CEPA Mission Statement & Values
Clinical excellence
To provide exceptional and comprehensive emergency care for all patients
Citizenship
To be accountable to each other and our patients
Diversity
To encourage an environment that supports all facets of emergency medicine including, but not limited to, research, education, and teaching while promoting unity within the group.
Leadership
To promote the evolution of emergency medicine as a specialty within all areas of the healthcare system and the community
Well-being
To foster well-being in our patients, our colleagues and ourselves
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CaRMS 2017
A big thank you to all of the wonderful candidates that took the time to interview with us this year for a spot in the Fraser Emergency Medicine Program!
We are very proud of our residency program and this video created by our current residents highlights just a few of the reasons why the Royal Columbian Hospital is an amazing place to work and train.
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A letter to the public from the Royal Columbian Hospital Emergency physicians.
The Problem, Consequences and Solution
The Problem
The Royal Columbian Hospital (RCH) Emergency Department (ED) has over 50 patient stretchers. However most of the ED stretchers are filled with admitted patients who deserve to be in hospital beds outside of the ED – this is hospital overcrowding. Because of this there few properly equipped areas available for incoming emergency patients. As a result, Emergency Physicians and Nurses have been forced to examine and provide care in inadequate and unsafe areas such as the waiting room, lobby, hallways. Examinations are delayed and incomplete. Medications are often delayed or not given due to lack of monitoring. There is no privacy for patients in the hallway. All of these problems are not because of a problem in the ED, but because the hospital is overcrowded, something that is not under the control of ED Staff. ....please click on the link to read the entire letter.
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Hospital Overcrowding
Emergency department overcrowding, mortality and the 4-hour rule in Western Australia
Introduction of the 4-hour rule in Australia led to a reversal of overcrowding in three tertiary hospital EDs that coincided with a significant fall in the overall mortality rate in tertiary hospital data combined and in two of the three individual hospitals. ED overcrowding (as measured by 8-hour access block) at the tertiary hospitals improved dramatically, falling from above 40% in July 2009 to around 10% by early 2011, and presentations increased by 10%, while the mortality rate fell significantly (by 13%; 95% CI, 7%–18%; P < 0.001) from 1.12% to 0.98% between 2009–10 and 2010–11. Monthly mortality rates decreased significantly in two of the three tertiary hospitals concurrently with decreased access block and an increased proportion of patients admitted in under 4 hours.
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Editors Wanted!
We are looking for nurses and other ED Team members who would like to help us to contribute to the web site. We would like this site to be our own best resource for news, accessible from anywhere with Internet access (as opposed to the Intranet!). Contact Cimi and Adam at webmaster@rchemerg.com.
Updates
RCH Grand Rounds - June 28, 2017
Online Evaluations
We would appreciate it if you would take time to follow each of the links below and complete an evaluation for each of the speakers. Attendance will also be taken through the online evaluation form.
- Dr. Adrianna Rowe, R1 - 10 x 10 Rounds "Loperamide Toxicity"
- Dr. Melissa Allan - "Starting treatment for opioid use disorder in the emergency department made easy"
- Dr. Jess Paul, R4 - "Toxicology Jeopardy"
www.mylectures.ca
2017 CAEP | Honourary Life Membership Award
Congratulations Dr. Les Vertesi on receiving CAEP's Honourary Life Membership Award! Your CEPA family is very proud of you.
The Honourary Life Membership Award recognizes a CAEP member who has made outstanding contributions and dedicated service to emergency medicine in Canada.
Dr. Vertesi's continued contributions, including his work developing, championing and promoting the creation of the Advanced Life Support Paramedic training in British Columbia, have had a substantial impact in emergency medicine at the local, national and international level.
He is one of CAEP's founding members, joining his colleagues in 1978 to create the voice of EM in Canada.
RCH Grand Rounds - May 24, 2017
Online Evaluations
We would appreciate it if you would take time to follow each of the links below and complete an evaluation for each of the speakers. Attendance will also be taken through the online evaluation form.
- Dr. Brianne Budlovsky, R4 - "The Elderly in the Emergency Department"
- Dr. Josh Joczerginski, R4 - "Emergency Department Flow"
- Dr. Shayla Behrens, R1 - 10 x 10 Rounds "Frostbite"
- Dr. Ben Millar, R2 - PSQ Rounds - Presenter 1
- Dr. Kevin O'Riordan, R2 - PSQ Rounds - Presenter 2
www.mylectures.ca
*NEW* Parking Changes at RCH - Effective February 20, 2017
Starting February 20th, the Allen Street parking lot and the Allen Street Laneway parking spaces will be closed.
Staff can now park at the Braid Street lot and take the Shuttle to RCH (regular staff rates still apply). More information can be found by clicking the attached PDF files.
A shuttle will run every 12 minutes. This lot is walking distance to RCH if you prefer walking (~15 minutes).
Publications
**NEW Publication**
Mortality at Music Festivals: Academic and Grey Literature for Case Finding
Turris SA, Lund A. Mortality at Music Festivals: Academic and Grey Literature for Case Finding. Prehosp Disaster Med. 2017;32(1):58-63. PMID: 27928974. doi: 10.1017/S1049023X16001205.
Residency Fun!
Clinical Teacher of the Year Award | 2015 - 2016
On April 27th during the RCH EM Grand Rounds session Dr. Nicolle Holm (R4) and Dr. Wesley Jang (R4) played one of the best games of 20 Questions that we have heard in quite a while. Their questions had the audience guessing and almost crying with laughter. They definitely made sure we were all listening. Then finally, they made the big reveal and presented on behalf of the group of residents,
Dr. Tom Green with this year's Clinical Teacher of the Year Award.
The Clinical Teacher of the Year Award is given to someone who has made an outstanding contribution to the emergency medicine residency program or the betterment of our EM residents. Important qualities include leadership skills, effective teaching, contagious enthusiasm, innovation and role modelling.
Here is the award presentation
complete with the 20 questions describing what a great role model and inspiration Dr. Green is and what makes him the type of physician we, one day hope to become.
Thank you Dr. Green!
Herb Parkin Award - 1st Annual (2016)
We are very pleased to announce Dr. Anthony Bryson (R2) as our first annual winner of the Herb Parkin Award. Anthony designed and taught the curriculum for pre-hospital ultrasound for BC Ambulance Critical Care Paramedics. Currently the paramedics are being assessed for image acquisition, with the goal to have them use their skills to further advance pre-hospital care in British Columbia.
Here is a link so you can watch the video of Dr. Caroline Tyson presenting the winner.
Clinical Faculty Award for Career Excellence in Clinical Teaching 2016
We are delighted to inform everyone that... Dr. Barry Miller has won the 2016 Clinical Faculty Award for Career Excellence in Clinical Teaching
Dr. Miller has been a member of the Royal Columbian Physician group since 1981, teaching for UBC for 34 years. The Emergency Medicine group at Royal Columbian and Eagle Ridge Hospitals has a long and proud teaching history, and Dr. Miller has always been a core member of the team. Over his career, he has literally taught thousands of medical students and residents, so back in early January of 2016 our group decided to nominate Dr. Miller for this award because we sincerely believed that he had contributed a tremendous amount to furthering the education of British Columbia’s doctors, and he has certainly been a superb influence on and example to its current educators. The nomination process was definitely a trip down memory lane and we enjoyed the memories so much that we actually turned it into a specially bound booklet and presented it to Dr. Miller during his retirement party with room for signatures and well wishes at the back.
ACLS Guidelines
In November 2015, the American Heart Association put out the new AHA Guidelines for CPR & ECC.
Here are some quick links you can follow to see the new recommendations:
- 2015 AHA Guidelines for CPR & ECC (table of contents page of AHA website)
ACLS 2015 - Notes.pdf 81.94 kB