CAEP Capsule 23: Day 3 [E04]
In the final episode of the series, Sam Savard interviews Dr. Kevin Wasko on the power packed panel he hosted. Additionally, we highlight a member of the CanadiEM team who was featured in the conference.
In the final episode of the series, Sam Savard interviews Dr. Kevin Wasko on the power packed panel he hosted. Additionally, we highlight a member of the CanadiEM team who was featured in the conference.
The second day of CAEP truly embodied the essence of phrase "Work Hard, Play Hard." It was a jam-packed day filled with remarkable talks, enlightening presentations, and a thought-provoking plenary by Dr. Heather Patterson on using photography to cope with burnout.Tune in to our podcast, where our host, Sam Savard, provides a comprehensive summary of the day.
In this episode, our host, Sam Savard, conducts an insightful interview with Dr. Sunil Mangal to capture the essence of the remarkable first day at CAEP alongside a glimpse into the numerous other captivating sessions and discussions that took place throughout the day.
As the highly anticipated annual CAEP conference approaches, we are thrilled to announce our partnership with CanadiEM to bring you "The CAEP Capsule," a dynamic podcast series that will give you a brief overview of each conference day. Get ready for insightful interviews, succinct summaries, and thought-provoking discussions, all designed to capture the essence of this renowned conference.
The first episode serves as a trailer to both the conference and the series. Stay tuned for more amazing summaries from CAEP 2023!
In this episode, Amie speaks with Dr. Jill Roberge, a Métis physician about how she integrates Métis Worldview into her practice. We discuss her upbringing and background, why she chose emergency medicine and her experiences with racism in healthcare. We also discuss how the Métis worldview can be practiced every day through a compassionate lens. Dr. Roberge also provides some tangible tips on dealing with racism in healthcare for providers and how she addresses it in her everyday life and practice.
Warning: Explicit language in this episode.
Overview:
In this episode, Tiffany shares her transition from Resident to Med Staff during the COVID pandemic. She candidly shares her challenges balancing job uncertainty, family, kid zoom classes, finishing residency and a cross country move. Take a listen!
Host: Tiffany Proffitt DO, Staff Emergency Medicine Physician Honor Health
Short Bio: Dr. Tiffany Proffitt is an Emergency Medicine Physician in Scottsdale, Arizona, USA. I completed residency in Michigan, USA with Spectrum Health Lakeland. During my time I graduated from the Medical Education Track. I am honored to be one of the inaugural fellows of EMRACAST, the official resident run podcast of EMRA. In my Med Staff life I am the co-founder of the HonorHealth Women Physicians Leadership Council, advancing leadership opportunities for over 550 women physicians. In my spare time, I cart my twin eight-year-olds to various activities, laugh with my husband and podcast! I am a MedEd enthusiast and proud to be part of the CanadiEM team!
Overview:
In this episode, Tiffany shares her transition from Resident to Med Staff during the COVID pandemic. She candidly shares her challenges balancing job uncertainty, family, kid zoom classes, finishing residency and a cross country move. Take a listen!
Host: Tiffany Proffitt DO, Staff Emergency Medicine Physician Honor Health
Short Bio: Dr. Tiffany Proffitt is an Emergency Medicine Physician in Scottsdale, Arizona, USA. I completed residency in Michigan, USA with Spectrum Health Lakeland. During my time I graduated from the Medical Education Track. I am honored to be one of the inaugural fellows of EMRACAST, the official resident run podcast of EMRA. In my Med Staff life I am the co-founder of the HonorHealth Women Physicians Leadership Council, advancing leadership opportunities for over 550 women physicians. In my spare time, I cart my twin eight-year-olds to various activities, laugh with my husband and podcast! I am a MedEd enthusiast and proud to be part of the CanadiEM team!
Yannopoulos D, Bartos J, Raveendran G, Walser E, Connett J, Murray TA, Collins G, Zhang L, Kalra R, Kosmopoulos M, John R, Shaffer A, Frascone RJ, Wesley K, Conterato M, Biros M, Tolar J, Aufderheide TP. Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, open-label, randomised controlled trial. Lancet. 2020 Dec 5;396(10265):1807-1816. doi: 10.1016/S0140-6736(20)32338-2. Epub 2020 Nov 13. PMID: 33197396; PMCID: PMC7856571. Lamhaut L, Hutin A, Puymirat E, Jouan J, Raphalen JH, Jouffroy R, Jaffry M, Dagron C, An K, Dumas F, Marijon E, Bougouin W, Tourtier JP, Baud F, Jouven X, Danchin N, Spaulding C, Carli P. A Pre-Hospital Extracorporeal Cardio Pulmonary Resuscitation (ECPR) strategy for treatment of refractory out hospital cardiac arrest: An observational study and propensity analysis. Resuscitation. 2017 Aug;117:109-117. doi: 10.1016/j.resuscitation.2017.04.014. Epub 2017 Apr 14. PMID: 28414164.
Matsuoka Y, Goto R, Atsumi T, Morimura N, Nagao K, Tahara Y, Asai Y, Yokota H, Ariyoshi K, Yamamoto Y, Sakamoto T; SAVE-J Study Group. Cost-effectiveness of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest: A multi-centre prospective cohort study. Resuscitation. 2020 Dec;157:32-38. doi: 10.1016/j.resuscitation.2020.10.009. Epub 2020 Oct 17. PMID: 33080369.
Grunau B, Shemie SD, Wilson LC, Dainty KN, Nagpal D, Hornby L, Lamarche Y, van Diepen S, Kanji HD, Gould J, Saczkowski R, Brooks SC. Current Use, Capacity, and Perceived Barriers to the Use of Extracorporeal Cardiopulmonary Resuscitation for Out-of-Hospital Cardiac Arrest in Canada. CJC Open. 2020 Nov 13;3(3):327-336. doi: 10.1016/j.cjco.2020.11.005. PMID: 33778449; PMCID: PMC7985000.
Sun T, Guy A, Sidhu A, Finlayson G, Grunau B, Ding L, Harle S, Dewar L, Cook R, Kanji HD. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for emergency cardiac support. J Crit Care. 2018 Apr;44:31-38. doi: 10.1016/j.jcrc.2017.10.011. Epub 2017 Oct 12. PMID: 29040883.
Hsu CH, Meurer WJ, Domeier R, Fowler J, Whitmore SP, Bassin BS, Gunnerson KJ, Haft JW, Lynch WR, Nallamothu BK, Havey RA, Kidwell KM, Stacey WC, Silbergleit R, Bartlett RH, Neumar RW. Extracorporeal Cardiopulmonary Resuscitation for Refractory Out-of-Hospital Cardiac Arrest (EROCA): Results of a Randomized Feasibility Trial of Expedited Out-of-Hospital Transport. Ann Emerg Med. 2021 Jul;78(1):92-101. doi: 10.1016/j.annemergmed.2020.11.011. Epub 2021 Feb 1. PMID: 33541748; PMCID: PMC8238799.
Short Bio: Dr. Kevin Dong. Kevin is an Emergency Medicine physician at the Hamilton Health Sciences in Hamilton, Canada. He is an assistant clinical professor at McMaster University and he is currently the Director of Continuing Professional Development with the Tri-Divisions of Emergency Medicine. He is a FOAMed enthusiast and is heavily involved in the CanadiEM world.
Twitter: @kevinjdongMD
Core Questions
Wisecracks
Core Questions
Wisecracks
CanadiEM Journal Club E04 Systematic reviews and meta analyses show notes
Welcome back to Journal Club by CanadiEM! In this episode we go over an approach to systematic reviews and meta analyses based on Oxford centre of EBM, and learn about diagnosing pneumothorax with ultrasound vs X-ray
Using the Oxford centre of EBM tool, we will ask:
and then a clinical pearl on pneumothorax!!
Hosts:
Paper: “Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department” Cochrane Database of Systematic Reviews by Chan KK, Joo DA, McRae AD, Takwoingi Y, Premji ZA, Lang E, Wakai A
What question(s) did the systematic review address?
P: Trauma patients in the ER
I: chest ultrasonography by non rad physicians
C: Chest xray
O: diagnosis of pneumothorax, improved patient safety
T: inception to 10 April 2020
Is it unlikely that important, relevant studies were missed?
Were the criteria used to select articles for inclusion appropriate?
Were the included studies sufficiently valid for the type of question asked?
Were the results similar from study to study?
Results of the study:
Practise Changing?
This is an excellently executed Systematic Review that makes the most of the limited evidence available and presents such in a transparent way. The results of this study suggest that CUS has better sensitivity in detecting pneumothorax in the emergency department than CXR, and comparable specificity. This publication adds to the body of research that is building in support of US in the primary care setting, and promotes a change in culture as US adoption rates grow.
Clinical pearl:
Pneumothorax, or, air in the pleural space, is a fairly common complication of thoracic traumas, occurring 15-50% of the time.
- Rush of air on thoracostomy is also diagnostic.
- Treatment: varies based on severity, from no treatment if patient tolerating well, to drains and chest tubes, to needle or finger thoracostomy for immediate decompression if pneumothorax clinically indicated and hypotension.
Welcome to Carmscast, the podcast that aims to answer all the questions medical students have when creating a competitive CARMS application. In today’s episode, our co-hosts, Kara and Dakoda, mix up the podcast format and reflect on their CaRMS experience over the last year.
Dr. Kara Tastad is now a graduate of the University of Saskatchewan College of Medicine. She will soon be starting her first year of emergency medicine residency at the University of Toronto. Dr. Dakoda Herman just graduated from the Temerty Faculty of Medicine at the University of Toronto. He will be trading places with Kara as he begins residency in Family Medicine at the University of Saskatchewan in Saskatoon.
For shownotes Click Here
This year, CanadiEM has partnered with the Canadian Association of Emergency Physicians, EMOttawa, and the Skeptic’s Guide to Emergency Medicine to help promote #CAEP21: CAEP at the Forks - Rising to the Challenge. From June 15-17, 2021 we will be publishing The CAEP Daily, a journalistic summary of highlights from the conference. Please join the discussion!
CanadiEM has partnered with the Canadian Association of Emergency Physicians, EMOttawa, and the Skeptic’s Guide to Emergency Medicine to help promote CAEP at the Forks - Rising to the Challenge. From June 15-17, 2021 we will be publishing The CAEP Daily, a journalistic summary of highlights from the conference. Please join the discussion!
Core Questions
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