Emergency Care BC – Détails, épisodes et analyse

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Emergency Care BC

Eric Angus, Joe Haegert, Carolyn MacKinnon, BC Emergency Medicine Network, Emergency Care BC

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Fréquence : 1 épisode/71j. Total Éps: 20

In-depth interviews with experts on an eclectic blend of clinical and holistic topics. Additional audio summaries of point-of-care clinical guidelines. Visit EmergencyCareBC.ca/lounge for show notes and episode discussions. *formerly BC Emergency Medicine Network

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End of Shift Podcast: Bloody Well Right - Part 2

Épisode 20

mardi 28 novembre 2023 • Durée 41:23

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 transfusion registry in BC circulates products to areas of need and does so with minimal wastage.

FFP is made from plasma which is separated from donor blood and frozen to minus 35°C to preserve it. Cryoprecipitate (cryo) is made from FFP which is frozen and repeatedly thawed in a laboratory to produce a source of concentrated clotting factors including Factor VIII, Factor XIII, von Willebrand factor and fibrinogen.

FFP can reverse the effect of warfarin because it contains substantial levels of vitamin K dependent clotting factors (II, VII, IX, X and protein C/S). FFP is indicated when a patient has MULTIPLE factor deficiencies and is BLEEDING.

Cryoprecipitate is indicated for the treatment of acquired fibrinogen deficiency or dysfibrinogenaemia, due to critical bleeding, an invasive procedure, trauma or disseminated intravascular coagulation (DIC). It’s not ideal for specific factor replacement.

If you have no factor available, you can use FFP/cryo.

DONATE DONATE DONATE!

There is never too much blood – donated blood can also be used for non-clinical research.
You can donate every 8 weeks! There are very few exclusions to donating.

Go to Canadian Blood Services - www.blood.ca - to book your donation.

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.

Related Clinical Resource:
Treatment of Persons with Inherited Bleeding Disorders (PwIBD) in the Emergency Room
by Dr. Shannon Jackson, Michelle Bech

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End of Shift Podcast: Bloody Well Right - Part 1

Épisode 19

vendredi 29 septembre 2023 • Durée 47:27

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 (VIII and IX) deficiencies, von Willebrand disorder, platelet disorders and undefined bleeding disorders.

This is episode 1 of 2 with Dr. Shannon Jackson.

Factor VIII or IX deficiency:

VIII deficient: hemophilia A, 1 in 10,000 people and IX deficient: hemophilia B, 1 in 50,000 people
X-linked recessive disorders, males have phenotypic disease, females can be obligate carriers from their fathers – but one third of emerging cases are NEW MUTATIONS
30% patients are SEVERE, with < 1% of normal factor
10 % are MODERATE, with 1 – 5 % of normal factor
Rest are classed MILD, with < 40 % normal factor

Von Willebrand disorder:

Autosomal inheritance on chromosome 12, 1 in 100 people
Type 1: low antigen amount, so low activity – 70 % cases
Type 2: defective antigen, so poor activity – 15% cases
Type 3: no vWF

FEARED bleeds are intracranial, GIB, iliopsoas, vaginal, medial forearm, anterior calf

Patients are usually very well informed - perhaps more than you.

They carry Factor First cards, identifying their disease, appropriate doses of factor for treatment and thankfully – the contact information for the on-call hematologist.

Steps in the ED? Reverse order!

End of Shift Podcast – Physician, Discipline Thyself

Épisode 10

mercredi 23 juin 2021 • Durée 01:06:26

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 attend to issues of medical staff professionalism.

Bruce also describes his early career experience working under legends in emergency medicine, like the Dr. Rosen. From there, his career path led him to Saudi Arabia, where he was the Saudi King’s private physician and hacked into a plane’s oxygen supply to treat the Amir of Kuwait while in the air.

His storied career led him to his current position at EMSS, where he emphasizes an empathic approach to bullying, challenging relationships, and mental health issues, among other disciplinary problems faced by emergency physicians.

Bruce is an attending emergency physician at Victoria General Hospital, Clinical Associate Professor at the UBC Dept of Emergency Medicine, Medical Director for Enhanced Medical Staff Support for the Vancouver Island Health Authority. He also practices hyperbaric medicine at Vancouver General Hospital.

Bruce complete medical school training at McGill University, came out west to intern at St. Pauls’ Hospital in Vancouver and completed his medical residency in Denver, Colorado. He is a frequent keynote speaker at emergency medicine conferences.

Resources

Enhanced Medical Staff Support (EMSS), Vancouver Island Health Authority

End of Shift Hosts

Eric Angus
Eric Angus is an emergency physician and trauma team leader at Lions Gate Hospital. He is married with 15-year-old twins. His non-medical interests include origami, meditation, mountain biking, skiing, rock climbing, just generally being outside, and drinking wine. He has a diploma in mountain medicine and volunteers for ski patrol and the North Shore Rescue team. He is an ATLS instructor. He dabbles in stoicism and Buddhist philosophies.

End of Shift Podcast: POCUS in the ED - In Probes We Trust

Épisode 9

mardi 23 mars 2021 • Durée 01:04:06

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 ultrasounds VS CT scan and potential diagnoses, POCUS for trauma, and rural practitioner support. Plus, Karine takes the reappointment quiz!

Karine Badra-Quirion

Karine Badra-Quirion is an emergency physician at Lions Gate Hospital in North Vancouver and St. Paul’s Hospital in Vancouver,

Related Resources

PoCUS Resources on BC Emergency Medicine Network
Real-Time Virtual Support in BC
- Real-Time Virtual Support (RTVS) offers BC emergency care providers on-demand support for patient care. RTVS is delivered by video or phone, anywhere in BC. Learn more.

End of Shift Hosts

Eric Angus
Eric Angus is an emergency physician and trauma team leader at Lions Gate Hospital. He is married with 15-year-old twins. His nonmedical interests include origami, meditation, mountain biking, skiing, rock climbing, just generally being outside, and drinking wine. He has a diploma in mountain medicine and volunteers for ski patrol and the North Shore Rescue team. He is an ATLS instructor. He dabbles in stoicism and Buddhist philosophies.

Joe Haegert
Joe Haegert practices emergency and trauma medicine at the Royal Columbian Hospital in New Westminster, British Columbia. He is a talented teacher, engaging speaker, and devoted clinician. He lives in South Surrey with his wife Sandy and managed to raise three children without much incident. Known for his unflagging enthusiasm, Joe enjoys all aspects of the outdoors and recently has taken to turning wooden burls into all manner of bowls and tables.

End of Shift Podcast: ED Nursing - As Frontline as It Gets

Épisode 8

mardi 16 février 2021 • Durée 47:01

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 emergency nurse with over a decade of experience in busy EDs. She skied competitively early on but stepped away from the podium to train in nursing at McGill University. She started practising at Montreal General Hospital, then moved out west to chase the mountains. She has worked at Lions Gate Hospital in North Vancouver ever since and recently became a Patient Care Coordinator.

Related Resources

Understanding the factors which promote registered nurses’ intent to stay in emergency and critical care areas. Authored by EM Network Nursing Representation, Mary Van Osch. (Van Osch, et al. J Clin Nurs . 2018 Mar;27(5-6):1209-1215. doi: 10.1111/jocn.14167. Epub 2018 Jan 10.)
EM Network Patient Information Sheets

End of Shift Hosts

End of Shift Podcast: Art, Medicine, and Passion

Épisode 7

mardi 24 novembre 2020 • Durée 41:45

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 happiness. He has now retired to pursue painting full time, but would Eric and Joe welcome him back into the fold? Find out if he passes the End of Shift locum quiz.

David Haughton

David Haughton received his undergraduate degree at Harvard University. He trained at Cornell Medical College in NYC, and Children’s Hospital of Los Angeles before moving to BC in 1991.

He worked at the BC Children’s Hospital for 25 years and headed the BC Section of Emergency Medicine for 11 years. In October 2017, David worked his last night shift and gave up his medical licensure to pursue painting full time.

David has been an artist for nearly all his life. He has been sketching and drawing, painting and scumbling for over 40 years. His home studio is in New Westminster, but he has travelled to Tuscany and Tofino to find inspiration for his creations. Visit https://www.haughton-art.ca to find out more about his work.

The BC Emergency Medicine Network is a community of physicians who practice emergency care in British Columbia, Canada. Visit http://bcemn.ca for clinical resources, real-time virtual support, continuing professional training, and EM innovation.

Podcast Hosts
The End of Shift Podcast is hosted by EM Network members Eric Angus and Joe Haegert.

Eric Angus

Eric Angus is an emergency physician and trauma team leader at Lions Gate Hospital. He is married with 15-year-old twins. His non-medical interests include origami, meditation, mountain biking, skiing, rock climbing, just generally being outside, and drinking wine. He has a diploma in mountain medicine and volunteers for ski patrol and the North Shore Rescue team. He is an ATLS instructor. He dabbles in stoicism and Buddhist philosophies.

End of Shift Podcast: Who Needs a Hand?

Épisode 6

mardi 15 septembre 2020 • Durée 01:00:09

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, infections, and injuries in the ED.

James advises on the best finger to get chopped off in a hostage-taking scenario, and Joe has two practice-changing, “a-ha” moments. Plus, three ways hand injuries are mismanaged in the ED.

End of Shift Hosts

Disclaimer
The discussion within the End of Shift podcast may be graphic, and some listeners may find the language and content disturbing. The views and opinions expressed in this podcast are those of the participants and do not necessarily reflect the official policy or position of the BC Emergency Medicine Network.

End of Shift Podcast: Sepsis in the ED

Épisode 5

jeudi 23 juillet 2020 • Durée 55:19

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 the status of novel therapies. Plus, is there a genetic predisposition to developing sepsis?

Sepsis Stats

1 in 18 deaths in Canada involve Sepsis
30% of Canadians hospitalized with sepsis die within 1 month.

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Emergency Care BC – Détails, épisodes et analyse

Détails du podcast

Classements récents

Apple Podcasts

Spotify

Liens partagés entre épisodes et podcasts

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Amazon2

Qualité et score du flux RSS

Historique des publications

Derniers épisodes publiés

Podcasts et contenus similaires

Podcasts Similaires Basées sur le Contenu

Apple Podcasts

Spotify

Podcasts Similaires Basées sur le Contenu

Other55

Amazon2