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

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

Pic6

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

headachecat

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]

CAEP 2013

BEEMTalk-Audience

Hey all, Just got back from the annual CAEP (Canadian Association of Emergency Physicians - eg. ACEP in Canada) conference in Vancouver.  It was an absolute blast, with the highlight being a meet up with some fellow Canadian FOAMites, … [Continue reading]

Hyperkalemia myths from EMLyceum

Hi all, Short post today, as I just want to acknowledge the great work of another blog over at EMLyceum. The myths of hyperkalemia management are many.  While I have discussed the uselessness of kayexalate in my introductory post, I was … [Continue reading]