Emergency Care BC

In this episode of End of Shift, Eric and Joe continue their discussion with Dr. Shannon Jackson, talking about blood types and donation as well as sickle cell disorders. ONCE AGAIN, call 604-682-2344 (St. Paul’s Hospital) and you can reach a hematologist 24/7. Most hospitals carry: pRBC, FFP, platelets and cryo. The Canadian Blood Services knows where all the products are, and the central transfu...

The older ED crowd will remember this classic Supertramp track from the 1974 album, Crime of the Century. It's our springboard to talk about bleeding disorders. Dr Shannon Jackson is a clinical hematologist and the medical director of the Provincial Adult Bleeding Disorder program based out of St. Paul’s Hospital in Vancouver. The program deals primarily with inherited bleeding disorders: Factor (...

Conventional medical school and residency curricula glossed over nutrition for patients and certainly made no mention of how to look after oneself on shift. Eric and Karine discuss the roles that caffeine, hydration and nutrition play when working in emergency medicine. They look at some good and not-so-great strategies and provide some advice for shift performance enhancement. Coffee: Caffeine is...

End of Shift went on the road in late 2021 to catch up with Dr. David Pledger. David practiced in both Las Vegas and Vancouver before settling in Nevada. He fills us in on the interesting differences between US and Canadian emergency care and comments about how COVID impacted his adopted state and British Columbia.

In this episode of End of Shift, Eric and Joe talk with Dr. Carolyn Kelly-Smith about the practice of medicine (and sometimes not) in austere environments. Dr. Kelly-Smith is an FRCP trained attending ED physician at the Royal Columbian and Eagle Ridge Hospitals. She is an Advanced Medical Provider for North Shore Rescue, a faculty member of the Canadian Society of Mountain Medicine and a ski patr...

Management of ED trauma cases has transformed over the past 20 years. Our guest, Dr. Hazel Park, discusses new and emerging pearls, trauma systems, training, and virtual support for BC trauma management. Dr. Hazel Park Dr. Hazel Park is an attending emergency physician and Trauma Team Leader at Lions Gate Hospital, Medical Director of the Regional Trauma Program for Vancouver Coastal Health and Pr...

In this quick review, Dr. Julian Marsden and Dr. Rob Stenstrom  discuss updates in sepsis management, research, and the latest diagnostic guidelines for the emergency department (ED). Dr. Stenstrom shares up-to-date guidance on the use of steroids, fluids, vasopressors, and antibiotics to treat sepsis in the ED.   Dr. Rob Stenstrom Rob Stenstrom is an emergency physician and senior researcher at S...

In this in-depth review, Dr. Julian Marsden talks to EM Network member Dr. David Barbic, who gives an overview of his recently published article, Rapid Agitation Control with Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial. The study was published in the Annals of Emergency Medicine online, on Aug. 2nd, 2021. David walks through an in-depth look at the study setup and...

In this quick review, Dr. Julian Marsden talks to EM Network member Dr. David Barbic, who gives an overview of his recently published article, Rapid Agitation Control with Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial. The study was published in the Annals of Emergency Medicine online, on Aug. 2nd, 2021. David walks through his motivation for the research, the study...

Guest Jeanne MacLeod guides us through the history, process, tips and downfalls of practicing emergency medicine simulation. Listen for some strategies to improve your next SIM!  We delve into why it took emergency medicine so long to adopt SIM training, process and teamwork, why some resuscitations go awry, SIM-related anxiety, rural leadership, and available BC simulation resources.  Jeanne MacL...

What are the most common disciplinary issues among physicians who practice emergency care? How are these issues handled, and how can YOU avoid getting into trouble? Bruce Campana walks us through the art of disciplining physicians.  Bruce is currently the Medical Director of  Enhanced Medical Staff Support (EMSS) at Vancouver Island Health Authority. EMSS supports medical leaders who are asked to...

In this episode, we cover all things POCUS (point-of-care-ultrasound) in emergency care. Guest Karine Badra-Quirion, an emergency physician at Lions Gate and St. Paul's Hospital, imparts her POCUS prowess. We discuss BC's POCUS pioneers and the best studies for patient-oriented outcomes and ED flow.  Karine shares image generation techniques, common errors, and her top POCUS tips. We explore ultra...

Show Notes In this episode we talk to Louise Pick, an emergency bedside and charge nurse at Lions Gate Hospital in North Vancouver. We explore the dynamic between emergency physicians and nurses, and reflect on the unique challenges ED nurses face. Plus, Louise shares a harrowing story of being buried alive by an avalanche, and how her ED team mate saved her. Louise Pick Louise Pick is an emergenc...

In this episode, Eric and Joe speak to Dr. David Haughton, a life-long artist and leader in his field. David practiced pediatric emergency medicine at BC Children’s Hospital until 2017 and has been painting prolifically for over 40 years. David shares the lessons learned from his storied career, including navigating medical politics and how to balance occupation, obligations, and the pursuit of ha...

In the emergency department, we see many injured and infected hands and need to be comfortable with initial diagnosis and treatment before considering downstream follow up with a hand surgeon. Hosts Eric and Joe discuss common hand presentations, workup, and treatment with Dr. James Saunders, Head of Plastic Surgery for the Sea to Sky Corridor. They review fractures, dislocations, amputations, inf...

In this episode, Eric and Joe do a deep dive on sepsis with Dr. Rob Stenstrom, Sepsis and Infections Lead for the EM Network. They discuss the most practical definition of sepsis in the ED and which diagnostic score to use. They find the bottom line on serum lactate, fluid treatment, and blood cultures and antibiotic timing. Rob answers questions on which pressor to use, central access timing, and...

Daniel Kalla - danielkalla.com Additional reading Daniel Kalla Pandemic (2005) Resistance (2006) Blood Lies (2007) We All Fall Down (2019) The Last High (2020) Stephen King  On Writing: A Memoir of the Craft (2000) Michael Crichton  michaelcrichton.com Resources for Emergency Care Practitioners  Oral Opioid Analgesic Conversion Table (McMaster University) Buprenorphine (Suboxone) Initiation for Op...

In this episode of the End of Shift podcast, recorded on Jan. 7, 2020, Eric and Joe talk to Jim Christenson , Executive Lead of the BC Emergency Medicine Network. They discuss highlights from Jim's 40-year career practicing emergency medicine and talk about why he started the BC Emergency Medicine Network. Jim shares his lessons on how to stay well and avoid burn out. Plus, find out whether Eric w...

The warrior philosophy addresses doubts and fears EM caregivers experience day-to-day as they work on the front lines. Hosts Eric Angus and Joe Haegert discuss the five concepts of warriorship: observation, acceptance, focus, intention, and commitment.  They explore how this philosophy can help you mentally prepare for your shift, focusing on competence, confidence, courtesy, calm, and compassion....

In the inaugural episode of the End of Shift podcast, Dr. Brian Yang, Head of Urology for the Fraser Health Authority, answers burning questions about managing renal colic in the ED. What cases does he want a call about in the middle of the night? Does the presentation of proximal stones differ from the presentation of distal stones? What's the recommended imaging and management for renal colic? W...