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Skeptics’ Guide to EM

  • Should You Use Direct Oral Anticoagulants for Cancer-Associated VTE?

    The Case A 73-year-old man currently undergoing chemotherapy for colon cancer presents to the emergency department with...
  • Is Intravenous Lidocaine for Pain Safe and Effective in the ED?

    The Case A 49-year-old man presents to the emergency department with the chief complaint of left lumbar back...
  • Can Tranexamic Acid Decrease Maternal Mortality?

    The Case A 27-year-old primiparous woman arrives at the emergency department after a prolonged labor at home;...

Should You Use Direct Oral Anticoagulants for Cancer-Associated VTE?

January 13, 2019 - Ken Milne, MD - 1 Comment

The Case A 73-year-old man currently undergoing chemotherapy for colon cancer presents to the emergency department with…

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Is Intravenous Lidocaine for Pain Safe and Effective in the ED?

September 19, 2018 - Ken Milne, MD - 1 Comment

The Case A 49-year-old man presents to the emergency department with the chief complaint of left lumbar back…

Read More

Can Tranexamic Acid Decrease Maternal Mortality?

July 18, 2018 - Ken Milne, MD - 0 Comment

The Case A 27-year-old primiparous woman arrives at the emergency department after a prolonged labor at home;…

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Should You Use Lidocaine Instead of Opioids to Treat Renal Colic?

May 18, 2018 - Ken Milne, MD - 1 Comment

The Case A 51-year-old male presents to the emergency department with a sudden-onset, severe, left-sided flank pain…

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Can Ottawa Subarachnoid Hemorrhage Rule Determine which Headache Patients Need More Tests?

March 13, 2018 - Ken Milne, MD - 0 Comment

The Case A 38-year-old man presents to the emergency department with sudden onset of a severe frontal…

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Prednisolone or Dexamethasone for Pediatric Asthma Exacerbations?

February 16, 2018 - Ken Milne, MD - 1 Comment

The Case A 6-year-old girl presents to the emergency department after waking up at midnight with another…

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Quick-Wee an Easier Way to Get Infant’s Clean Catch Urine Sample

December 12, 2017 - Ken Milne, MD - 0 Comment

The Case The emergency department is getting busier with the after-work and after-school crowds. The next patient…

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Platelets and Antiplatelet Therapy in Patients with Nontraumatic Intracerebral Hemorrhage

October 10, 2017 - Ken Milne, MD, MSC, CCFP-EM, FCFP, FRRMS - 0 Comment

The Case A 67-year-old woman presents with sudden onset of right-sided hemiparesis and facial droop. She takes aspirin…

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Latest Research on Nonoperative Treatment of Appendicitis in Pediatric Patients

July 11, 2017 - Ken Milne, MD - 0 Comment

The Case Johnny is a 10-year-old boy who presents to the emergency department after a 24-hour history…

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Naproxen, Diazepam Evaluated for Treating Acute, Nontraumatic Low Back Pain

May 5, 2017 - Ken Milne, MD, MSC, CCFP-EM, FCFP, FRRMS - 1 Comment

The Case A 49-year-old man presents to the emergency department with an acute onset of back pain. He…

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