Atrial fibrillation in heart failure: Prime time for ablation! heartrhythmopen.com/article/S2666-…

I laughed…! And then I cried…

This was me until about age 28 (artist unknown) #ikigai

How do Canadian emergency physicians manage #Afib when recommendations conflict? #Epeeps CCS @lorkus17 Ryan Daniel Clare Atzema Dennis Cho #CJCOpen 👉cjcopen.ca/article/S2589-…

Don't miss Clare Atzema's plenary "Tales from the (Fibrillating) Heart" at #CAEP22 Kerstin de Wit @eddylang @CAEP_docs CAEP Residents @caepstudent. It's not too late to register caepconference.ca/registration-2…

Thank you! I took a risk I’m so glad I did. Best day of my career!

We as ER drs r tempted 2 go w/ the lower dose, ‘cause we’re never gonna see the patient again! But then you’ve just given them the worst of both worlds: not protected from stroke AND increased risk of bleeding. Follow the product monograph (& use Cockroft Gault 2 calculate CrClr)

Warfarin is usually only selected for OAC in AF if (1) Valvular disease (mod-sev MS or mechanical valve) or (2) CrClr < 30 mL/min. Some DOAC use even in the latter. BUT ER drs really shouldn’t be prescribing OAC to AF patients w/ CrClr<30 mL/min - time 2 call your consultant!

I’m an ER doc…trust me when I say that someone WILL stick their penis in this

"Why? Because anyone who needs to see a #doctor, to receive in-hospital care or homecare is competing for the same scarce #healthcare resources that patients with #LongCovid need.” — Clare Atzema/C.D. McN. The full #study is now available online in CMAJ ➡️ bit.ly/3CI5acx

Love how he translated “REB” to “IRB” for the American audience! Congrats Douglas Lee & team!

We’re going to cover it all, right down to what you should tell your AF patients about drinking coffee…!

Delayed ICH after head injury among elderly pts on anticoagulation seen in the ED by S Liu et al rdcu.be/c3jI4 ⬆️odds of delayed ICH in older ED head injured pts Rx warfarin compared to pts not on anticoagulation, direct oral anticoagulant not assoc'd w/ ⬆️ delayed ICH

After plowing through a CIHR project grant application that went right down there o the final minutes of the deadline, I needed this encouragement!

Most hospital operating rooms sit empty after 3:30 No need for costly construction, just staffing with nursing & teams Staff all OR’s to 7:30 pm, & we could complete 50% more cases Add staffing for some weekend time, and do even more …all within the current infrastructure….

Many asked how2 view myCAEPplenary_In spirit of the talk,#CAEP made it openaccess_Disclaimer:its not about AF! Its the highs&lows of my career_Pls share w trainees, &share ur own stories: so grt when successful people shared theirownbarriers w me afterward youtube.com/watch?v=Lablhu…

"People who are operated on by female surgeons are less likely to experience complications & need follow-up care than when males wield the scalpel, according to two major studies that suggest male surgeons have important lessons to learn." Angela Jerath MD, MSc theguardian.com/society/2023/a…

Hifza Buhari and I want to share our article in European Society of Cardiology Journals that set to explore why females with #atrialfibrillation have a higher risk of #stroke than males. Does it mean that female sex biologically predisposes to higher stroke risk from #afib? doi.org/10.1093/eurhea…

On the tougher days in this job, I need to remind myself that: -the self-doubt means I have ambitious career goals -the failure means I'm taking risks and trying something new -the frustration means I care and I'm passionate about my work

📝Our new pub on Emergency Department Left Without Being Seen is available in JACEP Open onlinelibrary.wiley.com/doi/10.1002/em… 📈 ED LWBS max exceeded baseline 15 out of 36 months 👉 Despite lower overall ED visits 👉 Despite more people triaged as higher acuity C.D. McN