Podcasts about ccfp em

On this episode, Nate is joined by ER doctor, nuclear power advocate, and podcast host Chris Keefer for a broad ranging conversation including the basics of nuclear energy, how he engages with opposing opinions, and hypotheticals for a future medical system. Coming from a broad background, Chris understands what it means to have a human to human conversation and put together the pieces of our systemic puzzle in a clear and compelling way. What role could nuclear play for our future energy needs - and how are different countries making use of it today? How can we prioritize the health and safety of people under energetic and resource constraints? Most of all, how do we listen to others that we don't agree with - regardless of the issue - to foster the diverse perspectives necessary to navigate the coming challenges of the human predicament?  About Chris Keefer: Chris Keefer MD, CCFP-EM is a Staff Emergency Physician at St Joseph's Health Centre and a Lecturer for the Department of Family and Community Medicine at the University of Toronto. He is also an avid advocate for expanding nuclear power as the President of Canadians for Nuclear Energy and Director of Doctors for Nuclear Energy. Additionally, he is the host of the Decouple Podcast exploring the most pressing questions in energy, climate, environment, politics, and philosophy. PDF Transcript Show Notes  00:00 - Chris Keefer works + info, Decouple Podcast, Canadians for Nuclear Energy 04:45 - Egalitarian hunter gatherer society, infant mortality 05:12 - Bow drill fire 07:10 - Yukon 07:30 - Humans and livestock outweigh wild mammals 50:1, not in the Yukon 08:10 - Dr. Paul Farmer 08:45 - Most humans use to work in agriculture, ~15% now involved in healthcare 10:56 - Ontario nuclear power, one of lowest electric grid in the world 12:01 - Justin Trudeau 12:24 - Simcoe Clinic, Canadian Center for Victims of Torture 14:01 - World population over time 14:36 - Paleodemography 14:59 - Degrowth 15:19 - Infant mortality in developed countries 15:55 - Tight link between energy, materials and GDP 20:54 - Duck and Cover Drills 21:05 - Environmental Movement and Nuclear 21:21 - Nagasaki bomb radiation injuries 21:49 - High dose radiation is deadly, low dose radiation less so 21:05 - Strontium-90 found in the teeth of babies 21:10 - Atmospheric weapons testing ban 22:33 - Fukushima meltdown, health impacts are negligible 23:09 - 20,000 people died from the Fukushima earthquake and following tsunami  23:47 - Fukushima contaminated water has been filtered out and is safe 24:24 - How radiation is measured 26:02 - Health effects from alcohol 26:16 - Drinking culture in the U.S. 27:22 - Nuclear energy density, land footprint 28:23 - Best nuclear applications and limitations 30:01 - Those who live in nuclear powered areas fare better 30:33 - Price of nuclear energy over the lifetime 30:45 - Nuclear power in France 31:18 - Canada energy history, center for nuclear research outside of the Manhattan Project 32:23 - 1000 people die prematurely every year due to coal 33:25 - Ontario population 33:38 - Candu Reactors 34:15 - Levelized cost of electricity, skewed with renewables 37:01 - Lazard Graphs 38:09 - Mark Jacobson 41:07 - Carbon emissions by power source 41:23 - Lifespan of nuclear plants 43:11 - Land use change impacts 43:31 - Nuclear and job creation 46:05 - US spending on military vs healthcare 48:49 - Meiji Restoration 49:33 - Vaclav Smil 50:42 - AI electricity demands 50:55 - AI risks 51:29 - Meredith Angwin  52:42 - Nuclear fuel 53:10 - 46% of uranium enrichment happens in Russia 54:15 - Known Uranium Reserves 54:25 - Haber Bosch  54:55 - Breeder Reactors 55:42 - Uranium in seawater 56:14 - Slow vs Fast Neutrons, fertile elements 57:04 - Sodium Fast Reactor 58:45 - China built a nuclear reactor in less than 4 years 1:00:05 - Defense in depth 1:01:11 - EMP, solar flare 1:01:30 - HBO's Chernobyl, wildlife thriving in chernobyl area 1:03:13 - Death toll from radiation in Chernobyl 1:05:13 - Scientific literature and confirmation bias 1:08:12 - Chernobyl Children's International 1:08:44 - Genome sequencing of highest exposures to radiation from chernobyl 1:09:09 - Germline mutations if the father smokes 1:10:02 - The Great Simplification animated video 1:10:32 - Peak Oil 1:12:10 - Complex 6-continent supply chains 1:12:30 - I, Pencil 1:15:19 - Nuclear Fusion 1:16:24 - Lawrence Livermore 1:17:45 - Tomas Murphy, Galactic Scale Energy 1:18:11 - Small Modular Reactor 1:19:26 - Cost saving in nuclear comes from scaling 1:19:34 - Wright's Law, economies of multiples 1:23:33 - Biden administration policies and advances on nuclear 1:24:00 - Non-profit industrial complex 1:24:24 - The size of the US non-profit economy 1:24:44 - Sierra Club, anti-nuclear history 1:25:14 - Rocky Mountain Club 1:27:15 - Hans Rosling 1:27:32 - Somalia infant mortality rate 1:27:42 - Cuba 1990s economic shock and response 1:27:42 - Vandana Shiva + TGS Episode 1:30:27 - Cognitive Dissonance 1:31:45 - Jonathan Haidt + TGS Podcast, Righteous Mind 1:32:48 - Fatality and hospitalization statistics for COVID for first responders 1:33:22 - Truckers protest in Ottawa 1:34:15 - The problem with superchickens  1:36:54 - How social media tries to keep you online 1:37:12 - Paleopsychology 1:37:55 - Tristan Harris and Daniel Schmachtenberger on Joe Rogan 1:39:45 - John Kitzhaber + TGS Episode, Robert Lustig + TGS Episode 1:39:55 - US healthcare 20% of GDP, 50% of the world's medical prescriptions are in the US  1:41:55 - Superutilizers 1:42:37 - Cuban medical system, spending, life expectancy, infant mortality 1:43:06 - Cuban export of pharmaceuticals 1:44:08 - Preventative medicine, chronic disease management 1:44:25 - Cuban doctor to person ratio, rest of the world 1:48:47 - Social determinants of health 1:49:20 - Cement floor reducing illness in Mexico 1:50:03 - Hygiene hypothesis 1:50:28 - Zoonotic disease and human/animal cohabitation 1:50:50 - Roundworm life cycle 1:52:38 - Acceptable miss rates 1:53:16 - Cancer screening effectiveness  1:53:58 - Drugs produced from nuclear plant byproducts 1:58:18 - Timothy O'Leary 2:02:28 - Superabundance 2:02:40 - Julian Simons and Paul Ehrlich bet 2:02:15 - Malthusian 2:06:08 - Pickering Plant Watch this video episode on YouTube

Welcome to the Plant-Based Canada Podcast. In this episode we are joined by a Toronto-based hospitalist and emergency physician, Dr. Teela Johnson.  Dr. Teela Johnson MSc, MD, CCFP-EM is a hospitalist and emergency room physician with a keen interest in the intersection of health, nutrition, and the climate-- and how they relate to equity issues.  Through her work as a member of the Canadian Association of Physicians for the Environment Agri-Food Working Group and as a Board Director of the climate policy think tank Canadians for Responsible Food Policy, she brings to bear the extensive scientific evidence on how a transition to a plant-based food system can prevent and treat chronic disease, and simultaneously curtail the most detrimental greenhouse gas emissions that are propelling the climate crisis, while also giving voice and restoration to groups systematically oppressed across these intersecting realms. In this episode we discuss:Dr. Johnson's medical practiceCanadian Association of Physicians for the Environment Agri-Food Working GroupClimate change impacts, targets,  and recommendationsParis Agreement on Climate ChangeCanadians for Responsible Food PolicyImpact of transitioning to a plant-based food systemFuture research and actionsAdvice to health professionals / the publicEpisode Resources:Canadians for Responsible Food Policy: https://responsiblefoodpolicy.ca/ Lancet Countdown: https://cape.ca/wp-content/uploads/2021/06/Lancet-Countdown-Policy-Brief-Canada_ENG.pdfConsultation on the future of competition policy in Canada: https://cape.ca/wp-content/uploads/2023/04/CompetitionActConsultation_CQDE_CAPE_EQT_ISED.pdfRecommendations from the Canadian Association of Physicians for the Environment for Amendments to Bill C-12, the Net-Zero Emissions Accountability Act: https://cape.ca/wp-content/uploads/2021/05/CAPE-C-12-briefing-note-EN-final.pdf Paris Agreement on Climate Change: https://unfccc.int/process-and-meetings/the-paris-agreement Plant-Based Canada's Socials:Instagram: @plantbasedcanadaorgFacebook: https://m.facebook.com/plantbasedcanadaorg/Website: https://www.plantbasedcanada.org/X/Twitter: @PBC_orgThank you for tuning in! Make sure to subscribe to the Plant-Based Canada Podcast so you get notified when new episodes are published. This episode was hosted by Stephanie Nishi RD, PhD.Support the show

Deepthy Varghese, MSN, ACNP, FNP, of Northside Hospital, is joined by guests Sheldon Cheskes MD, CCFP (EM), FCFP, Sunnybrook Research Institute, and Jason Grady, NRP of Northside Hospital to discuss the Association Between Number of Volunteer Responders and Interventions Before Ambulance Arrival for Cardiac Arrest. The study aimed to explore the relationship between the number of volunteer responders (VRs) arriving before Emergency Medical Services (EMS) and the likelihood of bystander cardiopulmonary resuscitation (CPR) and defibrillation during out-of-hospital cardiac arrests (OHCAs). The researchers analyzed OHCAs in two regions of Denmark and categorized them based on the arrival of VRs before EMS, with groups having 0, 1, 2, or 3 or more VRs. Using logistic regression adjusted for EMS response time, the study found that an increasing number of VRs arriving before EMS was associated with higher odds of bystander CPR and defibrillation. Specifically, the odds ratios (ORs) for bystander CPR and defibrillation increased as more VRs arrived before EMS, indicating a positive trend in the association. The study concluded that the presence of one or more VRs before EMS was linked to an increase in bystander CPR and defibrillation, with a notable trend towards increased defibrillation as the number of VRs increased. https://www.hrsonline.org/education/TheLead https://www.jacc.org/doi/10.1016/j.jacc.2022.11.047 Host Disclosure(s): D. Varghese: No relevant financial relationships with ineligible companies to disclose.  Contributor Disclosure(s): S. Cheskes: Honoraria/Speaking/Consulting Fee: Zoll Medical Corporation J. Grady: Honoraria/Speaking/Consulting Fee: Abiomed

Date: March 3, 2023 Reference: Hosseinialhashemi et al. Intranasal Topical Application of Tranexamic Acid in Atraumatic Anterior Epistaxis: A Double-Blind Randomized Clinical Trial. Ann Emerg Med. 2022 Guest Skeptic: Dr. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. Her interest is serving French minority communities delivering care at the Montfort Hospital in Ottawa. Case: Jim is […] The post SGEM#395: Too Much Blood from My Nose – Will TXA Help? first appeared on The Skeptics Guide to Emergency Medicine.

Welcome to Episode 39 of our MacEmerg podcast. In this episode: 1)We receive an update from Dr. Alim Pardhan about the EPIC journey he is taking with the Hamilton Health Sciences crew. 2) Resident Corner features Dr. Katie Hayes talking about the CCFP-EM program here at McMaster.

#155: Dr. Carlos Yu - Master Your Mind, Master Your Life   On this episode Gary chats with good friend and personal physician, Dr. Carlos Yu. Gary and Dr. Yu both got very vulnerable, opening up to each other, and while this conversation covered many topics, it transcended the traditional doctor/patient interaction. Gary had a few 'aha' moments and some epiphanies and hopes to help others with this new information. Dr. Yu just got back from a lengthy hiatus, and we learn why and what he learned during it, including the Wim Hof cold water therapy. He specializes in Auricular acupuncture and is looking for participants to help in a study, please contact Gary to be part of it. Take notes and listen twice to this one! WHAT YOU'LL LEARN: Why Dr. Yu took an extended hiatus, and what he learned from it The good and the bad of taking an extended hiatus, and how he overcame the bad Just why he plunged repeatedly into Lake Ontario (cold water Wim Hof Method therapy), to help focus on the moment What does being PRESENT really mean, and WHY it's so important to make the most of each moment How good mental health was compromised during the pandemic, and depression and anxiety skyrocketed  Is the mind part of the immune system and the role of mindset How fear compromised the immune system What is addiction and why someone goes down that path Meditation benefits and HOW to do it Flavonoids and good nutrition Generally how to stay healthy and boost your immune system And MORE! Dr. Yu's Bio Dr. Carlos Yu, BMath, MD, CCFP(EM), CTH, FCFP Dr. Carlos Yu is a Psychotherapy, Addiction Medicine, Integrative Family medicine, Emergency medicine, and Travel Medicine Physician at Ajax Harwood Clinic.  Carlos graduated from the University of Western Ontario and completed his residency training at North York General Hospital.  His interests also include promoting population wellness through giving talks or running wellness groups at schools and other institutions.  He runs weekly Accu-stress Reduction and Mindfulness -based Intervention groups open to everyone from his clinic in Ajax. He received group facilitation training through Mindfulness Without Borders, a non-profit organization that delivers mindfulness training to help individuals manage stress and emotional difficulties.    Website/contact info for guest: Web: https://ajaxharwoodclinicblog.wordpress.com Facebook: https://www.facebook.com/carlos.yu.940 Instagram: https://www.instagram.com/c.yu765/ This episode proudly sponsored by BM Select - https://bmselect.ca  Are you looking to become a millionaire through real estate investing? Then BM Select is for you! BM Select has helped more people become millionaires over the past 15 years than ANY OTHER mortgage broker in Canada! BM Select focuses on working with Real Estate Investors who are looking to begin or expand their portfolio, as well as specializing in working with customers that are engaged with our host of Realtor contacts across Canada. At BM Select we offer strategic mortgage solutions with dedicated Agent Support along with leading-edge Underwriting and Fulfillment Services that allow you to sleep well knowing your mortgage transactions are being handled by top quality professionals. To find out more, visit the website or email https://bmselect.ca  Other Links: Private Investing, visit https://deep-pockets.ca Real Estate Investment Club visit https://www.smarthomechoice.ca  Gary's mentorship program visit https://garyhibbert.ca  Start your own Podcast visit https://www.podcastexperts.ca 

This is a bonus episode. No show notes for this one. Enjoy!

This is a bonus episode. No show notes for this one. Enjoy! (2:17) FRCP residency vs CCFP-EM residency (18:21) *Anesthesiology* gives the best resus training (?!) (35:20) How easy is it to change careers / 'FM-specialities' as a family physician? (36:14) How accessible is "+1" residency training for family physicians? (general) (37:53) How accessible is "+1" residency training for family physicians? (CCFP-EM) (38:50) If I don't match to CCFP-EM year, where should I go to get experience / prepare to challenge? (40:05) Can I become a FRCP specialist (in various specialties), after training in family medicine? (47:16) Alternative EM training options for family physicians (that don't match to CCFP-EM) (48:15) GP-Anesthesia Training as an alternate to EM residency (and in general as a career)

Brian interviews Chris Keefer MD, President of Canadians for Nuclear Energy discussing his attendance at COP 26 in Glasgow and how he feels nuclear energy is the solution to our climate crisis.Chris Keefer MD, CCFP-EM is Staff Emergency Physician at St Joseph's Health Centre, a Lecturer Department of Family and Community Medicine University of TorontoMedical, Director: www.emdeliberatepractice.comPresident Canadians for Nuclear Energy: www.canfornuclearenergy.orgHost: The Decouple Podcast https://anchor.fm/chris15401 Director: https://www.doctorsfornuclearenergy.org

Listen to the full episode by supporting us on Patreon: https://www.patreon.com/yogatherapyhourAmy discusses with Shailla Vaidya, a former Emergency Room Physician and Family Doctor. Shailla MD MPH CCFP(EM) C-IAYT is a graduate of Dalhousie Medical School, the University of Ottawa Family and Emergency Medicine Residency Program, and the Harvard T.Chan School of Public Health. Shailla worked on the Reservations of the First Nation people as a Medical Doctor for several years and it had a big impact on her way of thinking about the world.In today's podcast, Shailla and Amy talk about Yoga therapy and Concussions, the effect and Shaillas experience with concussion.They discuss the following:·        Land Acknowledgement of the First Nation people of Canada and the history of indigenous people and their culture·        Shailla talks on how she feels when her South Asian culture is misrepresented, not understood or unappreciated·        Shailla talks about her experience with concussion and what she has learned from the experience of having to accept her new life and limitations·        Processes/Stages of Grief that go with an injury like a concussion·        Benefits of slowing down into a new way of Be-ing and practicing selfcare to heal a concussion·        Tools of Yoga and how they help to promote healing include:-Changes in perception about her situation and life-Slow breath and coordinated movement is the key tool for changing the neuroplasticity and creating new positive neuropathways-Becoming more mindful in daily life with everything she does-Having more self-compassion when her brain can't keep up-Slowing down to the pace of her body·        Physical trauma and psychological trauma are one, they are not separate·        Why change needs to happen now in our world and what we can do about it·        How underappreciation of indigenous cultures causes a higher allostatic load and makes it more difficult to heal·        The eastern cultures were naturally more slowly and thus a person can stay more embodied, the western cultures move quickly and promote more disembodiment·        How eastern cultures and western allopathic medicine are not at odds with one another·        Both eastern and western cultures are useful and need to be used together for healing·        How this path has lead Shailla to her life purpose or svadharmaToday's podcasts is sponsored by Optimal State & the upcoming Mental Health 100-hour Program for Trauma and Addiction in July 2021https://theoptimalstate.com/ optimal-state-mental-health-3-trauma-and-addiction-courseThe video version of this podcast can be found at www.GiveBackYoga.orgReplays can be found here:https://www.union.fit/orgs/give-back-yoga/videos?event_category_id=give-back-yoga-foundation-yoga-therapy-hour-with-amy-wheelerPodcast is available in audio form on all major podcast platforms. Please leave us a positive note of support on the podcast platform that you listen to our show on! We thank you!Foundations we supporthttp://www.kym.orghttps://givebackyoga.org/We have all benefitted from the ancient wisdom of India and her people, so it feels really great to be able to serve in this way. The Optimal State family has pledged on-going support of $500 per month, to go directly to KYM Mitra (www.kym.org). We will collect the monies and gift them each month. Please consider a recurring monthly payment to the fund. Even a small gift or intention makes a difference! If we make more than $500 in any given month, it will roll into the following month's payment. The hope is that we can contribute for many years to come. If you even lose the link to donate, it is at the top of the homepage at www.amywheeler.com also. We have collected over $1700 in the month of May for KYM. Thank you for your generosity!Here is the link for you to get started with your donation. We are so happy that you have decided to join us. We thank you for the bottom of our hearts!Link to click in the description: http://Paypal.me/KymMitraDonationMusic byPeter MorelyMeet Shailla VaidyaShailla Vaidya's offeringsCheck out Amy's website http://www.amywheeler.com

"How I Do It: Ultrasound-Guided Temporomandibular Dysfunction Prolotherapy," by W. Francois Louw, CCFP(EM), FCFP, MBChB (Pret), DA(SA), ECFMG, Physician, Bill Nelems Pain and Research Centre, Kelowna, British Columbia, Canada. From ASRA News, May 2021. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted. 

Welcome to Episode 19 of our MacEmerg podcast. Please take a moment to complete our survey, sharing with us your thoughts on our podcast! This will help us continue to make quality content best suited for our listeners! Click on this link below to complete the survey: https://surveys.mcmaster.ca/limesurvey/index.php/732233 In this episode: 1) Dr. Teresa Chan interviews Tim O'Shea about his work within health advocacy for his patients in Hamilton via the HAMSMaRT (Hamilton Social Medicine Response Team) program. This program is comprised of a team of dedicated health care providers seeking to ensure quality health care to Hamiltonians wherever and whoever they may be. 2)Guest star Dr. Krista Dowhos (PGY-3, CCFP-EM) is back again for another edition of Teaching that Counts with co-hosts Alim Nagji and Teresa Chan. 3) Resident's Corner section features Dr. Joana Dida interviewing Drs. Ben Forestell and Lauren Beals (new PGY1s in the RCPSC program) who are the co-founders of ClerkCast - a limited series that they designed for CanadiEM.org. Find out more about what these talented trainees have to say about the origins of this series. p.s. Don't forget to take our survey: https://surveys.mcmaster.ca/limesurvey/index.php/732233

In this episode, Gary speaks with his personal MD, Dr. Carlos Yu. Dr. Yu specializes in getting people OFF their medications, responsibly, by replacing the effects of the meds through meditation classes, nutrition, etc. Their discussion delves into social contagions, COVID 19 and what it does to the lungs, social media hygiene, exercise, etc. and they do a LIVE 2 minute meditation! What you'll learn Is the fear spreading faster than the COVID virus itself The benefits of social media hygiene How to balance alone time with sheltering in place with your family Why walking outdoors is very valuable during this epidemic Can healthy nutrition help battle COVID, and the role of flavonoids  There are at least 5 Corona viruses Why younger people with existing health challenges can get COVID Microbiomes, gut health and more Are people dying that are essentially healthy Why Italy was the hotspot for the longest time The numerous benefits of meditation Myths about meditation Why over sanitizing is note necessarily the best course of action Addictions in the current world And a LIVE meditation!! And MORE! Bio Dr. Carlos Yu, BMath, MD, CCFP(EM), CTH, FCFP Dr. Carlos Yu is a Psychotherapy, Addiction Medicine, Integrative Family medicine, Emergency medicine, and Travel Medicine Physician at Ajax Harwood Clinic.  Carlos graduated from the University of Western Ontario and completed his residency training at North York General Hospital.  His interests also include promoting population wellness through giving talks or running wellness groups at schools and other institutions. He runs weekly Accu-stress Reduction and Mindfulness -based Intervention groups open to everyone from his clinic in Ajax. He received group facilitation training through Mindfulness Without Borders, a non-profit organization that delivers mindfulness training to help individuals manage stress and emotional difficulties.    Website/contact info for Dr. Carlos Yu Phone number 9056830690 Facebook https://www.facebook.com/carlos.yu.940 Instagram https://www.instagram.com/c.yu765/ Website https://ajaxharwoodclinicblog.wordpress.com https://www.whatisharewithpatients.com/p/home-page.html?m=1 Interested in learning more about Real Estate Investing? Visit https://www.smarthomechoice.ca

Its seems that as climate changes, particularly warming in the northern hemisphere, new diseases are also appearing to infect humans. But climate change is not the only reason Dr Courtney Howard (MD, CCFP-EM) is president of the Canadian Association of… »

On today’s show I had the chance to sit down with Dr. Carlos Yu and what an eye opening interview. One of his many missions are to help his clients get off of modern-day medicine, stop the suffering from addictions and to have them take back control of their lives.    What you will learn on this call; What is addiction and what causes it? Is addiction only drug related or can you be an addict in other areas?    The cycles of addiction and how to stop it before it begins. How do you know if you’re an addict and the symptoms? Is addiction a disease or a mental health issue that can be reversed? The importance of getting to the root cause of addiction and how to do it. What are flavonoids and how they can help your cravens and overall health. Why 30% of Ontarian's are Diabetic or Pre-Diabetic and how you can stay healthy. What types of food should you have in your daily intake? How to improve the performance of your mind through one simple task. What is B.A.M. and how it can change the way you process information. Is social media a problem and should we continue to use it? Bio: Carlos Yu BMath, MD, CCFP(EM), FCFP Assistant Professor Queen’s University and McMaster University; Lecturer at University of Toronto (Adjunct); Peer Leader, OntarioMD. Dr. Carlos Yu runs self-management education and support groups to prevent and manage chronic physical and mental conditions.  He provides experiential learning opportunities for other healthcare providers and medical learners interested in learning how to organize such groups.  Due to their innovative patient engagement strategies, the Ajax Harwood Clinic received Merck’s Patient First Award and selected by CFPC as a “Success Story of Patient Medical Home”. Dr. Yu also works as an emergency physician and enjoys farming. Website: www.whatisharewithpatients.com

Are you a Family Medicine resident about to graduate and embark on an extra year of training in Emergency Medicine (EM)? Are you worried you don’t know what it is really like to be an Emergency Medicine resident and you want to find a guide to help maximize your learning in a short and extremely fast year? As a recent CCFP-EM graduate, I can strongly relate to your fears. The one year of extra training is an important one, and you will learn a plethora of information that will be pertinent to your success as a future Emergency physician. Thus, it is paramount that you maximize and optimize this year. In this blog post, I hope to act as a guide and provide insight into how to get the most out of your training. For those individuals who do not know what the CCFP-EM program is, it is an Emergency Medicine residency fellowship (or added competency program) stemming from the tree of Family Medicine in Canada. Residents completing this program will have the ability to complete the Emergency Medicine Licensing Exam (administered by the Canadian College of Family Physicians) and practice EM across the country. It is a highly competitive program and as a one year program, the training is rigorous and substantive. Residents are expected to achieve a large volume of objectives, and experience various teaching requirements in different specialties to achieve competency for independent practice. See the companion blog post: https://canadiem.org/steps-to-success-in-enhanced-training-in-emergency-medicine-ccfp-em-year 

Are you a Family Medicine resident about to graduate and embark on an extra year of training in Emergency Medicine (EM)? Are you worried you don’t know what it is really like to be an Emergency Medicine resident and you want to find a guide to help maximize your learning in a short and extremely fast year? As a recent CCFP-EM graduate, I can strongly relate to your fears. The one year of extra training is an important one, and you will learn a plethora of information that will be pertinent to your success as a future Emergency physician. Thus, it is paramount that you maximize and optimize this year. In this blog post, I hope to act as a guide and provide insight into how to get the most out of your training. For those individuals who do not know what the CCFP-EM program is, it is an Emergency Medicine residency fellowship (or added competency program) stemming from the tree of Family Medicine in Canada. Residents completing this program will have the ability to complete the Emergency Medicine Licensing Exam (administered by the Canadian College of Family Physicians) and practice EM across the country. It is a highly competitive program and as a one year program, the training is rigorous and substantive. Residents are expected to achieve a large volume of objectives, and experience various teaching requirements in different specialties to achieve competency for independent practice. See the companion blog post: https://canadiem.org/steps-to-success-in-enhanced-training-in-emergency-medicine-ccfp-em-year 

Botulism: a guide to recognition, reporting and referral - with Dr Claudia Kraft Dr Claudia Kraft, MD, CCFP (EM), MSc, is an emergency physician, formerly a full-service family physician. She has practiced in the Canadian Arctic/subarctic for her entire medical career, first in Iqaluit, Nunavut and now in Yellowknife, Northwest Territories (where she lives with her partner Steve, their son Henry, and their husky). To learn more about Botulism, visit BMJ Best Practice (https://bestpractice.bmj.com/topics/en-gb/810). _ The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Host Ryan Stanton, MD, FACEP talks to Ken Milne MD, MSc, CCFP-EM about updates and challenges in rural emergency medicine and valuable "low-tech, high thought" skills in the ED.

A recent needs assessment completed in Toronto found that Emergency providers are undereducated when it comes to the Emergency Management of Sickle Cell Disease. This became brutally apparent to me personally, while I was researching this topic. It turns out that we're not so great at managing these patients. Why does this matter? These are high risk patients. In fact, Sickle Cell patients are at increased risk for a whole slew of life threatening problems. One of the many reasons they are vulnerable is because people with Sickle Cell disease are functionally asplenic, so they're more likely to suffer from serious bacterial infections like meningitis, osteomyelitis and septic arthritis. For a variety of reasons they're also more likely than the general population to suffer from cholycystitis, priapism, leg ulcers, avascular necrosis of the hip, stroke, acute coronary syndromes, pulmonary embolism, acute renal failure, retinopathy, and even sudden exertional death. And often the presentations of some of these conditions are less typical than usual. Those of you who have been practicing long enough, know that patients with Sickle Cell Disease can sometimes present a challenge when it comes to pain management, as it's often difficult to discern whether they're malingering or not. It turns out that we've probably been under-treating Sickle Cell pain crisis pain and over-diagnosing patients as malingerers. Then there are the sometimes elusive Sickle Cell specific catastrophes that we need to be able to pick up in the ED to prevent morbidity, like Aplastic Crisis for example, where prompt recognition and swift treatment are paramount. A benign looking trivial traumatic eye injury can lead to vision threatening hyphema in Sickle Cell patients and can be easy to miss. In this episode, with the help of Dr. Richard Ward, Toronto hematologist and Sickle Cell expert, and Dr. John Foote, the Residency Program Director for the CCFP(EM) program at the University of Toronto, we'll deliver the key concepts, pearls and pitfalls in recognizing some important sickle cell emergencies, managing pain crises, the best fluid management, appropriate use of supplemental oxygen therapy, rational use of transfusions and more... The post Episode 68 Emergency Management of Sickle Cell Disease appeared first on Emergency Medicine Cases.

A recent needs assessment completed in Toronto found that Emergency providers are undereducated when it comes to the Emergency Management of Sickle Cell Disease. This became brutally apparent to me personally, while I was researching this topic. It turns out that we’re not so great at managing these patients. Why does this matter? These are high risk patients. In fact, Sickle Cell patients are at increased risk for a whole slew of life threatening problems. One of the many reasons they are vulnerable is because people with Sickle Cell disease are functionally asplenic, so they’re more likely to suffer from serious bacterial infections like meningitis, osteomyelitis and septic arthritis. For a variety of reasons they’re also more likely than the general population to suffer from cholycystitis, priapism, leg ulcers, avascular necrosis of the hip, stroke, acute coronary syndromes, pulmonary embolism, acute renal failure, retinopathy, and even sudden exertional death. And often the presentations of some of these conditions are less typical than usual. Those of you who have been practicing long enough, know that patients with Sickle Cell Disease can sometimes present a challenge when it comes to pain management, as it’s often difficult to discern whether they’re malingering or not. It turns out that we’ve probably been under-treating Sickle Cell pain crisis pain and over-diagnosing patients as malingerers. Then there are the sometimes elusive Sickle Cell specific catastrophes that we need to be able to pick up in the ED to prevent morbidity, like Aplastic Crisis for example, where prompt recognition and swift treatment are paramount. A benign looking trivial traumatic eye injury can lead to vision threatening hyphema in Sickle Cell patients and can be easy to miss. In this episode, with the help of Dr. Richard Ward, Toronto hematologist and Sickle Cell expert, and Dr. John Foote, the Residency Program Director for the CCFP(EM) program at the University of Toronto, we’ll deliver the key concepts, pearls and pitfalls in recognizing some important sickle cell emergencies, managing pain crises, the best fluid management, appropriate use of supplemental oxygen therapy, rational use of transfusions and more... The post Episode 68 Emergency Management of Sickle Cell Disease appeared first on Emergency Medicine Cases.

In this episode on Oncologic Emergencies Dr. John Foote (University of Toronto's CCFP(EM) residency program director) and Dr. Joel Yaphe (the director of the University of Toronto's Annual Update in Emergency Medicine conference in Whistler), review 5 important presentations in the patient with cancer: fever, shortness of breath, altered mental status, back pain and acute renal failure; with specific attention to key cancer-related emergencies such as febrile neutropenia, hypercalcemia, superior vena cava syndrome, hyperviscosity syndrome and tumor lysis syndrome. The post Episode 33: Oncologic Emergencies appeared first on Emergency Medicine Cases.

In this episode on Oncologic Emergencies Dr. John Foote (University of Toronto's CCFP(EM) residency program director) and Dr. Joel Yaphe (the director of the University of Toronto’s Annual Update in Emergency Medicine conference in Whistler), review 5 important presentations in the patient with cancer: fever, shortness of breath, altered mental status, back pain and acute renal failure; with specific attention to key cancer-related emergencies such as febrile neutropenia, hypercalcemia, superior vena cava syndrome, hyperviscosity syndrome and tumor lysis syndrome. The post Episode 33: Oncologic Emergencies appeared first on Emergency Medicine Cases.

As bonus to Episode 33 on oncologic emergencies, Dr. John Foote, the CCFP(EM) residency program director at the University of Toronto tells us about his Best Case Ever in which he missed an important cancer-related diagnosis. In the related episode with Dr. Foote and Dr. Joel Yaphe, we will review 5 common presentations in the patient with cancer: fever, shortness of breath, altered mental status, back pain and acute renal failure; with specific attention to key cancer-related emergencies such as febrile neutropenia, hypercalcemia, superior vena cava syndrome, hyperviscosity syndrome and tumor lysis syndrome. The post Best Case Ever 16: Oncologic Emergencies appeared first on Emergency Medicine Cases.

As bonus to Episode 33 on oncologic emergencies, Dr. John Foote, the CCFP(EM) residency program director at the University of Toronto tells us about his Best Case Ever in which he missed an important cancer-related diagnosis. In the related episode with Dr. Foote and Dr. Joel Yaphe, we will review 5 common presentations in the patient with cancer: fever, shortness of breath, altered mental status, back pain and acute renal failure; with specific attention to key cancer-related emergencies such as febrile neutropenia, hypercalcemia, superior vena cava syndrome, hyperviscosity syndrome and tumor lysis syndrome. The post Best Case Ever 16: Oncologic Emergencies appeared first on Emergency Medicine Cases.

In this episode on Pulmonary Embolsim we have the triumphant return of Dr. Anil Chopra, the Head of the Divisions of Emergency Medicine at University of Toronto, and Dr. John Foote the CCFP(EM) residency program director at the University of Toronto. We kick it off with Dr. Foote's approach to undifferentiated dyspnea and explanation of Medically Unexplained Dyspea ('MUD') and go on to discuss how best to develop a clinical pre-test probability for the diagnosis of pulmonary embolism using risk factors, the value of the PERC rule, Well's criteria and how clinical gestalt plays into pre-test probability. Dr. Chopra tells about the appropriate use of D-dimer to improve our diagnostic accuracy without leading to over-investigation and unwarranted anticoagulation. We then discuss the value of V/Q scan in the workup of PE, and the pitfalls of CT angiography. A discussion of anticoagulation choices follows and the controversies around thrombolysis for submassive PE are reviewed. The post Episode 21: Pulmonary Embolism appeared first on Emergency Medicine Cases.

Acute Dyspnea has a wide differential diagnosis from Metabolic Acidosis to Medically Unexplained Dyspnea. As a bonus to Episode 21 on Pulmonary Embolism and Acute Dyspnea, Dr. John Foote the CCFP(EM) residency program director at the University of Toronto presents his Best Case Ever related to an Acute Dyspnea presentation. In the related episode on Pulmonary Embolism we havet, with Dr. Foote, the triumphant return of Dr. Anil Chopra, the Head of the Divisions of Emergency Medicine at University of Toronto . We kick it off with Dr. Foote's approach to undifferentiated acute dyspnea and explanation of Medically Unexplained Dyspea (‘MUD') and go on to discuss how best to develop a clinical pretest probability for the diagnosis of pulmonary embolism using risk factors, the value of the PERC rule, Well's criteria and how clinical gestalt plays into pretest probability. Dr. Chopra tells about the appropriate use of D-dimer to improve our diagnostic accuracy without leading to over-investigation and unwarranted anticoagulation. We then discuss the value of V/Q scan in the workup of PE, and the pitfalls of CT angiography. A discussion of anticoagulation choices follows and the controversies around thrombolysis for submassive PE closes the podcast. [wpfilebase tag=file id=384 tpl=emc-play /] [wpfilebase tag=file id=385 tpl=emc-mp3 /]

Acute Dyspnea has a wide differential diagnosis from Metabolic Acidosis to Medically Unexplained Dyspnea. As a bonus to Episode 21 on Pulmonary Embolism and Acute Dyspnea, Dr. John Foote the CCFP(EM) residency program director at the University of Toronto presents his Best Case Ever related to an Acute Dyspnea presentation. In the related episode on Pulmonary Embolism we havet, with Dr. Foote, the triumphant return of Dr. Anil Chopra, the Head of the Divisions of Emergency Medicine at University of Toronto . We kick it off with Dr. Foote’s approach to undifferentiated acute dyspnea and explanation of Medically Unexplained Dyspea (‘MUD’) and go on to discuss how best to develop a clinical pretest probability for the diagnosis of pulmonary embolism using risk factors, the value of the PERC rule, Well’s criteria and how clinical gestalt plays into pretest probability. Dr. Chopra tells about the appropriate use of D-dimer to improve our diagnostic accuracy without leading to over-investigation and unwarranted anticoagulation. We then discuss the value of V/Q scan in the workup of PE, and the pitfalls of CT angiography. A discussion of anticoagulation choices follows and the controversies around thrombolysis for submassive PE closes the podcast. [wpfilebase tag=file id=384 tpl=emc-play /] [wpfilebase tag=file id=385 tpl=emc-mp3 /] The post Best Case Ever 8: Acute Dyspnea appeared first on Emergency Medicine Cases.