Clare Atzema

Emergency physician, scientist, mother... & former bank teller, model, Sears & Consumers Distributing salesperson, restaurant hostess... Opinions are my own.

[Clare Atzema @Atzema]

I find that many AF (atrial fibrillation) questions I field from emergency physician colleagues stem from small differences in guideline documents. We (@HeartRPh, @ChrisCheungMD, @EmeliaBenjamin) tried to address that in this Concepts paper: https://t.co/kkaVdizdCm

[Amy Yu, MD @amyyu_md]

📝Our new pub on Emergency Department Left Without Being Seen is available in @JACEPOpen
https://t.co/yFrxjK67fl

📈 ED LWBS max exceeded baseline 15 out of 36 months
👉 Despite lower overall ED visits
👉 Despite more people triaged as higher acuity
@NashvegasEM

[Jen Heemstra @jenheemstra]

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

[ICES @ICESOntario]

"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." @propelresearch https://t.co/XgQrs51372

[Husam Abdel-Qadir @husam247]

@HifzaBuhari and I want to share our article in @ESC_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?
https://t.co/XMwkszQNsg

[Clare Atzema @Atzema]

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 https://t.co/bvJZvwLb7q

[Clare Atzema @Atzema]

@NoahIvers Or is that the Long term care chart package? That fat Manila envelope sitting in the ER chart slot as you run to assess the barely conscious patient breathing at a rate of 34… HF? COPD? PE? It’s probably somewhere buried in that stack of paper…

[Natalie Coburn @DrNCoburn]

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….

[Clare Atzema @Atzema]

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

[IHPME GSU @ UofT @IHPMEGSU]

You inspire us to reach new heights! @Atzema @KuanLiu2 @propelresearch #IWD2023

[CJEM @CJEMonline]

Delayed ICH after head injury among elderly pts on anticoagulation seen in the ED by S Liu et al
https://t.co/47p0jHU19c
⬆️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

[Clare Atzema @Atzema]

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

[CCS @SCC_CCS]

Don't miss the CCS/@CHRS_SCR #AFib Guidelines presentation at @FamilyMedForum tomorrow (Saturday). Tune in @ 10:15 AM EST to find out what #familyphysicians need to know - presented by Dr. Laurent Macle & @Atzema. See p.66-67 for details: https://t.co/nxHNNjKeDp

[Clare Atzema @Atzema]

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

[ICES @ICESOntario]

"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.” — @Atzema/@NashvegasEM. The full #study is now available online in @CMAJ ➡️ https://t.co/VmLST1nYEe

[Josh Trebach, MD @jtrebach]

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

[Clare Atzema @Atzema]

@NisreenMaghraby @CAEPConference Thank you @NisreenMaghraby for capturing these!

[Clare Atzema @Atzema]

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!

[CAEP Residents @CAEPResidents]

@Atzema sharing some pearls for prescribing OAC in the ER:
1. Px w/o CI should be given a 30d rx
2. There is a greater benefit for starting OACs in older patients to combat risk of stroke
3. In general DOAC> warfarin
@CAEP_Docs @CAEPConference @EMUofT

[Clare Atzema @Atzema]

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)

[CAEP Residents @CAEPResidents]

Today’s morning CORE-EM (Cardiovascular) continues with a talk from @Atzema:

TLDR ED physicians should, barring contraindications, prescribe DOACs to #afib patients who are not yet anti-coagulated… give it for 30 days and don’t under-dose!!!

@CAEPConference #CAEP22

[Clare Atzema @Atzema]

@NourKhatibMD @CAEPConference @kerstindewit @EddyLang @CAEP_Docs @CAEPResidents @caepstudent Those 60 secs were truly the pinnacle of my career. I hadn’t slept well, worried about how my EM community would respond to a talk about my challenges in getting in 2 medicine, 2 EM, & research;it was not always positive. Instead they received me with a standing ovation #grateful

[Clare Atzema @Atzema]

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

[Janis P. Tupesis @janistupesis]

This was one of the best Keynote talks that I have been to in years. Powerful. Thank you @Atzema. @CAEP_Docs @CAEPConference @CAEPResidents

[#CAEP26 Winnipeg @CAEPConference]

Don't miss @Atzema's plenary "Tales from the (Fibrillating) Heart" at #CAEP22 @kerstindewit @eddylang @CAEP_docs @CAEPResidents @caepstudent. It's not too late to register https://t.co/PHhsKkAUMy