Emergency Medicine. Quality Improvement. Patient Safety. Change Management. Opinions are my own.
Ottawa ON, Canada
Joined November 2011
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Edmund Kwok retweeted
I'm an emergency physician. I've seen what a functioning health care system needs and it's not more downloading to pharmacies thestar.com/opinion/contribu… via @torontostar
Edmund Kwok retweeted
I mean what can you possibly say?
2.2 million Ontarians without a family physician.
Rural ERs closing every damned day.
Wait times for some specialties routinely over 18 months
Aging physician workforce retiring in droves.
And the Ontario government isn't concerned.
NEW: Recruitment and retention of doctors in Ontario is “not a major concern,” the Ministry of Health suggests as it argues with the Ontario Medical Association over physician compensation.
Via @allisonjones_cp
globalnews.ca/news/10481990/…
#onpoli
Edmund Kwok retweeted
It’s finally out.
Please stop giving Paxlovid to vaccinated people.
nejm.org/doi/full/10.1056/NE…
Edmund Kwok retweeted
Casual reminder that we have yet to see RCT evidence showing that Paxlovid benefits people who've been vaccinated against COVID or recovered from it, which is now pretty much everyone.
Paxlovid evidence: still very little reason to prescribe #FOAMed
first10em.com/paxlovid-evide…
Edmund Kwok retweeted
"Do not go to the ER. Call your pharmacist."
With these words, Christian Dube has demonstrated that he is unfit to be Quebec's Health Minister.
Edmund Kwok retweeted
Regarding the recent tragic losses in Quebec & the worsening conditions throughout the country. @EShouldice @Kapur_AK @HowardOvens @docstemp @bernarddho @TrevorJain @emjayhermano @SKEMCollective @lisaesther6 @DrCarolynSnider @alandrummond2 @Avis_Favaro @HasanMSheikh @BrittJEllis
Edmund Kwok retweeted
"As eight-, 10-, 12-hour waits become the standard, I find myself apologizing 20 times per shift, 15 shifts a month, likely thousands of times per year for something that is not my fault" -- ER doc @Wall_BF #CanadaWAITS
This is the reason your ER doctors are leaving. You don’t have a family doctor, and you can’t get an admission bed. So you end up waiting and waiting in the ER for a physician who might not be able to help much, by @Wall_BF thestar.com/opinion/this-is-… @TorontoStar @raghu_venugopal
Edmund Kwok retweeted
Our abstract showing that NSTEMI with OMI have very high mortality and very long time to reperfusion. Abstract now published in November issue of Eur Ht J.
Full paper will be published as soon as we calculate GRACE scores for all patients. @RobertHermanMD @PendellM
academic.oup.com/eurheartj/a…
Edmund Kwok retweeted
I was taught this too, and later taught it myself. It's only after reflecting on their pharmacology that you land where Josh has: opioids work best with intermittent, short-term dosing.
Edmund Kwok retweeted
Your patient is in cardiac arrest. You are giving epinephrine every 3 minutes.
Is that based on any evidence? Not really.
This study in Resuscitation actually measured the epinephrine level every minute after a bolus during cardiac arrest in humans. The half-time was 2.6 minutes. This suggests we may be dose-stacking if we give it every 3 minutes.
sciencedirect.com/science/ar…
#emergency #emergencymedicine #foam #foamed #army #armymedicine #armyemdoc #tip #petpeeve #meded #trauma #icu #criticalcare #medx #medtwitter
Edmund Kwok retweeted
🧵Today was a good day for emergency medicine in Canada. We once again have returned home hopeful. CAEP reps, on behalf of our members and their patients, effectively conveyed the challenges confronting emergency departments across the nation to the Ministers of Health. /1
Edmund Kwok retweeted
Don’t trust the computer: 4% of ED code #STEMI patients requiring PCI had initial #ECG labeled ‘normal’. New @AcademicEmerMed study with @PendellM @smithECGBlog @chartierlucas, including online supplement with ECGs onlinelibrary.wiley.com/doi/…
Edmund Kwok retweeted
COVID-19 boosters are coming; who should get them?
While Canada's National Advisory Committee on Immunization (NACI) will opine very shortly, this is a great read, outlining some key nuance that is sorely missing in online conversations.
tinyurl.com/3dkxtbde by @sciencecohen
Edmund Kwok retweeted
WOW. Thank you to @clairehsnyman, a patient who has needed emergency care over the last few years, for joining CAEP and advocating for change. @Avis_Favaro Please share and amplify. @EShouldice @alandrummond2 @CVarnerEmerg
Urgent Petition to Address Wait Times, Overcrowding & Closures in Canadian Emergency Rooms - Please sign and share. Personal request for the sake of all receiving + providing care ❤️ TY
@CAEP_Docs
chng.it/jVxS4YTd9f
Edmund Kwok retweeted
Thank you to CTV news for taking up this important issue:
ctvnews.ca/health/toronto-pa…
Edmund Kwok retweeted
Remarkable story starring my wife @Erinrosenberg1 as one of the super docs that helped make this a story with a happy ending. ohfoundation.ca/be-inspired/…
cc: @OttawaHospital @KwadCast
Edmund Kwok retweeted
New @CJEMonline article with @tdbhate, @ak_taher and @chartierlucas: “Return visit audits, #qualityimprovement infrastructure, and a culture of safety: a theoretical model and practical assessment tool” link.springer.com/article/10… #QIPS #QI
Edmund Kwok retweeted
We don't have a healthcare crisis, it's an implementation crisis, says @picardonhealth. The long-time @globeandmail health columnist reflects on 40 years in health #journalism. Recording of Dalton Camp lecture at @StThomasU.
cbc.ca/radio/ideas/andr%C3%A… via @cbcideas @mlynk
Edmund Kwok retweeted
Incredibly important story. People have died, and will continue to die, from counterfeit pills bought in Mexican pharmacies.
Of six Adderall pills purchased in pharmacies in Mexican tourist hotspots, four tested positive for meth. Of four Oxycodone pills, two tested positive for fentanyl.
Insane investigative into Mexico's fake pill market by @mexicoreporter and @BunkPolice
vice.com/en/article/m7bbxv/m…
Edmund Kwok retweeted
EMOttawa JC: Quality initiative to improve ED sepsis bundle compliance through utilisation of an EHR tool emottawablog.com/2023/06/qua…
Interpretation: A multidisciplinary targeted education and streamlined EHR tool may be effective in improving patient care for sepsis. #FOAMed