the Calgary EM … [Continue reading]

SOCMOB How To: Using the Ventilator for DSI with Dave Lendrum

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Hi all, Today we have a guest post from Dr. David Lendrum, an ER physician at the Foothills Hospital in Calgary.  Dave is a super brilliant doc, and this post will outline how to perform BIPAP using a ventilator, as opposed to bringing an … [Continue reading]

Propofol for Migraine Part 2

Propofol-GotMilk

  The use of propofol to treat migraine has been previously discussed here at SOCMOB.  Today an interesting paper came to my attention thanks to Reuben Strayer over at EMupdates. Single dose propofol 1 mg/kg over 60 seconds effective for … [Continue reading]

Propofol for Migraine Headache

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Case: A 24 yo male with chronic migraines, presents to your ED with status migrainosus for 72 hours.  He has tried his home therapy of ibuprofen, tylenol and a triptan.  After throwing in some iv fluids, prochlorperazine and dexamethasone, his … [Continue reading]

Pathologists? Who knew?

Hey all, Pathologists?  Who knew? If you haven't seen the Macklemore Thrift Shop video, you should probably watch it first to get the awesomeness of this parody video. YouTube link if not working above P.S. Getting ready to ramp up the … [Continue reading]