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. Our podcasts are found on this channel and include:
CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content.
ClerkCast: A podcast focused on clinical clerks and their time in emergency medicine. It provides an overview of key topics that help you to rock your EM rotations.
First Year Diaries: A podcast focused on the first year of independent clinical practice in emergency medicine and all of its trials and tribulations.
Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.
Tales From the Trenches E04: COVID in India
CRACKCast E228 - Neck Trauma
Outline the anatomic borders of the anterior and posterior triangles of the neck. Detail the borders and associated contents of the three zones of the neck.(Box 37.1) List 5 hard and 5 soft signs of penetrating neck trauma (Box 37.2) List 5 hard and 5 soft signs of vascular injury Outline an approach to the management of a patient with a hemorrhaging penetrating neck wound. Describe the management of a patient with a suspected venous air embolism. Outline the steps in performing an awake intubation. Outline the indications for imaging to screen for blunt cerebrovascular injury.(Table 37.2) Detail the appropriate imaging studies to order in the patient at risk for or with suspected blunt cerebrovascular injury.
What structure, if violated, should make you suspect injury to the deep tissues of the neck? What study or studies is/are indicated to evaluate a patient for suspected esophageal injury. List 4 mechanisms of morbidity and mortality that occur as the result of vascular injury in the neck. What is the most common mechanism of injury causing blunt cerebrovascular injury? List 3 mechanisms that cause pulmonary edema in a patient post-hanging.
CRACKCast E227 - Spinal Injuries
Outline the Denis Classification system for determining the stability of spinal injuries List 5 flexion, 2 flexion-rotation, 3 extension, and 2 vertical compression spinal injuries (Table 36.1) Wedge Fracture Flexion Teardrop Fracture Clay Shoveler’s Fracture Spinal Subluxation Bilateral Facet Dislocation Altlanto-occipital Dislocation Anterior Atlanto-axial Dislocation Unilateral Facet Dislocation Posterior Neural Arch Fracture Hangman’s Fracture Extension Tear Drop Fracture Burst Fracture Jefferson Fracture Outline the mechanisms and potential complications of the following injuries: How are odontoid fractures classified and what causes them? Organize the spinal motor, sensory, and reflex examinations based on spinal levels. (Tables 36.3, 36.4, 36.5) Central Cord Anterior Cord Brown-Sequard Detail the following cord syndromes: List the components of the following imaging decision-making tools: Canadian C-Spine Rule, NEXUS C-Spine Rule.
How do you calculate Power’s Ratio and why is it important? What injuries is the open-mouth odontoid radiograph best at visualizing? How are whiplash-associated injuries classified? At what spinal level would you expect an injury to potentially cause Horner's Syndrome? What is spinal shock and what physical exam finding indicates its end?
Journal Club by CanadiEM - E04 Approach to Systematic Reviews and Meta Analyses
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:
What question(s) did the systematic review address? Is it likely 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? What were the results? What is the clinical significance of the results? and then a clinical pearl on pneumothorax!!
Dakoda Herman Jayneel Limbachia Jake Domm 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
Secondary: investigate potential sources of hetero such as type of CUS operator, type of trauma, type of US probe on test accuracy T: inception to 10 April 2020
Is it unlikely that important, relevant studies were missed?
This study included prospective, paired comparative accuracy studies in which patients were suspected of having pneumothorax. Patients must have undergone both CUS by a frontline non-radiologist and CXR, as well as CT of the chest or tube thoracostomy as the reference standard. The authors carried out systematic searches in the following electronic databases: Cochrane Database of Systematic Reviews; Cochrane Central Register of Controlled Trials; MEDLINE; Embase; Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus; Database of Abstracts of Reviews of EIects; Web of Science core collection (which includes: Science Citation Index Expanded; Social Sciences Citation Index; Arts & Humanities Citation Index; Conference Proceedings Citation Index - Science; Conference Proceedings Citation Index - Social Sciences & Humanities; and Emerging Sources Citation Index; and Clinicaltrials.gov from database creation to April 2020. The authors also handsearched reference lists of included articles and reviews, retrieved via electronic searching, for potentially eligible studies. Additionally, they carried out forward citation searching of relevant articles in Google Scholar and looked at the “Related articles” on PubMed. They did not limit the search to Englsih language only and included articles published in all languages. Their search strategy in volved the use of MeSH terms such as Pneumothorax, Radiography, Ultrasonography, and focused assessment with ultrasonography for trauma. They also used many text words. Using this search strategy 3473 records were identified. 1180 duplicated records were removed, leaving 2293 records to be screened. These records were screened by two of the authors for their relevance, when there was a discrepancy a third author decided whether to include the record or not. 2268 records were excluded, leaving 25 full-text articles that were assessed for eligibility. 12 studies were excluded - 5 missing CUS/CXR/CT chest/chest tube, 4 CUS not performed by frontline non-radiologist physicians, 2 wrong patient population, 1 wrong study design. A total of 13 studies were included in qualitative and quantitative analysis. 9 studies using patients as units of analysis included in primary analysis. 4 studies using lung fields as units of analysis included in secondary analysis. Authors provide a nice figure depicting this. Authors did not contact experts for unpublished data but were very thorough and transparen
Carmscast Episode 04: Reflections
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
CAEP Daily: Day 3 (June 17)
Very very informative! If you’re in med this is a must listen!
Informative and entertaining!!
Such a great informative podcast - I love the clinical pearls. I listen to these guys every day on my commute. Keep them coming!!
Amazing Podcast for Those New to EM
I love the format that you guys use to present information in a concise, relevant and entertaining manner. I've started to use the Q&A format as it is presented in the podcast, and I am finding that not only am I retaining more, but I am also able to pass along the pearls easier. Keep it up, this should be listened to by anyone new to EM!