theEDjgh
@cuttingEDjgh
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The feed of the ED of the JGH of McGill U. Linking EM learners with the #FOAMed world. (NB not the official voice of the JGH or CIUSSS West-Central Mtl.)
Montréal, Québec
Joined April 2017
We’re expecting great things from Joel as our new leader and are excited as his mandate as chief begins! @mcgill_emerg
https://t.co/Bma97MCZHY
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The only chief most of us in our ED ever knew. A true innovator and leader. Thank you Marc and best of luck in this next chapter of your life. @CIUSSS_COMTL @mcgill_emerg
https://t.co/KElgwOSf3I
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Thanks to @PeterJohns84 for a wonderful Grand Rounds this morning at our annual JGH Day; a 3.5 hour bootcamp all about vertigo. Residents & staff came out invigorated and with a new desire to confidently assess the dizzy patient! @mcgill_emerg
@CIUSSS_COMTL
#FOAMed
#medtwitter
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Useful to be reminded of this rare but deadly liver toxin. Keep in your DDx.
An older man comes to the ED with abrupt onset nausea, & diarrhea He is joined by her daughter whom he is visiting from abroad Testing is below The diagnosis is unclear Until his daughter got just as sick too 🧵 #livertwitter #liverstory #MedTwitter
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Ultrasound: “no evidence of cholecystitis” Op report: “gangrenous cholecystitis with extremely friable tissue. Purulent drainage with manipulation of gallbladder.” I've seen this many times. Thread 1/
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Congratulations, @VTagalakis You are a credit to the @CIUSSS_COMTL! Dr. Vicky Tagalakis appointed Chief of Department of Medicine | JGH News
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Shout out to our own @ErrolStern for his efforts here - our own simulation centre, a great addition to the @McGillDeptEM program. JGH EM Simulation Centre May 2023 https://t.co/vuHqcDerqA via @YouTube
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“It is not a virtue to continue to do what we have always done…” #lessismore When Oral Therapy Can Replace Intravenous Antibiotics—Changing Practice as New Data Emerge | Humanities | JAMA Internal Medicine | JAMA Network
jamanetwork.com
This essay describes a physician-patient’s experience with unchanged practice patterns despite the publication of new data challenging those patterns.
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We agree. Once and for all: Masks reduce the risk of spreading COVID | TVO Today
tvo.org
OPINION: A new review suggests masks don’t work in the community. But there are issues with its methodology and assumptions.
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Dr. Leighanne Parkes, an infectious disease specialist and microbiologist with the Jewish General Hospital in Montreal, answers your questions about #RSV, #influenza and #COVID19. Q+A by @menakarw on #TheDecibal podcast🎙️ https://t.co/9u0iwGUXVY via @globeandmail
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50 years of @McGillDeptEM commemorated this week. Graduates from all over the world came to celebrate! (Along with current residents.) #McGill #Montréal #emergencymedicine
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Even when we choose wisely and appropriately choose an antibiotic for an infection, we tend to treat for too long. A useful thread…
How long is long enough?🤔 I channeled my inner @BradSpellberg to give this talk on duration of therapy at the #ThreeRiversASP2022 Interested? Follow the 🧵 below Not interested? Go Rx a zpak for a cold #IDtwitter #MedTwitter #MedEd #pharmed #shorterisbetter
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What All Physicians Need to Know About the Polio Resurgence in New York State | Infectious Diseases | JAMA | JAMA Network. Because we also needed a reminder about polio.
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This has practical implications for those like us who suffer ongoing staffing shortages.
Recently 5 of my colleagues in a 10d period had to take off work b/o #covid19 infection. We have debated when they can safely return to work w/o being a risk to others esp as most suffer only mild illnesses. Immunity and infectivity in covid-19 | The BMJ
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if your patient needs an emergent CT angio: 🛑 do not check a creatinine 🛑 do not get signed consent 🛑 do not pass Go or collect $200 🛑 no arguing on the phone please 🛑 do not ask for an attending to write a note in the chart 🟢 just get the scan ( https://t.co/yhnS0V99IB)
emcrit.org
CONTENTS Venous injection of contrast (e.g. for CT scan) The birth of the contrast nephropathy myth Current lack of evidence regarding contrast nephropathy Weighing the risks vs. benefits of using...
@jgordonboyd @KingstonHSC Meanwhile…other centres in Ontario want a creatinine before CT/CTA and signed consent for ‘emergency’ CTA without creatinine while you do the NIHSS fighting the system to get door-to-tPA time down as much as you can.
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This will not be another #covid19 but your friends, families and patients are going to ask you questions. And you should be able to answer them. #monkeypox TWiV Special: Monkeypox clinical update with Dr. Daniel Griffin https://t.co/9lI8tJDMuQ via @YouTube
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Another useful source. https://t.co/oX27abOa09
The link from @IDSAInfo is a terrific resource for doctors, and other healthcare professionals to use when considering prescribing Paxlovid, including how to manage the dosing. Highly recommend https://t.co/ji3iCvL0o3 2/
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Joins-toi à notre Département de l’urgence! | Join our Emergency Departm... https://t.co/womNCM1CGx via @YouTube
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