Tactical Medicine News Blog

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

Posted by Anton Helman on

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. The post Episode 56 The Stiell Sessions: Clinical Decision Rules and Risk Scales appeared first on Emergency Medicine Cases.

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

Posted by Anton Helman on

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. The post Episode 56 The Stiell Sessions: Clinical Decision Rules and Risk Scales appeared first on Emergency Medicine Cases.

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US4TW Case: 39F with Chest Pain

Posted by Jeffrey Shih, MD, RDMS on

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this peer-reviewed case series, we focus on a real clinical case where bedside ultrasound changed the management or aided in the diagnosis. In this case, a 39-year-old female with history of lupus presents with chest pain.

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I am Chris Nickson, co-creator of LITFL: How I Work Smarter

Posted by Michelle Lin, MD on

Unless you have been living under a rock, you undoubtedly have used a resource or participated in an event led by Chris Nickson. Chris is an emergency physician and intensivist, who has humbly amassed an impressive list of accomplishments in the community of FOAM, including co-creating Life in the Fast Lane, SMACC, iTeachEM, and The RAGE podcast to name a few. In fact, he wins the prize for the person tagged the most number of times by other How I Work Smarter contributors. Everyone certainly wants to know how he is able to get things done so efficiently. Here are Chris’ words of wisdom.

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MEdIC Series | The Case of the Late Letter

Posted by Eve Purdy, BHSc MD on

Programs across the country are in the midst of the residency selection process. Fourth years have submitted personal statements, CVs, and letters of reference and are starting on the interview circuit. Obtaining letters is a hot topic for students but it is also important topic for preceptors and educators to consider their role in this process too! This month’s ALiEM MEdIC series case hopes to elicit our community’s considerations about the best and worst practices for requesting and responding to reference letter requests. Join us for this discussion!

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