⭐️CJEM April Issue⭐️
JTF on Brachial Plexus Block
POCUS for ileocolic intussusception
Gender-based bias within the clinical practice of EM in Canada
Qualitative study on EM physician leadership
Perceptions of gender equity in EM
in Canada
and more!
Ian Stiell Teresa Chan | 陳敏怡 Tom Jelic

Comparing rural and urban outcomes of ‘community emergency’ patients at EDs in NL SRPC 🇨🇦; great job Amber Hodder for delivering the presentation, and to Kurtis Butt RMurphy Pamela Doran and others for your contributions to this project! We need better care for older

We often criticize ED physicians who go too fast. We worry about the harm they may cause to their patients. The unpopular take is to criticize those who go way too slow. We often fail to worry about the patients they don’t see. The waiting TBS. I worry a lot about them.

'An ideal #FrailtyScreen should be short (≤5 minutes) and multidimensional, reflecting baseline 2-4 weeks before presentation. Screening should be routine, prompt (<4 hours after arrival) and completed at first contact in ED.' bgs.org.uk/blog/getting-t…

Today we honor Dr. William West, who died by suicide.

His family writes, “We hope systemic changes can be made to support aspiring medical professionals better. This is critical. We don’t want any other families to experience tragedies like this.”

Emergency Medicine burnout rates are still terrifyingly high: authors.elsevier.com/c/1iYdKib7EM7hI in this new paper led by Kerstin de Wit
It's time for structural change.

Wise words from wise man.
Falls are very much a sentinel event and an opportunity for ED/any providers to initiate multidisciplinary assessment and care in an effort to reduce subsequent morbidity and mortality. GeriEM Canada

To reduce ER wait times, hospitals must stop using them as in-patient warehouses

The Globe and Mail editorial by ED physicians James Worrall and Paul Pageau CAEP

theglobeandmail.com/opinion/articl…

January is #InternationalQualityofLifeMonth . The ED can play a pivotal role in maintaining or improving quality of life for older adults. Our Making the Case Toolkit has the resources you need to advocate for changes that benefit older adults in your ED: gedcollaborative.com/toolkit/making…

🦴🧠 Pre-op #delirium testing in #hipfracture pts should be standard.

❓ Why? Because delirium:

⭐️ Indicates worse prognosis
⭐️ Responds to treatment
⭐️ Needs a Dx to inform pts & carers
⭐️ Can mask pain
⭐️ + several other reasons

🔗 boneandjoint.org.uk/Article/10.130…

“For older patients, waiting overnight in the ED for admission to a ward was associated with increased in-hospital mortality and morbidity, particularly in patients with limited autonomy.  Older adults should be prioritized for admission to a ward.”

📸 thesgem.com/2023/12/sgem42…?

What were the top papers in Emergency Medicine in 2023? Here is summary from Vancouver General Hospital Grand Rounds w/ Dr. Shari Li. 🧵 to follow! Let me know what you think, and which papers we missed! #FOAMed #FOAMcc Emergency Care BC CAEP UBC Vancouver EM Residency CanadiEM

Check it out! Our inaugural issue highlighting geriatric EM initiatives and team members across the country 🙌Brittany Ellis (she/her) Don Melady GeriEM Canada Rebecca Schonnop MPLanoue

11 million dollars. Instead of paying family doctors to actually work here. I'd love to know how this is meeting college regulations of having to be able to provide in-person care when needed. This is appalling. No one asked for this. #healthcarecrisis #NLhealth

UNBELIEVABLE 😡😡😡

So not only is this government prioritizing care with no in-person component and no continuity, now it is to be outsourced to a US-based company.

Remind me the chapter in Health Accord where this was recommended??

I have seen a lot, but never an improvised sleep mask like the one this nurse made for her patient.