Dr. Duncan Webster
Infectious Disease Physician
Saint John Regional Hospital
March 10th 2020
Tag Archives: rounds
Pediatric Hip PoCUS
Focus on Afib
Big or Small – Does size really matter?
WorkSafeNB 101
ED Rounds – September 2019
Dr. Paul Atkinson
“Sick Note” or “Off work note”
•Outdated approach: Assumes that common health problems are incompatible with being at work
•Results in people signed off work all together while awaiting or undergoing treatment
•Prolonged and unnecessary sickness absence: can have devastating effects on lives of patients/their families
•Don’t have to be 100% “well” or “better” to do all or some of job
Mental Health – Medical Clearance
Clinical Pearls and FOAM
MSK Injuries – X-Ray Pitfalls
ED Rounds – June 2019
Dr. George Xidos
- 10-20% of ED visits are for musculoskeletal injuries
- Unfortunately, most common cause of litigation in Canada
- Pitfalls include missed injuries, failure to recognise
- significance of injuries, inadequate initial management, and
- failure to refer to appropriate specialists in a timely manner
Fundamentals:
● Complete hx : mechanism of injury, age, risk factors
● Accurate physical (e.g. there is more to the wrist exam than checking the “snuffbox” and more to the ankle exam than included in the Ottawa rules)
● X ray studies:
○ 20% of MSk litigation involves failure to order X rays in the first place
○ Ensure adequate quality of films (e.g. proper lateral views of hands, wrists and elbows) and order additional views if required
○ Be acutely aware of common locations for occult fractures: scaphoid, radial head, hip, talar dome, tibial plateau etc.
○ Most commonly missed fracture is the second fracture.
Hyponatremia – An Overview
How to get FOAM to work for you
ED Rounds – Jan 2019
Dr. Kavish Chandra presents rounds on Free Open Access Medical Education (FOAM) and how to make it work for you
How to get FOAM to work for you
“If you want to know how we practiced medicine 5 years ago, read a textbook. If you want to know how we practiced medicine 2 years ago, read a journal. If you want to know how we practice medicine now, go to a (good) conference. If you want to know how we will practice medicine in the future, listen in the hallways and use FOAM. — from International EM Education Efforts & E-Learning by Joe Lex 2012
Definition
FOAM (free open access medical education) is a collection of resources, a global community and an ethos for anyone, anywhere and anytime.
Globally, there has been an exponential increase in the number of active emergency medicine and critical care websites, blogs and podcasts.
Cadogan et al. (2014)
What are we doing at sjrhem.ca?
- Over 40 resident clinical pearls
- Medical student pearls
- EM reflections (summary and learning points of high risk cases)
- Trauma reflections
We also have our own online journal channel at Cureus.com. Articles are submitted by local as well as international authors, and reviewed by peers and finally approved by local channel editors
The practical guide (adapted from Thoma et al. (2014)
Step 1 – Get an RSS aggregator
Then within the program, search blogs and website by name or URL. The programs above generally search your created list and populate a “to read list” with direct links and the option to defer until you have more time
Examples of websites and blogs
1. SJRHEM http://sjrhem.ca/news
2. CanadiEM https://canadiem.org
3. BoringEM http://boringem.org
5. EM Literature of Note http://emlitofnote.com
6. The NNT http://thennt.com
7. Academic Life in EM http://academiclifeinem.com
8. Life in the Fast Lane http://lifeinthefastlane.com
9. St. Emlyn’s http://stemlynsblog.org
10. The SGEM http://thesgem.com
11. Pediatric EM Morsels http://pedemmorsels.com
12. Rebel EM http://rebelem.com
13. Don’t Forget the Bubbles http://dontforgetthebubbles.com
14. The Poison Review http://thepoisonreview.com
15. Trauma Pro’s Blog http://regionstraumapro.com
Step 2 – connect with social media (SoMe)
Use SoMe to connect with the largest online medical community
Participate in post publication reviews
If anything, take away one of the many pearls
SJRHEM @sjrhem
ECCU course @eccucourse
The Bottom Line @WICSBottomLine
Rob Bryant @robjbryant13
Tessa Davis @TessaRDavis
Rob Rogers @EM_Educator
FOAM cast @FOAMpodcast
FOAM Highlights @FOAM_Highlights
Radiopaedia.org @Radiopaedia
Casey Parker @broomedocs
Ryan Radecki @emlitofnote
Chris Nickson @precordialthump
Matta nd Mike @ultrasoundpod
Leon Gussow @poisonreview
Bryan D. Hayes @pharmERToxguy
Simon Carley @EMManchester
Haney Mallemat @CriticalCareNow
Rob Cooney, MD, MEd @EMEducator
Brent Thoma @Brent_thoma
FOAM Starter @foamstarter
See the attached image for “How to Twitter”
Please find the entire rounds presentation below
Managing Shocks – not shock…
ED Rounds – Jan 2019
Andrew Lohoar
Dr. Lohoar presents rounds on the topic of ‘Electrical Injuries’ including electrocution, lightening strike and Taser injuries.
X2 Darts have a double barb, X26 Darts come in extra long ‘winter coat’ and standard ‘summer’ varieties.
Trauma – Are we selecting the right scan?
ED Rounds – Jan 2019
Jay Mekwan
Dr. Mekwan presents Rounds on the topic of ‘Whole Body CT’ vs Selective CT for Trauma. This presentation includes case scenarios and a review of the literature.
