Sexually Assault and the SJRH SANE Program
ED Rounds Presentation by Dr. Robin Clouston and Maureen Hanlon RN, SANE Co-ordinator
The Sexually Assaulted Patient – Evaluation & Management in the Emergency Department
Dr. Robin Clouston
Hydration Guidelines for Pediatric Patients with Vomiting and/or Diarrhea
A personal perspective on system review and pathway re-engineering…
“Proceed to transvaginal ultrasonogaphy in symptomatic patients with βHCG less than 1000.”
Morin L et al. Ultrasound Evaluation of First Trimester Complications of Pregnancy. J Obstet Gynaecol Can 2016;38(10):982-988
In the pregnant patient with vaginal bleeding and / or abdominal pain:
In the pregnant patient with vaginal bleeding and / or abdominal pain:
The practice of medicine is:
an art, not a trade;
a calling not a business;
a calling in which your heart will be exercised equally with your head.
-Sir William Osler
Between stimulus and response there is a space.
In that space is our power to choose our response.
In our response lies our growth and our freedom.
-Viktor Frankl
Getting Started with Meditation:
As we welcome new families to New Brunswick from the Middle East and Africa, we are likely to see an increased incidence of sickle cell emergencies. Needs assessments in Canada have shown that Emergencies Physicians outside of the major urban centres lack experience and knowledge in dealing with this disease.
Global distribution of the sickle cell gene – from: http://www.nature.com/articles/ncomms1104
A recent article and podcast in EM Cases provides a great outline on – Emergency Management of Sickle Cell Disease
Discovered in Lyme, Connecticut by Dr. Burgdorfer, investigating an abnormal cluster of juvenile RA. Other common tick-borne illnesses are transmitted through the lone star tick (Amblyomma americanum) and the American dog tick (Dermacentor variabilis) that transmit ehrlichiosis and Rocky Mountain spotted fever, respectively. The ticks serve as the vector between the animal population and humans. Deer are the preferred host for ticks, and the tick population is highest when deer are present, but the actually pick up the Borrelia from small mammals mostly.
A) is an Argasid (soft tick, Ornithodoros turicata)
B) has a scutum, long body butshort mouth parts (dog tick, Dermacentor variabilis)
C) is Ixodes scapularis(!)
D) has a scutum, but has a short and stout body – it also has a “lone star” on its body (lone star tick, Amblyomma americanum)