Jeff Perry - the Ottawa SAH rule will not reduce investigations (CT) but helps to standardize investigations and decreases the use of testing after CT (LP or CTA) #CAEP18 #CAEP26 Winnipeg

#CAEP18 Sam Campbell: Psych patients have a 5x higher rate of medical misdiagnosis. This means we should look 5x harder. (anyone with a psych diagnosis, or anyone on a psych med) *no reference given. #CAEP26 Winnipeg CAEP

Pearls from Nadim Lalani at #CAEP18 CAEP 1.Thriving in EM is 80% attitude 2.Impostor syndrome never goes away and that's a good thing 3.You are what you tell yourself

Fantastic panel and discussion: We All Screw Up Sometimes at #CAEP18 Thank you for the reminder, to err is indeed human, but it also has to be human to talk about it. James Stempien Nadim Lalani

Learning about the 3Rs of recovery from an adverse event: 1.Resilience development 2.Reacting not reeling 3.Recreating your narrative Nadim Lalani #CAEP26 Winnipeg

"Occult pneumonia is like a unicorn" Dr. Bella Sztukowski at #CAEP18 on neonatal sepsis. No role for CXR/NPA if no resp symptoms. Just CBC, BC, Urine, LP empirically CAEP

Dr. Bella Sztukowski on peds inborn errors of metabolism: When pt. symptomatic, order the "GAG" Glucose Ammonia Gas Also kids might smell like gym socks or mouse urine. No idea what mouse urine smells like though lolz CAEP #CAEP18

If neonate is on monitor and you are considering a subtle seizure as a Dx, watch for tachycardia and resolution at the onset/offset of suspected seizure. Dr. Bella Sztukowski CAEP #CAEP18

Pearls from Dr. Edith Blodnel-Hill at #CAEP18 on abx in the ED 1.Not all sepsis requires piperacillin-tazobactam 2.Cefazolin allergy is extremely rare 3.Symptom free pee-let it be! CAEP

Geri-EM pearls #CAEP18 1.Frailty is a state of extreme vulnerability that can be measured 2.Frailty and acuity both contribute to patient outcomes 3.Grading frailty can help with care planning in Emergency Medicine CAEP

Peds trauma arrest pearls #CAEP18 CAEP 1.The PALS algorithm does not work for traumatic arrest 2.CPR and epinephrine will not save your patient 3.Treat the 2Hs (hypovolemia/hypoxia) and 2Ts (tension/tamponade)

How to be better in the big room: 1) Practice — mental rehearsal 2) Prioritize — task chunking 3) Protect — reset yourself after a difficult encounter, so you can fully commit yourself to the next patient Loved this talk @JulianRegehr #CAEP18

Basically, ketamine is awesome! x.com/caepconference…

U/S guided nerve block pearls from Danny Peterson #CAEP18 1.Patient, physician and U/S machine set up is key for success. 2.In-plane needle visualization is preferred. 3.Ensuring the probe is perpendicular to the nerve will optimize visualization. CAEP

Hey jeffrey kline you should check out James Stempien 's therapy dog in Saskatoon! Great program - a first in Canada. @USaskEM #caep18 #CAEP26 Winnipeg Teresa Chan | 陳敏怡

#CrazySocks4Docs

Picard management tip: Be realistic about your project timelines. Romulus wasn't built in a day.

Picard management tip: Empower others to command when you are unfit. You never know when your mind will be taken over by an alien.

Journal club fun time! #eirn