This is EMKases, EM Quick Hits podcast.

Quick. Let's get on with it.

EM cases is part of Shremie, the Schwartz-Riseman Emergency Medicine Institute.

That's the nonprofit organization dedicated to improving EM care through high-quality research and education. The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose treat or prevent any medical condition, nor should they be used as a substitute for medical advice from qualified practicing physician. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of the Institute nor medicine cases.

First up, we have an exciting new series on EM Quickets, the name of the series, QI Corner.

Now, I know what you're probably thinking. QI, really? Those two letters spell boring, but oh no, this series takes real cases from various campuses of janice general dissects them grinds them analyzes them and explores them and then spits out what you

as an individual can learn from them what em as a community can learn from them what our systems

and admin can learn from them and what our systems and admin can learn from them,

and it gives us a deeper understanding of how our minds work so that we can not only take

great care of our patients, but so we can learn from our mistakes and not beat ourselves up

over badness that happens that's out of our control.

A special thanks to Jesse McLaren.

That's ECG cases, of course, and Lucas Chartier, who was actually on the EM cases team

way back when we started in 2010 for helping create this series.

And our rising star podcaster for this series, the wonderful Tahara Bate, an EM doc from University Health Network in Toronto.

Take it away, Dr. Bate.

All right.

So it's Friday night.

You're just finishing up on a really busy main side, cascading over to the fast track and looking for some nice, easy charts to kind of round out the rest of your shift.

First chart you pick up is for this young guy. He's complaining of arm pain and swelling.

Looks like he's had some multiple recent visits for the same. Triage note also mentions that he's from a shelter.

So you scan your EMR. Doesn't show much. Seems like he's got a history of polysubstance,

...