mackenzie howatt

Great day representing @EMSaintJohn at AIME Awake learning from the best in emergency airway management from @DalDeptEmergMed @ParxEM @SowersMD Fantastic high yield course with a ton of hands on training and repetition. has renewed my enthusiasm for awake airway management!

It is no coincidence that CAEP's Advocacy Award is named after @alandrummond2. This month he is featured on the cover of MacLean's Magazine. Read the story here: macleans.ca/longforms/er-d… @CJEMonline @CAEPResidents @caepstudent

Are you an FRCPC EM trainee or FRCPC/CCFP-EM recent grad who is interested in a career in medical education? If so, we @queensem have a 1-yr med.ed. fellowship that might be right for you. We are now accepting applications for July 2023. @caepresidents #emergencymedicine" target="_blank" rel="nofollow noopener">emergencymed.queensu.ca/academics/fell…

NEW: Effective Monday, Sept. 12, 2022, the hours of operation for the Emergency Department at the Sussex Health Centre (SHC) will temporarily change to Monday to Sunday (seven days a week), 7:30 a.m. to 8:30 p.m. @Global_NB

@jgordonboyd @KingstonHSC #goals @PaulAtkinsonEM @sjrhem

The results are in-@KingstonHSC has the fastest door-to-needle time for thrombolysis in acute ischemic #stroke in ALL OF ONTARIO!!! Our average time is 28 minutes! Congrats to all who are involved with our program.

Ducharme says what’s uncomfortable “Emerg Medicine needs to define what its not because at the moment it’s everyone else’s answer - go to the ED. That isn’t a speciality.” #ICEM2022

We keep hearing how our healthcare system is collapsing (which it is). But that does nothing to improve our understanding. Let’s use a hypothetical emergency department visit to highlight the disaster that is happening every day around the country. Here’s a thread 🧵:

@RVeldhoen @therealdraa_ron @katiewiskar @ProcedurePRIME He who must not be named

Real-time ultrasound guidance for procedures: curious as to who is doing this, and for which procedures? Outside of vascular access/arterial lines, are you regularly using ultrasound in real time? Why or why not?

@therealdraa_ron @RVeldhoen @katiewiskar @ProcedurePRIME I’ve also learned from IR do it with real-time US - helps to know where your wire is and help direct your placement, along with being safer

@RVeldhoen @katiewiskar @ProcedurePRIME Did the same for a percutaneous chest tube this past week, because that same, deeply respected respirologist taught me the procedure as well. This is the way.

@BuddingSprout Interesting case! Under recognized disease In my opinion. Most of my cases (at least those I haven’t missed!) have had sky high lactates (?selection bias). Had a case last week. Floor consult- with lactate >28 and ph of 6.56. Stressful case when in a centre without dialysis!

New consult: 64F DMII (metformin 1g BID) presents with N&V x 7 days with normal hemodynamics with nil regional ischemia. Nil cirrhosis, nil beta agonist use, nil HIV meds, nil alcohol consumption, nil short gut. Lactate continues to increase despite volume expansion.

While in the tub, My daughter just covered her (toddler) younger brother’s head/face with a bathing suit and then proceeded to dump water over him. Guess kids are learning enhanced interrogation techniques younger and younger these days…

Echoing everyone else that this is required reading for anyone that works in or interacts with the ED. The speciality has an identity crisis, increasingly asked (?required) to expand scope of practise while drowning in volume, complexity, and vitriol link.springer.com/article/10.100…

Emergency Medicine seems at a crossroads. Do we continue to be the open door that accommodates all who fall through the cracks in other services or do we start to crank the door shut and focus on what we define as our core business? Great article. link.springer.com/article/10.100…

We have capacity for 10,000 people. Come to get your third dose Kingston! We have an empty parking lot and lots of volunteers waiting to get you your dose!

@HeatherM211 @JillianHortonMD Sarge was one of my Staff as a Clerk at St Mike’s. He was irreverent, caring, and incredibly brilliant. One of the first to show me how to be ‘human’ in medicine. Doesn’t remember me I’m sure, but he’s one of the few that left a huge mark on my medical education. Great article.

The length of an ER note is inversely proportional to the physician’s comfort with the patient’s disposition.

Glad to see Ontario reporting cases, hospitalizations and ICU admissions by vaxxed/unvaxxed. But, as more people get vaxxed, eventually most cases will occur in vaxxed group. So, it's essential that we include denominators, to accurately convey the message that vaccines work.

Participants in the Resuscitology course submit cases for discussion. Cath lab situations often come up. Good to have systems in place head of time to optimise the multispecialty / multidisciplinary ad hoc team situations that arise Resuscitology.com

A colleague also told me this morning she is worried about something I hadn’t thought about. Hundreds of patients who are currently in Ontario’s ICUs with Covid will also need weeks or months of care on an internal medicine or rehabilitation ward.