CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries

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!

This updated episode of CRACKCast reviews Chapter 40 - Genitourinary System in Rosen's 9th Edition.

In this episode, hosts Jayneel Limbachia, Dakoda Herman, and Jake Domm discuss ECMO and mature ECMO programs, appraise the ARREST trial and consider the future of cardiac arrest care with expert guest Dr. James Gould. References: 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.

In this episode, Tiffany talks with Dr. Kevin Dong from Hamilton, Canada, and CanadiEM podcast extraordinaire! We reflect on two years of practicing medicine during the COVID pandemic and share our own unique challenges, lessons learned and motivation to continue to work in the department as we enter our third year of the pandemic. Take a listen! 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

In this episode, Amie Archibald-Varley talks to Dr. Chris Keefer, an Emergency Medicine physician is who is a pro-nuclear climate and clean air activist and the host of the Decouple Podcast and WeCANDUIt! podcast. We discuss Dr. Keefer's trip to The UN Climate Change Conference (COP26) in Glasgow, on how the summit's outcomes will impact climate action and the Sustainable Development Goals (SDGs). We discuss the impact of waste in hospitals as well as tackle the conversation in relation to sustainable energy sources for healthcare.

Core Questions 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. Wisecracks 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.

Core Questions 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. Wisecracks 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?

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!! Hosts: 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 transparent in their search strategy. I think it is unlikely that important, relevant studies were missed. Were the criteria used to select articles for inclusion appropriate? The authors of this study clearly outlined their study inclusion and exclusion criteria. They included prospective, comparative accuracy studies in which patients were suspected of having pneumothorax. They included trauma patients in the emergency department setting. Patients must have undergone both CUS by frontline non-radiologist physicians and CXR as index tests, as well as CT of the chest or tube thoracostomy as the reference standard. The two main index tests were CUS completed by a frontline nonradiologist physician and CXR, both being performed in the supine position. If data on specific CUS findings (such as the absence of lung sliding, absence of B-lines or comet-tail artefact, presence of lung point, and absence of lung pulse) were available, they planned to assess the diagnostic accuracy of these individual CUS findings. The target condition was traumati

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 Detail the nerve supply of the face. What bones form the borders of the orbit? Outline the LeFort fracture classification system. What is the tongue blade test and how is it performed? Outline the Ellis System for dental fracture classification. Outline an approach to the management of ingested/aspirated teeth. Describe three techniques for the reduction of anterior TMJ dislocations. List four indications for Panorex X-rays. Wisecracks At what age do the following sinuses become aerated: Mastoid Ethmoid Facial Maxillary Sphenoid What is the association between the presence of facial injuries and the presence of intracranial injuries/cervical spine injuries? What facial lacerations require prophylactic antibiotics? List three solutions in which avulsed teeth can be placed to preserve them.

This is the third episode of our CanadiEM's podcast series in collaboration with CAEP 2021. In this episode, Dr. Hans Rosenberg is joined by two CAEP 2021 Track Chairs, who give a sneak peak about the great speakers lined up! First, we are joined by Dr. Ken Milne, who outlines the Recent Emergency Medicine Literature track. Afterwards, Dr. Caroline Kowal highlights the Global Emergency Medicine track.

This is the third episode of our CanadiEM's podcast series in collaboration with CAEP 2021, with our guest host Ken Milne. You may recognize Ken Milne's voice from the popular podcast Skeptic's Guide to Emergency Medicine. In this series, Ken breaks down will tell you everything you need to know about the upcoming CAEP 2021 conference, CAEP at the Forks: Rising to the Challenge! In today's episode, Ken Milne meets with Dr. Tamara McColl to discuss everything you need to know about the upcoming CAEP conference tracks and plenary speakers. Dr. Tamara McColl breaks down why you should attend the CAEP conference, and what exciting tracks to look out for!

This is the second episode of our CanadiEM's podcast series in collaboration with CAEP 2021, with our guest host Ken Milne. You may recognize Ken Milne's voice from the popular podcast Skeptic's Guide to Emergency Medicine. In this series, Ken breaks down will tell you everything you need to know about the upcoming CAEP 2021 conference, CAEP at the Forks: Rising to the Challenge! In today's episode, Ken Milne meets with Dr. Tamara McColl to discuss everything you need to know about the upcoming CAEP pre-conference. Dr. Tamara McColl breaks down the meaning behind CAEP at the Forks, why you should attend the CAEP pre-conference!

This episode covers drowning in the wilderness/prehospital setting.

This is the first episode of our CanadiEM's podcast series in collaboration with CAEP 2021, with our guest host Kevin Milne. You may recognize Kevin Milne's voice from the popular podcast Skeptic's Guide to Emergency Medicine. In this series, Kevin breaks down will tell you everything you need to know about the upcoming CAEP 2021 conference, CAEP at the Forks: Rising to the Challenge! In today's episode, Kevin Milne meets with Dr. Tamara McColl to discuss everything you need to about the upcoming CAEP Conference. Dr. Tamara McColl breaks down the meaning behind CAEP at the Forks, why you should attend the CAEP conference and all the details you need to know before attending!

In this collaboration CAEP Conference + CanadiEM promotions podcast episode - We introduce some of our amazing track chairs from the conference. They discuss their guest speakers and some of the awesome content they will be hosting at their respective tracks! Track Chairs - Tracks: Dr. Brandon Ritcey - Procedures Dr. Hasan Sheikh - Advocacy and Public Affairs: Leading System-Wide Change as an Emergency Physician Dr. Lisa Thurgur - CORE-EM Dr. Eddy Lang - Leadership and Admin (LeAd) and Flow Check out the podcast and register for the conference at CAEP Conference website at www.caepconference.ca

In this episode, Tiffany talks with Dr. Jazmyn Shaw, the current EMRA Medical Student Council Chair, about the unique challenges faced by medical students during the COVID pandemic. From being abruptly pulled from rotations, uncertainty over audition rotations, virtual interviews and match to the first doses of a COVID vaccine, we cover it all! As we enter year 2 of the COVID pandemic, Dr. Shaw gives us a reminder to love ourselves more and fully appreciate all we have overcome in this past year. Take a listen!

Core Questions Define mild, moderate, and severe TBI (including Box 34.1). Explain the concepts of cerebral autoregulation and CPP. Why is this clinically relevant? Primary and secondary brain injury. direct and indirect brain injury. Differentiate between: Describe the 4 herniation syndromes List the extra-axial brain injuries List the intra-axial brain injuries Outline your approach to the clinical assessment of the brain injured patient (including GCS and brainstem reflexes). Describe key imaging findings in the main types of traumatic brain injury. Inititial resuscitation ICP management and hyperosmolar therapy Indications for seizure and antibiotic prophylaxis Reversal of anticoagulation Decompressive therapies Outline your management priorities in TBI with respect to: List the complications of TBI. Wisecracks What are the layers of the scalp? What is the Munro-Kellie doctrine? What is Cushing's reflex? List the clinical features of basal skull fracture (Box 34.2) Describe 3 clinical decision rules that apply to neuroimaging in mild TBI. Describe a graduated return to play protocol as per Rosen's.

This episode covers a recent article published : "Pharmacokinetics of intramuscular tranexamic acid in bleeding trauma patients"

Core Questions What are the injuries for the following blunt trauma mechanisms: Head-on collision Rear end collision Lateral (T-bone) collision Rollover Ejected from vehicle Windshield damage Steering wheel damage Dashboard involvement or damage Restraint or seat belt use Air bag deployment Low-speed pedestrian versus automobile High-speed pedestrian versus automobile Bicycle versus automobile Non-automobile-related Vertical impact falls Horizontal impact falls Outline an approach to the primary survey for the trauma patient. Describe the elements of the eFAST exam. Outline an approach to the secondary survey in the trauma patient. Detail relevant ancillary laboratory tests to order in the trauma patient. Canadian CT Head Rule Canadian C-Spine Rule NEXUS C-Spine Rule NEXUS Chest Rule List the components of the following imaging decision-making tool What are the indications for a CT abdomen/pelvis in the trauma patient? Wisecracks What are the mechanisms of injury for the following weapons: Knives Handgun rounds Shotgun rounds Rifle rounds What is the LD50 in feet for falls from a given height? What is permissive hypotension and what evidence does it have?

Purpose: Learn the importance of treatment studies (RCTs) in EBM Understand and interpret methods and results of treatment based studies Become familiar with critically appraising treatment based studies Hosts: Dylan Collins Levi Johnston Dakoda Herman Jayneel Limbachia Jake Domm Paper: Warren, Jaimee, et al. "Antacid Monotherapy Is More Effective in Relieving Epigastric Pain Than in Combination With Lidocaine: A Randomized Double‐blind Clinical Trial." Academic Emergency Medicine 27.9 (2020): 905-909. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14069 EBM Checklist for therapy studies (University of Oxford: https://www.cebm.net/wp-content/uploads/2018/11/RCT.pdf Episode takeaway RCTs are considered gold standard in terms of evidence since the randomization process controls for both known and unknown confounding variables Understanding how to quickly and efficiently appraise studies by assessing its methods is an important skill that can help you assess its utility to your practice and whether the authors adequately answered the question Use a validated critical appraisal tool. We used the CEBM tool, but there are others. The GATE from by Rod Jackson is another great method to learn. Know that sometimes people use publishing guidelines as critical appraisal tools, like the CONSORT for RCTs, but these are just work arounds. Be skeptical and curious. If there is a published protocol, check it. Look at who funded the study. Read the COI and method to mitigate bias.

CAEP and CanadiEM are collaborating to help promote the Virtual CAEP Conference 2021! Did you know Canadian Association of Emergency Physicians (CAEP) is hosting a virtual CAEP Conference in 2021? CAEP at the Forks: Rising to the Challenge When is it? June 15-17, 2021 Where is it? It's virtual but its hosted by the organizers at University of Manitoba, Winnipeg in collaboration with educators from all over Canada. How can I register? caepconference.ca #CAEP2021 The CAEP Conference 2021 Social Media and Promotions team consists of many members of the CanadiEM Leadership as well as some of the most well-known educators in the country. Our goal is to help CAEP promote their amazing annual conference and bring awareness to some of the highlights from the upcoming event. Some of the promotional items coming at you: Pre and In-Conference Podcasts and Videocasts - highlighting our key plenaries, speakers, and providing quick summaries of each day's events. Social Media updates will come regularly, highlighting some of the best from the conference. Infographic summaries and reviews of the day's events and clinical, med-ed, research concepts/pearls. Newsletter updates using our various channels (CAEP Connects, CanadiEM Newsletter, etc.) More to come! If you have ideas, feel free to let us know! Introducing the CAEP Conference Social Media / Promotions Committee Members: Dr. Daniel Ting Dr. Kevin Junghwan Dong Dr. Ken Milne Dr. Hans Rosenberg Dr. Shahbaz Sayed Dr. Fareen Zaver Dr. Alkarim Velji Dr. Sonja Wakeling Dr. Patrick Boreskie Evan Formosa Follow @caepconference on Twitter and stay tuned for more content!

Purpose: 1. Learn the importance of treatment studies (RCTs) in EBM 2. Understand and interpret methods and results of treatment based studies 3. Become familiar with critically appraising treatment based studies Hosts: Dylan Collins Levi Johnston Dakoda Herman Jayneel Limbachia Jake Domm Paper: Warren, Jaimee, et al. "Antacid Monotherapy Is More Effective in Relieving Epigastric Pain Than in Combination With Lidocaine: A Randomized Double‐blind Clinical Trial." Academic Emergency Medicine 27.9 (2020): 905-909. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14069EBM Checklist for therapy studies (University of Oxford: https://www.cebm.net/wp-content/uploads/2018/11/RCT.pdf Episode takeaway 1. RCTs are considered gold standard in terms of evidence since the randomization process controls for both known and unknown confounding variables 2. Understanding how to quickly and efficiently appraise studies by assessing its methods is an important skill that can help you assess its utility to your practice and whether the authors adequately answered the question 3. Use a validated critical appraisal tool. We used the CEBM tool, but there are others. The GATE from by Rod Jackson is another great method to learn. Know that sometimes people use publishing guidelines as critical appraisal tools, like the CONSORT for RCTs, but these are just work arounds. 4. Be skeptical and curious. If there is a published protocol, check it. Look at who funded the study. Read the COI and method to mitigate bias.

In this episode host Dr. Tiffany Proffitt talks with Dr. Mark Ramzy about finishing residency and starting his Critical Care fellowship in the hotspots of the COVID pandemic. They also discuss the unique challenges Dr. Ramzy faced when he became a father at the start of the pandemic. Dr. Ramzy shares how he rediscovered artistic talents and reinforced old friendships and family bonds to help overcome the sense of isolation during quarantine. Take a listen, we will get through this together.

Core Questions List key historical red flags in a patient presenting with back pain. (Box 32.1) List red flags on physical examination of a patient with back pain. (Box 32.1) List key critical differential diagnoses for a patient presenting with acute back pain (Box 32.2) Describe an approach to the rapid assessment of a patient with acute lower back pain (Fig 32.1) Describe an approach to ancillary testing and imaging for critical causes of acute back pain (table 32.1) List the sensory, motor, and screening tests for the lumbar nerve roots L3-S1 (table 32.2) Describe an overview of the management of acute low back pain (Fig 32.2) Wisecracks What are 4 variables associated with serious outcomes in patients with back pain (p. 276) Differentiate between conus medullaris syndrome and cauda equina syndrome. What physical exam/ancillary findings are most predictive of cauda equina? (CJEM 2020;22(5):652–654) How does Rosen's differentiate between disc herniation and radiculopathy?

Journal Club by CanadiEM is a podcast designed to help medical learners at all stages of training develop the skills necessary to properly appraise, interpret, and apply medical research to the practice of Emergency Medicine, all in the spirit of evidence based medicine.

In this week's episode, we are covering how to best prepare for your all-important interviews! From what questions to expect to how to leave a positive impression, we cover it all! Helping break this all down for us is a panel of resident guests from diverse programs across Canada: Dr. Larissa Hattin, Dr. Dillan Radomske, and Dr. Ben Forestell. Dr. Larissa Hattin is a 4th-year emergency medicine resident at UBC and co-chief resident of the Victoria site. She completed medical school at McMaster and quickly moved out to the island to escape the snow. This year she is completing her fellowship in Medical Education through Oxford University. Dr. Dillan Radomske went to medical school in Calgary at the Cumming School of Medicine and is now in his third year of emergency medicine resident at the University of Saskatchewan. He is interested in medical education, and some of our listeners may recognize his voice from the CanadiEM CrackCast series. Dr. Ben Forestell is a graduate of McMaster medical school and he is now in his first year of emergency medicine residency, also at McMaster. He is passionate about medical education and has been lucky to be involved with projects like ClerkCast at CanadiEM. Click Here for more information about today's episode.

This is the first episode of the KelownaKast podcast, hosted by Hasan Abdullah and Eric DeHaas, UBC Kelowna Family Medicine residents. We are residents who are interested in medical teaching, mentorship and minority issues in healthcare. We hope to share these interests with you, with a focus on tips/tools for clinical practice. In this first episode we are joined by Ashley Mikasko, a Master's of Social Work student, to share cases on challenging patient encounters due to cross-cultural communication as well as some tips to help in such situations.

Core Questions Define the following terms: Menorrhagia Metrorrhagia Menometrorrhagia Oligomenorrhea What points on history are important to elucidate in the patient with PV bleeding? Outline an approach to the physical examination in the patient with PV bleeding. Describe an approach to ancillary testing in the patient with PV bleeding. Outline the DDx of PV bleeding in the non-pregnant patient. Outline the DDx of PV bleeding in the pregnant patient. Detail an approach to the management of PV bleeding in nonpregnant patients in the ED. Wisecracks What is the average volume of blood lost during typical menstruation? What is the risk of spontaneous abortion in the patient who presents with vaginal bleeding in the first trimester? List five risk factors for placental abruption. List five risk factors for PPH. List five risk factors for ectopic pregnancy. List five absolute contraindications to the use of oral contraceptive pills.

This new CanadiEM series features Emergency Medicine figures from around Canada while they participate in some sort of ice-breaking activity. First up, how can Dr. Brent Thoma from the University of Saskatchewan manage increasingly spicy chicken wings while talking about his academic interests? This podcast is the audio-only version of a video that you can watch on www.canadiem.org.

In this episode, Dr. Tiffany Proffitt talks with Dr. Andy Little about career and life transitions during the COVID pandemic. They discuss the unique challenges of moving his family across the US from Ohio to Florida in the pursuit of the career for which they had planned and sacrificed. Dr. Little shares with us how the pandemic forced him to refocus on the things that matter most and helped him discover new adventures with his family.

Core Questions Outline the anatomic contents of the female pelvis. Describe an approach to the history in a patient with acute pelvic pain. Describe an approach to the physical examination in the patient with acute pelvic pain. List 10 differential diagnoses for the patient presenting with acute pelvic pain. (Box 30.1) Outline an approach to ancillary testing for the patient presenting with acute pelvic pain. What must be seen on bedside ultrasound to confirm a definitive intrauterine pregnancy (IUP)? Wisecracks What is the incidence of domestic violence in patients presenting with pelvic pain? What is the incidence of heterotopic pregnancy in the general population and in those that have conceived using reproductive technology? Under what circumstances can a pelvic examination be omitted in a patient presenting to the ED with acute pelvic pain? What is the classic triad of pelvic inflammatory disease (PID)?

In this week's episode, we are covering how to get to know more about programs and give you some quick pointers on how to create your personal letters! Here to help us tackle this topic is our guest: Dr. Pardhan! Dr. Kaif Pardhan is an emergency medicine physician and Deputy Chief of the ED at Sunnybrook Health Sciences Centre in Toronto. He serves as the Assistant Program Director for the University of Toronto's emergency medicine residency program. He also works as a pediatric emergency physician at McMaster Children's Hospital in Hamilton. Click Here for more information about today's episode.

In this episode of Clerkcast Lauren and Ben are teaming up with Dr. Kaif Pardhan to cover an approach to pediatric fever.

This episode is the first of the Physician Passion Projects series, a podcast focused on highlighting Canadian EM physicians' work outside of clinical medicine.

Core Questions List risk factors for constipation . List 10 causes of constipation (Box 29.1). Describe an approach to the history and physical exam of the constipated patient. What ancillary testing should and should not be ordered in constipation? Describe an approach to management of constipation in the ED (figure 29.1) . Describe 5 classes of laxative agents. List the lifestyle changes that constipation patients should be counselled about. Wisecracks List 5 medications that can cause constipation. What agents can be considered in refractory opioid-induced constipation? Describe the mechanism of action of PEG 3350. Describe the mechanism of overflow incontinence.

Core Questions Define diarrhea. Outline the pathophysiologic processes that result in diarrhea. List 10 infectious causes of diarrhea. - Box 28.1 List 10 non-infectious causes of diarrhea. - Box 28.2 Outline 5 important aspects of a patient's history to elucidate in cases of diarrhea. Detail an approach to laboratory testing in the patient with diarrhea. When are empiric antibiotics indicated for the treatment of diarrheal illnesses? Wisecracks What antibiotics are most commonly implicated with precipitating C.difficile diarrhea? What factors increase the probability of non-benign diarrheal illness? Outline the constituent ingredients contained within the World Health Organization's rehydration formula. What is the BRAT diet and why is it recommended in patients with acute diarrheal illnesses?

In today's episode, we cover how to prepare for your upcoming emergency medicine elective and how best to ask for that coveted reference letter. Helping us navigate this subject is our expert guest Dr. Brent Thoma. Dr. Thoma works clinically as a trauma and emergency medicine physician. Academically, he studies technology-enhanced medical education and works for the Royal College of Physicians and Surgeons of Canada as a Clinician Educator. He is also the CEO of CanadiEM. Click here for resources mentioned in today's episode.

Core Questions Define upper gastrointestinal versus lower gastrointestinal bleeding and differentiate between the two based on anatomic location Outline an approach to the history and physical examination for the patient with complaints consistent with GIB.- Box 27.3 List 5 causes of UGI bleeding and 5 causes of LGI bleeding- Table 27.1 Outline six alternative diagnoses or mimics of GI bleeding - Box 27.1 List five characteristics of patients with high-risk GI bleeds - Box 27.2 Describe an approach to ancillary testing in the patient with GI bleeding. List five substances that when ingested, can result in a falsely-positive stool guaiac study Outline an approach to the management of the patient with GI bleeding - Fig 27.3 Detail the Blatchford and Clinical Rockall Risk Scores - Tables 27.3/27.4 Wisecracks Outline the three most common causes of UGIB in pediatric and adult patients. Outline the three most common causes of LGIB in pediatric and adult patients. What percentage of patients presenting with hematochezia actually have an UGIB? What volume of blood loss is needed to produce symptoms of anemia in the patient with an acute/subacute GI bleed?

Core Questions Define the following terms: Nausea Retching Vomiting Outline the neural pathway regulating nausea and vomiting. List 6 potential sequelae of vomiting. Outline an approach to the history in the patient complaining of nausea and vomiting. Outline an approach to the physical exam in the nauseated and/or vomiting patient. List 10 differential diagnoses for the vomiting patient. What ancillary tests are indicated in the patient with nausea and/or vomiting? List five antiemetics that can be used to treat the nauseous and vomiting patient. Wisecracks What are the three phases of vomiting? What is Hamman's Sign and what pathology does it point to? What medication is indicated in the patient with intractable chemotherapy-induced nausea and vomiting.