3 critical views:APLateralOpen mouthhttp://radiologymasterclass.co.uk/tutorials/musculoskeletal/x-ray_trauma_spinal/x-ray_c-spine_normal.html
Source: Academic Life in Emergency Medicine
Source: Academic Life in Emergency Medicine
See also:UPDATE: CADDRA Guide to ADHD Pharmacological Treatments in Canada 2024http://www.caddra.ca/http://adhdlearning.caddra.ca/
Drugs: Adderall, Vyvanse, Dexedrine, Biphentin, Concerta, Foquest, Quillivant ER, Ritalin, Strattera, IntunivSource: https://www.caddra.ca/
\$jsmodules/corrected_calcium.html/ Reference ranges: Albumin: 35-50 g/L 3.5-5 g/dL Calcium: 2.25-2.75 mmol/L 9.0-10.5 mg/dL &n
Volume of an ellipsoid like the prostate, hematoma, etc.:Volume mL = L x W x H x pi/6Volume mL &asymp L x W x H x 0.52 L, W, H are in cm. Normal prostate size is up to 30 mL.Enlargement is normal with
Source: https://food-guide.canada.ca/en/guidelines/ Download the whole Food Guide as PDF [1.55 MB] Food guide snapshot:
Women: no more than 10 drinks/week no more than 2 drinks a day on most days no more than 3 drinks on any single special occasion in a safe environment.Men: no more than 15 drinks/week no more than 3 drinks a day on most days no more than
Source: http://ccs.ca/index.php/en/resources/pocket-guides
Download as PDF [2.07 MB]
Download as PDF 2.76 MB
Source: https://www.hypertension.ca/en/chep
Download article as PDF [792 KB]
Canadian Stroke Best Practice Recommendations CSBPR Download PDF:Download as PDF [1.52 MB] Source: https://www.heartandstroke.ca/-/media/1-stroke-best-practices/prevention-of-stroke/csbpr2017-spos-module-master-final-english-wi
Full article: https://www.tandfonline.com/doi/full/10.1080/24745332.2019.1668652 in Canadian Journal of Respiratory, Critical Care, and Sleep Medicine Published Oct 18, 2019Download article as PDF [2 MB]Selected figures:
See also: SSRI & SNRI cheat sheet Click here to open the Guidelines as a PDF 64 pages but only 1.0 MB: Download CANMAT Depression Guidelines 2009.pdf Selected Tables for Quick Reference:
Download as PDF [796KB]See also:Dr. Kwinter's page about Medical Cannabis in the Cayman Islands.This collection of important developments regarding the legal status of Cannabis in CaymanDr. Kwinter's Cannabi
See also:Cannabis Use Disorders Identification Test-Revised CUDIT-R Diagnostic Criteria DSM-5 CUD is defined as a problematic pattern of cannabis use leading to clinically significant impairment or distress, as manifest
See also:Cannabis Use Disorder DSM-5 Cannabis Use Disorders Identification Test-Revised CUDIT-R The CUDIT-R is a self-administered screening tool for CUD. It is composed of eight questions scored from 0&n
Cannabis may have serious interactions with some drugs. It is recommended that clinicians privilege non-interacting alternatives where clinically feasible. Examples of serious interactions with cannabis include:Warfarin: Smoked cannabis may inhibit
Source: Transport Canada http://tc.gc.ca/en/services/road/child-car-seat-safety/buying-child-car-seat-booster-seat.html
Cardiac markerEarliest rise hPeak hNormalized dCK-MB4-6242-3Troponin I4-6123-10Troponin T including high sensitivity test3-12127-10
Some secondary strokes are preventable in patients with carotid artery territory TIA because early carotid revascularization is efficacious in symptomatic patients with critical carotid stenosis. Patients with carotid territory TIA need eit
Description: https://www.cathflo.com/occluded-catheter/standard-of-care.htmlDosing and administrationAdministration including post-treatment assessment
OA and AnkSpon200 mg po dailyOR100 mg po BID Acute PainDay 1: 400 mg poDays 2-7: 200 mg po with an additional 200 mg if needed RA100 mg po BIDOR200 mg po BID
Note: the diagnosis of celiac disease is a risk factor for nutritional deficiency and complications of the disease. It also has important implications for family members who may be at risk for celiac or related diseases. On the other hand, risks
Download as PDF [460 KB]
See also: CDC Cervical Cancer Screening Guidelines comparison of ACS, USPSTF, ACOG and SGO guidelines
\$jsmodules/cervical_cancer_screening_guidelines.html/
Source: http://www.cfpc.ca/ProjectAssets/Templates/Resource.aspx?id=1184&langType=4105 See also:CFPC Preventative Care Checklist ExplanationsCFPC Preventative Care Checklist -- MALE Download as PDF 485 KB:&n
Source: http://www.cfpc.ca/projectassets/templates/resource.aspx?id=1184&langType=4105 See also:CFPC Preventative Care Checklist ExplanationsCFPC Preventative Care Checklist -- FEMALE Download as PDF 484 KB:
Source: http://www.cfpc.ca/projectassets/templates/resource.aspx?id=1184&langType=4105 See also:CFPC Preventative Care Checklist -- MALECFPC Preventative Care Checklist -- FEMALE Download as PDF 576 KB:
See also:
Anticoagulation
Provides guidance for anticoagulation of patient with atrial fibrillation
Criterion Points
CHF 1
HTN &
Download as PDF [274 KB] Download as PDF [497 KB]
Useful to provide to parents to ensure proper product selection and dosage administration when diphenhydramine is used as an adjunct for allergic reactions. Download as PDF [119 KB]
Cholinergic toxicity DUMBBELSSSyndromeDiarrheaUrinationMiosisBronchospasmBradycardiaExcitation of skeletal muscle and CNSLacrimationSweatingSalivationDirect cholinergic agonistsBethanechol activates b
From http://www.renal.org/information-resources/the-uk-eckd-guide/ckd-stages:StageGFR*DescriptionTreatment stage190+Normal kidney fu
From CMA Driver's Guide: Determining Medical Fitness to Operate Motor Vehicles 8th Ed. 2012
Source: Academic Life in Emergency Medicine
Download file [PDF 244 KB] Key points:Take 10 mL of syrup every 6-8 hours. Do not exceed 4 doses in 24 hours.COACTIFED® is contraindicated in patients less than 18 years old.Each 5 mL contains:triprolidine HCl 2 mgp
Use a NON-EXPIRED swab supplied with the universal transport media.Explain the procedure to patient.When collecting the specimens, wear eye protection, gloves, and a mask. Change gloves and wash your hands between each patient.
Source:http://normalxrays.com Locally hosted:Labeled Normal Sinuses X-RaysLabeled Normal C-Spine X-RaysLabeled Normal Chest X-RaysLabeled Normal Abdominal Series
Colonoscopy Follow-up Guidelines endorsed by Eastern Health NL, Canada as of November 2021:Note: Following EGD finding of intestinal metaplasia a surveillance gastroscopy is indicated in 2-3 years. Cancer Care Ontario:Guide
Combivent Nebule = Salbutamol 2.5 mg + Ipratropium 0.50 mg in 4.5 mL One Combivent nebule is equivalent to:1 x Salbutamol 2.5 mg/2.5 mL NebulePLUS2 x Ipratropium 0.25 mg/1 mL Nebules
Angiotensin-Converting Enzyme InhibitorsNote: consider discontinuation or dose reduction of diuretic when initiating an ACE inhibitor to avoid potential hypotensionPerindopril Coversyl4-8 mg PO dailyRamipril Altace2.5-
Download as PDF [714 KB]
Download as PDF [210 KB] Signs and Symptoms of a ConcussionPHYSICAL&bull Headache&bull Dizziness&bull Nausea/Voming&bull Ringing in ears&bull Blurred or double vision&bull Slurred speech&bull Sensitivity to lig
See updated Concussion basics handout Return to PlaySummary from Concussionu.ca:Patient handout -> Return to Play Guidelines [PDF 175 KB] from Parachute Return to LearnSummary fro
See also: SCAT5
Good for patients who can't remember to take the pill:Evra patch 21 6mg/0.6mg norelgestromin/ethinyl estradiol
Click here to download as a PDF
https://www.catestonline.org/patient-site-test-page-english.html
Azithromycin 250mg 1 tab po qMonWedFri 3 doses per weekDoxycycline 100 mg po qhsAmox/Clav 875/125 i tab po q12h x 10 days, repeat one course each month
See also:
Asthma
Chronic obstructive pulmonary disease
Cough/shortness of breath Ddx
Upper respiratory infection
Hx
COPD
&n
See also
Amlodipine (Dihydropyridine CCB)
Sx
Gastroesophageal reflux
Significant peripheral edema is a common side effect of dihydropyridine Ca-channel antagonists like amlodipine
Interactive screening decision support tool: CDA Screening for and Diagnosing Diabetes Healthcare Provider ToolSource: http://guidelines.diabetes.ca/ Addendum 2016: Guidelines 2013:
Source: Academic Life in Emergency Medicine
Study to watch: http://clinicaltrials.gov/show/NCT01029782
See also: Vaginal bleeding Ddx
Hx
Postcoital bleeding
Cigarette smoker over 35 taking OCPs
Workup
Pelvic exam
Pap smear
Colposcopy and biopsy
Ppx
&
A chronic protozoal disease caused by Trypanosoma cruzi, an organism common throughout Latin America.
Primary manifestations
Megacolon/megaesophagus (focal GI dilatation)
Occur secondary to destruct
Source: Academic Life in Emergency Medicine
Hx Location Quality Severity Radiation Duration Context exertional, postprandial, positional, cocaine use, trauma
** UPDATE: See SCAT5 ** Source: Concussion in Sport Group group of international expertsSee also: SCAT3 for adultsDownload Child-SCAT3 as PDFOnly 26.5% of Sport-Related Concussion SRC patients present to the E
Source: Sketchy Medicine
Resembles opioid toxicity
Sx
Hypotension
Bradycardia
Altered mental status
Respiratory depression
Miosis
Mechanism
Primarily a p
Source: Academic Life in Emergency Medicine
See also: Headache Ddx
Epidemiology
Middle-aged males are most commonly affected
Hx
Severe unilateral temporal headache
Associated ipsilateral
Rhinorrhea
See also Crystalloid solutions Colloid SolutionsAlbumin 5% to 25% concentration Very little data to suggest improved outcome Some data to suggest increased
See also: Typical St. Clare's admission & post-op orders Pain Atasol 30 1-2 tabs po q4h prn Morphine 2-5 mg sc q3h prn Percocet 1-2 tabs po q4h prn &nbs
Commonly Abused DrugsVisit NIDA at www.drugabuse.govSubstances: Category and Name Examples of Commercial and Street Names DEA Schedule*/ How Administered** Acute Effects/Health RisksIncreased blood pressure and heart rate/chronic lung d
See also: Vulvar lesions
Pathology
Caused by human papilloma virus (HPV) infection
Sx
Females may have internal and/or external vaginal lesions as well as anogenital lesions
Patients are most
Hx
Frequency and volume of stools
Duration of change in bowel habits
Associated symptoms
Constitutional
Abdominal pain
&
Source: Academic Life in Emergency Medicine
A good choice for patients with a DVT while on hormonal contraception
Source: http://www.radiologyassistant.nl/en/p48275120e2ed5/coronary-anatomy-and-anomalies.htmlLeft Main or left coronary artery LCALeft anterior descending LADdiagonal branches D1, D2septal branchesCir
Complications
Atrial fibrillation
Occurs in up to 40% of patients
Occurs in over 50% of patients with CABG with aortic valve replacement
InfantsPreschoolersSchool age 6-12Children over 12 and AdultsIbuprofenIbuprofenIbuprofenIbuprofenAcetaminophenAcetaminophenAcetaminophen
Hx
Acute vs chronic
Presence/description of sputum
Associated symptoms
Constitutional
URI
&n
Source: Academic Life in Emergency Medicine
Usual dose of dexamethasone for Croup: 0.6 mg/kg PO or IM. Usual maximum dose: 16 mg. May repeat in 6 to 24 hours. Sx of airway diseaseTachypneaHypoxiaWheezeStridorNasal flaringGruntingIntercostal recession/indraw
Source: Am Fam Physician. 2012 Dec 158612:1118-1124.
See also Colloid solutions Maintenance fluids 421 rule calculator Crystalloid solutionsSolutionpH[Na+][Cl-][K+][Ca2+][Mg2+][Lactate][
