Episode 56 The Stiell Sessions: Clinical Decision Rules and Risk Scales

Episode 56 The Stiell Sessions: Clinical Decision Rules and Risk Scales

There are hundreds of clinical decision rules and risk scales published in the medical literature, some more widely adopted than others. Ian Stiell, the father of clinical decision rules, shares with us his views and experiences gained from co-creating some of the most influential CDRs and risk scales to date. He explains the criteria for developing a CDR, the steps to developing a valid CDR, how best to apply CDRs and risk scales to clinical practice, and the hot-off the-press new Ottawa COPD Risk Score and Ottawa Heart Failure Risk Score for helping you with disposition decisions. It turns out that in Canada, we discharge about two thirds of the acute decompensated heart failure patients that we see in the ED, while the US almost all patients with decompensated heart failure are admitted to hospital. Dr. Stiell's new risk scores may help physicians in Canada make safer disposition decisions while help physicians in the US avoid unnecessary admissions.

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Ep 222 Imaging Decisions in Emergency Medicine

Ep 222 Imaging Decisions in Emergency Medicine

When to image, when to wait, and what to do when the ideal test isn’t available are often far more nuanced than they appear. In this EM Cases episode, Dr. Amit Shah joins Anton to tackle some of the t...

25 Elo 48min

Ep 221 EM-Primary Care Health Systems Strategies, Myths, Misperceptions and Solutions

Ep 221 EM-Primary Care Health Systems Strategies, Myths, Misperceptions and Solutions

There are few things more frustrating for an Emergency Physician than caring for patient after patient who lands in the ED not because it’s necessarily the best place for their care, but because every...

11 Elo 1h 43min

EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2

EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2

In this month’s EM Quick Hits Podcast, Amna Karabegovic joins us for an EMC² case of pediatric altered LOA and neurocritical care, Anand Swaminathan simplifies the high-risk management of pulmonary hy...

21 Heinä 1h 39min

Ep 220 Facial Injuries: Assessment, Management and Disposition

Ep 220 Facial Injuries: Assessment, Management and Disposition

Facial trauma is common in emergency medicine, but the biggest pitfalls are often not the fractures themselves—they're the threatened airway, vision-threatening ocular injuries, missed septal hematoma...

30 Kesä 1h 43min

Ep 219 Hip Emergencies: Recognition and Management

Ep 219 Hip Emergencies: Recognition and Management

Hip complaints are bread-and-butter emergency medicine—but every so often they are anything but straightforward. The obvious shortened, externally rotated leg after a fall is one thing; the patient wi...

16 Kesä 1h 25min

Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

Antibiotics for strep throat seem like a simple decision—but the evidence is anything but simple. In this Journal Jam podcast with Dr. Casey Parker and Dr. Justin Morgenstern, we critically appraise t...

2 Kesä 1h 19min

Ep 218 Substance Use Disorder in the ED – Stigma, Compassion and System Change

Ep 218 Substance Use Disorder in the ED – Stigma, Compassion and System Change

Emergency physicians pride themselves on recognizing and treating life-threatening illness under pressure. Yet one of the most lethal, common, and treatable conditions presenting to our EDs still ofte...

19 Touko 1h 1min

Ep 217 Pediatric Agitation: Assessment and Management

Ep 217 Pediatric Agitation: Assessment and Management

Pediatric agitation in the Emergency Department is one of those presentations that can escalate quickly and leave even experienced clinicians feeling on edge. It is high-risk, resource-intensive, and ...

28 Huhti 1h 22min

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