CanadiEM aims to improve emergency care in Canada by building an online community of practice for EM healthcare practitioners.
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Brent Thoma
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Check out the latest CanadiEM post: Defining a Specialty: What is an emergency physician?
In January of this year, the Canadian Association of Emergency Medicine (CAEP) released a position statement on Emergency Medicine Definitions (go ahead, have a read). The statement provided explicit definitions of what the specialty of EM encompasses, as well as what should constitute an EM physician or specialist, and led to very strong and polarized responses from the EM community. So polarizing, in fact, that CAEP had to promptly post a “we’l...
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Brent Thoma
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Check out the latest CanadiEM post: CAEP GeMES | Those Who Can, Do and They Teach Too: Faculty Clinical Productivity and Teaching
Valerie is always irked by the layman’s expression, “Those who can’t do, teach.” In her experience, she has found that the great clinical teachers seem to be more engaged in the academic community and are invested in patient education. Indeed, Valerie finds that any additional time they spend with students or patients is well worth it. On the other hand, her friend Hugo points out that this extra time spent means the teachers aren’t as ...
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Brent Thoma
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Check out the latest CanadiEM post: Help wanted! CanadiEM Editorial Team is searching for 3 new members
The CanadiEM Team is expanding! We have a lot of projects on the go and several more in the works. We are seeking 3 new members: one to help with a new pediatric emergency medicine series and two to assist with the behind-the-scenes management of the blog.
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Brent Thoma
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Check out the latest CanadiEM post: CAEP Consensus Conference | Review Papers
The Problem Medical education research is hard. However, many residents and junior staff take a shot at it. Review papers are some of the most valuable and challenging types of papers to write in medical education. It can be overwhelming for a resident or junior faculty to take them on. A Step In the Right Direction Three years ago, CAEP launched their first national Academic Symposia. This resulted in three Consensus Conference documents definin...
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Brent Thoma
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Check out the latest CanadiEM post: Tragedy of the Commons: A Healthcare Perspective
The Tragedy of the Commons is by no means a new theory, nor it is an novel discussion point within the healthcare system. It is, however, quite alarming that despite our awareness of the phenomenon, we continue to exploit it with little consideration for the future of healthcare. Tragedy of the Commons The Tragedy of the Commons was first described by Garrett Hardin as a theory to explain what happens when individuals rationally utilize a ...
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Brent Thoma
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Check out the latest CanadiEM post: Volume Assessment: What's voodoo and what's vital?
Patient’s are often referred to as “wet” or “dry”. What do these terms actually mean? How do we tell if a patient will benefit from fluid administration or diuresis? Through a few clinical cases, this post will explore a practical approach to evaluating a patient’s volume status.
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Brent Thoma
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Check out the latest CanadiEM post: CAEP GEMeS | Simulation-based medical education (SBME) with mastery learning: higher quality learning and patient care?
Marco is a second year resident who is on call overnight. One of his patients goes into a cardiac arrest, and Marco is called to run the code blue. It’s the first time he is in charge and unfortunately the code runs clumsily. The interpersonal communication is unclear and the CPR quality is subpar. Later, the patient needs a central line and Marco fails to properly insert the catheter. When Marco reflects on the experience ...
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Brent Thoma
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Check out the latest CanadiEM post: CAEP Consensus Conference | Qualitative research
The Problem Medical education (#MedEd) research and scholarship… they are hard things to do! Many residents engage in MedEd related projects in residency because it’s interesting and relevant when you are a learner yourself. Or maybe you’re a junior clinician educator who is interested in educational projects! The fun part is usually in the study design or scholarly implementation… and then there is a rush when you draft and submit that abstract...
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Brent Thoma
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Check out the latest CanadiEM post: Competency Based Medical Education (CBME): What is it?
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Brent Thoma
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Check out the latest CanadiEM post: CJEM Infographic: Chest-Compression-Only CPR
We know that CPR delivered by bystanders can increase the rate of survival from out-of-hospital cardiac arrest (OHCA), but all too often it is not done. In fact, it is only performed in 30% of cases in the Canadian context. The study featured in the latest CanadiEM infographic set out to determine whether Canadians are more willing to perform chest-compression-only CPR than traditional CPR
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Brent Thoma
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Check out the latest CanadiEM post: Counterpoint: Talking about service and education
As we continue to develop educational models within medicine, old paradigms need to be examined and discussed. In a recent post on the ICENet Blog, Dr. Lynfa Stroud discussed perceptions on service and education in residency training programs. Dr. Kaif Pardhanan (@kaifpardhan), a staff Emergency Physician at the University of Toronto, and recent FRCP graduate, provides an counterpoint and some further considerations to Dr. Stroud’s arguments. Ser...
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About this community

CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. It was formed through the merger of the BoringEM and Frontdoor2Healthcare blogs and maintains all of their historical content. Moving forward, will retain the editorial process and focus on 'the basics' that made BoringEM great. We will continue to support the work of residents and medical students using our 'Coached Peer Review' process and publish these articles under the 'BoringEM' banner. Frontdoor2Healthcare provides editorials and commentaries on issues affecting Canadian healthcare from the emergency department’s “front door” perspective. It will continue to allow the diverse opinions and perspectives of emergency physicians from across the country to be shared broadly.

Brent Thoma
owner

Discussion  - 
 
Check out the latest CanadiEM post: Does that condition require investigation?
This post examines five commonly performed investigations (CT in minimal head injury, CXR in chest pain, investigations in Syncope/AFib/Renal Colic) in the Emergency Department (ED) to determine if the evidence exists to support current practice patterns.
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Brent Thoma
owner

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Check out the latest CanadiEM post: Tiny Tip: Ranson's Criteria in Pancreatitis
Editor’s Note: Last week we ran a tiny tip for the BISAP score which is an emergency department friendly way to evaluate the severity of disease. The more traditional RANSON criteria hasn’t gone completely out of style though. It may be particularly helpful when coordinating admission and prognosticating in those who will become inpatients. Ranson’s Criteria [1] is a well-validated clinical tool designed for the risk stratification of acute panc...
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Brent Thoma
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Check out the latest CanadiEM post: CAEP FEI | Daily Faculty Evaluations
Dr. Rosenberg prides herself on the effort she places into teaching students on each shift, but she is not sure whether her teaching methods are effective. At the end of the academic year, she reviews her evaluations from students and is disappointed when she finds only a handful of generic evaluations, with the majority of her students not completing the form. She approaches a few of her learners who say the existing preceptor evaluation form is...
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Brent Thoma
owner

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Check out the latest CanadiEM post: CJEM Infographic: The PERIL Rule - Paramedics assessing Elders at Risk for Independence Loss
This month’s CJEM Infographic summarizes the PERIL Rule – a clinical decision instrument designed to help paramedics to identify patients who are at risk for adverse events . The summarized study was published in the most recent version of the Canadian Journal of Emergency Medicine. Reference Lee JS, Verbeek PR, Schull MJ, et al. Paramedics assessing Elders at Risk for Independence Loss (PERIL): Derivation, Reliability and Comparative Effectivene...
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Brent Thoma
owner

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Check out the latest CanadiEM post: CAEP Consensus Conference | Quantitative Research
Medical education research is hard. However, many residents and junior staff take a shot at it. It starts out fun - with the implementation of an innovative new way to do something! The momentum continues when the early results come in and you are able to attend a conference like CAEP to present. Everyone is fascinated with what you've done and wants to learn about your work. And then you get home, and your mentor turns to you and asks: "How's th...
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Brent Thoma
owner

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Check out the latest CanadiEM post: CAEP Consensus Conference | Innovation Scholarship
The Problem The fun part is usually in the implementation of new innovations. The there is a rush when you draft and submit that abstract… and yet another small rush when you are accepted for a presentation at CAEP! This culminates at the CAEP conference when you have your lightning oral or poster presentation… everyone is so fascinated and interested in your work! You feel like you’re on top of the world… And ...
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Brent Thoma
owner

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Check out the latest CanadiEM post: Clinical Question: How useful is the β-HCG discriminatory zone in a suspected ectopic pregnancy?
For female patients presenting to the emergency department with a positive serum β-HCG as well as abdominal pain, vaginal bleeding, syncope, or hypotension, the prudent emergency physician must rule out an ectopic pregnancy (EP). This potentially life-threatening entity is estimated to occur in 1.5 to 2% of all pregnancies and ruptured ectopic pregnancies account for 6% of all maternal deaths . Point-of-care ultrasound (either trans-abdominal or ...
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Brent Thoma
owner

Discussion  - 
 
Check out the latest CanadiEM post: First10EM Classic: Management of Severe Asthma
This post, written by Justin Morgenstern of First10EM, provides a practical overview of the management of severe asthma focused on the interventions that will help save lives.
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Brent Thoma
owner

Discussion  - 
 
Check out the latest CanadiEM post: EM Cases Classics: Pediatric Abdominal Pain and Appendicitis
Our latest collaboration will see the publication of classic episodes of Emergency Medicine Cases published on CanadiEM. Emergency Medicine Cases is an exceptional podcast developed by fellow Canadian emergency physician, Dr. Anton Helman. In the second episode of Emergency Medicine Cases Classics on CanadiEM, Anton discusses pediatric abdominal pain and appendicitis. -CanadiEM Editor Brent Thoma Pediatric abdominal pain can be an extremely chall...
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