Nar can be on the exam?

SHORT ANSWER MANAGEMENT QUIZ: 1. List the routes and corresponding doses for administration of Naloxone. You know your Epinephrine doses but do you know your Narcan? Naloxone (Narcan™) and deaths from opioid overdoses have been front page news across the country as our latest challenge against some of the harmful effects of opioids. Health Canada just approved a nasal version of the drug after an expedited review. It will be available over the counter. DID YOU KNOW: Naloxone can be given IM, IV, SC, ETT(off-label), IO and now nasally. Onset is within 1-2 minutes IV, 2-5 min IM/SC, and 8-13 minutes after nasal use. QUIZ ANSWERS: For IV, SC, and IM the dose is 0.4mg to 2mg per dose. For nasal

Syncope in the Fall, or Autumn?

Choosing your syncope work-up wisely. WHAT ARE SOME RED FLAGS IN SYNCOPE? Syncope is common, occurring in up to 30% of the adult population at some stage in their life. Common things being common, it could very well show up on your exam, and it will show up in your future practice. Your job, if you choose to accept it, is to decide who needs that urgent head CT and who you can wisely choose to receive an ECG with thorough history and physical and discharge home. Before scrolling down for some answers, can you accept the mission and try and name 3 RED FLAGS for Syncopal patients that would require more work up than just an ECG? 1. 2. 3. -- DID YOU KNOW CHOOSING WISELY CANADA recommends not ro

What's changed? Yet another new Canadian lipid guideline

SNAP SAMP List 5 indications for statin therapy other than for primary prevention of cardiovascular disease (answers below) DID YOU KNOW? The Canadian Cardiovascular Guidelines have released the 2016 Canadian lipid guidelines, which replace the 2012 edition. These are so new they’re still in press and haven’t yet been published, but you can read the preliminary version at the CCS website. WHAT’S CHANGED? Here are some of the changes in the new guidelines: Fasting is now cruel and unusual punishment for your patients. Don’t make them fast for lipid measurements. Same goes for diabetes screening - screen with A1C if you are OK with charging the government more ($12.69 vs $1.46 for FBG). Sh

When to Say NO in the Emergency Department

Do you kNOw how to say NO? (Canadian Association of Emergency Physicians & Choosing Wisely Canada) Have you ever had a patient ask you to do a test or investigation that you don't think they need, or that might end up harming the patient. Are you prepared to answer that question in real life and perhaps in a SOO station? CAEP, the Canadian Association of Emergency Physicians just released a list of commonly used tests, treatments or procedures to question and to discuss with your patients. So much of your exam is based on counselling so you would be remiss to not know these CAEP recommendations. Remember, you might need to write 'no investigation' on the exam or say no to a patient in a SOO
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