Log in

goodpods headphones icon

To access all our features

Open the Goodpods app
Close icon
headphones
Emergency Care BC

Emergency Care BC

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

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
bookmark
Share icon

All episodes

Best episodes

Top 10 Emergency Care BC Episodes

Goodpods has curated a list of the 10 best Emergency Care BC episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Emergency Care BC for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Emergency Care BC episode by adding your comments to the episode page.

Emergency Care BC - End of Shift Podcast: Care and Feeding
play

02/24/23 • 33 min

Conventional medical school and residency curricula glossed over nutrition for patients and certainly made no mention of how to look after oneself on shift.

Eric and Karine discuss the roles that caffeine, hydration and nutrition play when working in emergency medicine. They look at some good and not-so-great strategies and provide some advice for shift performance enhancement.

Coffee:

Caffeine is the most widely consumed CNS stimulant, and coffee is the world's 3rd most popular beverage. If you drink coffee, you can probably do stupid things faster and with more energy but ...

Seriously, caffeine has beneficial effects on reaction time, vigilance, and attention, but there is less to suggest that it improves decision making and problem solving.

  • Caffeine is an ADENOSINE blocker. It counteracts the CNS depressant activity of adenosine.
  • 2 to 3 cups are likely the ceiling of beneficial effect. Restrict caffeine the to the first half of your shift.
  • Try a coffee nap: have a cup or a shot some time prior to your shift, IMMEDIATELY lie down and rest/sleep/doze for 30 minutes. When you wake, the caffeine will be starting to have effect.

Hydration:

  • Dehydration of 2% can affect decision making and cognitive performance.
  • 1 to 1.5 litres of water over a shift is about right.
  • Caffeine does NOT dehydrate you.
  • PEE before you put on your PPE (prior to a procedure, critical care etc.)
  • Urine colour is a reliable marker of hydration status, so if you are yellow, have a glass!

Nutrition:

  • Shift working (especially night shift working) affects circadian rhythms which has detrimental metabolic effects.
  • Night workers tend to choose sugary snacks, often out of convenience. Sleep deprivation makes you choose calorie dense carbs and salty snacks.
  • Aim for euglycemia, so avoid high glycemic foods (candy, donuts, fruit juice). Stick to balanced meals with roughage and high protein sources. Snack on fruits, vegetables, yoghurt and nuts.
  • Avoid where possible processed foods.
  • Eating at end of shift before sleeping? On one hand, you are less likely to wake up ravenous, but some data suggests that the increased body temperature generated after eating can impair sleep.
  • Eric and Karine were unable to agree on the concept of comfort food at 0200 hrs being beneficial. You must decide whether a handful of jujubes will prevail over 4 carrot sticks.
bookmark
plus icon
share episode
Emergency Care BC - End of Shift Podcast: Sepsis in the ED
play

07/23/20 • 55 min

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.

Related links

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.

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.

bookmark
plus icon
share episode

Daniel Kalla - danielkalla.com
Additional reading
Daniel Kalla

Stephen King

Michael Crichton

Resources for Emergency Care Practitioners

Conflict of Interest Statements

  • Adam Lund is an emergency physician and Clinical Associate Professor at UBC, with no conflicts related to this interview. He is the Communications Liaison for the BC Emergency Medicine Network.
  • Daniel Kalla is the author of the book reviewed in this interview, as well as an emergency physician and Clinical Associate Professor at UBC.
  • Neither participant received any additional/direct funding from the publisher by participating in this voluntary interview.

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.

bookmark
plus icon
share episode
Emergency Care BC - End of Shift Podcast: Art, Medicine, and Passion
play

11/24/20 • 41 min

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.

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.

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.

bookmark
plus icon
share episode
Emergency Care BC - End of Shift Podcast: Who Needs a Hand?
play

09/15/20 • 60 min

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

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.

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.

bookmark
plus icon
share episode

The warrior philosophy addresses doubts and fears EM caregivers experience day-to-day as they work on the front lines. Hosts Eric Angus and Joe Haegert discuss the five concepts of warriorship: observation, acceptance, focus, intention, and commitment.

They explore how this philosophy can help you mentally prepare for your shift, focusing on competence, confidence, courtesy, calm, and compassion. They also discuss how to close your shift, focusing on mental wellness (including the After Shift Martini Protocol).

They also touch on the profound fears, physical risk, and emotional impact front-line healthcare workers are experiencing in the midst of the COVID-19 pandemic.

Additional reading

Additional listening

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.

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.

bookmark
plus icon
share episode

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

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.

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, or the Vancouver Coastal Health Authority.

bookmark
plus icon
share episode

In this quick review, Dr. Julian Marsden talks to EM Network member Dr. David Barbic, who gives an overview of his recently published article, Rapid Agitation Control with Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial. The study was published in the Annals of Emergency Medicine online, on Aug. 2nd, 2021.

David walks through his motivation for the research, the study set up, key take-home points, and how the findings can be interpreted in rural EDs.

Listen to the extended version (26 mins): A more in-depth look at the study.

Dr. David BarbicDr. David Barbic is an emergency physician at St. Paul’s Hospital in Vancouver, BC. He is also a Clinician Scientist at the Centre for Health Evaluation & Outcome Sciences (CHÉOS). David’s particular clinical interest is in patients presenting to the ED with mental health and substances issues and traditionally underserved patient populations.

Dr. Julian MarsdenJulian Marsden leads the development of the Clinical Resource Program for the BC Emergency Medicine Network. He has been an emergency physician for 27 years and currently works in the emergency departments of St Paul’s, Mount Saint Joseph’s, and Vancouver General Hospital. Julian has a strong interest in knowledge translation and quality improvement.

Learn more at bcemn.ca

Disclaimer: The views and opinions expressed in this podcast are those of the authors and do not necessarily reflect the official policy or position of the BC Emergency Medicine Network.

bookmark
plus icon
share episode
Emergency Care BC - End of Shift Podcast: Viva Las Vegas
play

01/05/23 • 24 min

End of Shift went on the road in late 2021 to catch up with Dr. David Pledger. David practiced in both Las Vegas and Vancouver before settling in Nevada. He fills us in on the interesting differences between US and Canadian emergency care and comments about how COVID impacted his adopted state and British Columbia.

bookmark
plus icon
share episode
Emergency Care BC - End of Shift Podcast: Evolution of Trauma Systems
play

10/21/21 • 60 min

Management of ED trauma cases has transformed over the past 20 years. Our guest, Dr. Hazel Park, discusses new and emerging pearls, trauma systems, training, and virtual support for BC trauma management.

Dr. Hazel Park

Dr. Hazel Park is an attending emergency physician and Trauma Team Leader at Lions Gate Hospital, Medical Director of the Regional Trauma Program for Vancouver Coastal Health and Providence Health Care. She is a Clinical Associate Professor at UBC.

Dr. Park completed her training and family practice residency at the University of Toronto and worked at the emergency department of the Wellesley Hospital in Toronto. She currently volunteers as a ski patrol physician and is an advanced medical provider for the Vancouver North Shore Rescue.

Resources

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.

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.

bookmark
plus icon
share episode

Show more best episodes

Toggle view more icon

FAQ

How many episodes does Emergency Care BC have?

Emergency Care BC currently has 20 episodes available.

What topics does Emergency Care BC cover?

The podcast is about Doctor, Health & Fitness, How To, Nurse, Medicine, Podcasts, Education, Foam and Emergency Medicine.

What is the most popular episode on Emergency Care BC?

The episode title 'End of Shift Podcast: Art, Medicine, and Passion' is the most popular.

What is the average episode length on Emergency Care BC?

The average episode length on Emergency Care BC is 42 minutes.

How often are episodes of Emergency Care BC released?

Episodes of Emergency Care BC are typically released every 50 days, 2 hours.

When was the first episode of Emergency Care BC?

The first episode of Emergency Care BC was released on Mar 11, 2020.

Show more FAQ

Toggle view more icon

Comments