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

The Negative or Inconclusive Ultrasound in Appendicitis – Can a CDR help?

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The September edition of journal club featured two articles focused on the diagnosis of appendicitis.  These articles each highlight some critical EBM points, which is why I’m breaking them apart into separate posts. This post will only focus on the first article, which examined a potential clinical decision rule for the management of patients with […]

The Spectrum App : A Must Have for Calgary Physicians and Residents

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Disclaimer: I am not paid for the following overwhelmingly complimentary review of an app. If you are a doctor or nurse working in Calgary, you should immediately click this link on your iPhone and download the free Spectrum App. Okay, I guess you may want to know what this is.  The Spectrum App is a fantastic […]

Should we use tetracaine for corneal abrasions? Calgary EM Journal Club

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Hi all, This month’s Calgary EM Journal Club had a fantastic turnout with almost 40 attendees, 25% of which were staff EM docs.  It also marked the first time we saw a heated, debate style showdown at the end from residents advocating for and against the use of topical tetracaine in treatment of corneal abrasions.  Two […]

SOCMOB joins REBELEM

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Hi all, 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 […]

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 moderate, non-anticoagulated bleeder.  Both of these techniques obviate the need […]

A Matter of Convenience: Improper Drug Dosing in the ED

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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 (@ETube) commented that the equi-analgesic and less GI toxic 10 mg ketorolac dose is standard in his ED.  […]

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 out TheSGEM Episode 54 and this EMCrit Podcast and EMCrit Wee with Jon Rittenberger. Read on for our […]

Paraspinous Cervical Block for Headache

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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 cocktails for headache management in the ED, but unfortunately, many of these require an IV, fluids, […]

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

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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 Journal Club page here, and this will serve as […]

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 extra BIPAP machine into an already crowded resus area.  This is […]