Shawn Dowling
@shawnkdowling
Father of three girls, emergency physician, #recoveringacademic. My opinions are my own.
🩺 Keeping Rural EDs Open with Virtual Care A new commentary in CJEM highlights how British Columbia's Real-Time Virtual Support program has covered over 540 overnight ED shifts since 2021, preventing more than 6,000 hours of diversion. While effective in low-volume settings,…
POLL for Emergency providers (ED, EMS): In your practice setting do you have access to CPR quality metrics that provide real-time feedback (audio or visual) to rescuers on the quality of chest compressions (depth, rate, recoil) helping to ensure high-quality CPR? @CAEP_Docs
Good to see this question Shawn. I can confirm that our paramedics have been doing this for over 20 years but very few to my knowledge have been doing it in ED in Canada. Huge shout out to @garrick_mok and @vrosem @FIRST60_resus who have been doing some amazing work on this…
POLL for Emergency providers (ED, EMS): In your practice setting do you have access to CPR quality metrics that provide real-time feedback (audio or visual) to rescuers on the quality of chest compressions (depth, rate, recoil) helping to ensure high-quality CPR? @CAEP_Docs
ICYMI yesterday - the 6th Edition of the Ottawa Handbook of Emergency Medicine is out now! Filled with bedside approaches to common ED presentations, this is really useful as a bedside or educational resource! emottawablog.com/sdm_downloads/…
💊 Confusion, hyperalgesia, myoclonus? Think Opioid-Induced Neurotoxicity (OIN). A new @CJEMonline Just the Facts reviews how to recognize and manage this under-recognized cause of delirium in the ED. Hydrate, rotate, reduce. 📄 Read more: doi.org/10.1007/s43678… ✍️ Fischer L.…
🎓 Missed it live? Watch the accredited webinar on-demand! 🩺 High-stakes, High-sensitivity: Troponin-driven Diagnosis in High-risk Chest Pain 👨⚕️Expert faculty 🔗Watch now: youtu.be/BCrn6MP4vUw #CAEP2025 #EmergencyMedicine #Troponin #CPD #MedEd
Reducing ED return visits for US imaging: a QI initiative 48 % drop in ED return visits for US after launching a community “next‑day US” pathway in Saskatoon. No impact on ED length of stay. link.springer.com/article/10.100… ✅ 123 K+ patient visits (2019–2022) 📉 50 % targeted — 48…
BCVI requires a high level of clinical suspicion; otherwise, it can be fairly easy to miss. There should be a standardized approach, and Dr. Wudwud covers it in part 2 of Navigating Twists, Turns and Tears, BCVI in the ED: emottawablog.com/2025/06/naviga…
Our department also lost physician hours several months ago, despite climbing patient numbers and complexity. We saw an immediate increase in wait times, which we know is not good for patient outcomes. This is so short sighted and will result in harm to Ontarians. @CAEP_Docs
On the backdrop of increasing ED wait times we have completely inept decisions by MOH @fordnation & @SylviaJonesMPP cutting MD hrs at St. Michael's Hospital @UnityHealthTO & other hospitals Let's dig in 🧵 1/ @HumanFact0rz @davidcarr333 @raghu_venugopal cp24.com/photos/2025/06…
Hospitals across Canada installing weapons detection systems amid rise in ER violence. Calls for stronger security measures have grown louder after recent incidents like stabbings and physical assaults, by @alanna_smithh theglobeandmail.com/canada/article… via @globeandmail
Acute hemoptysis can be a terrifying presentation for both patient and provider. Management needs to be quick, efficient, and appropriately executed. Here's a practical guide to help your approach: emottawablog.com/2025/05/practi…
👀 on the Starting XI. #YYCWFC #SoarWithUs #WomensSoccer #NSL
MOH policy for Trauma Team Activation ✅✅✅ Compliance is important from our EM colleagues Trauma Surgeon's response is essential & we monitor our Trauma Team performance during Trauma Reception & Resuscitation phase We don't joke about TRAUMA! We work as ONE #TraumaTeam
I am not impressed by people who put a lot of letters after their name, or a lot of titles in front. I AM impressed by people who are: Humble. Kind. Compassionate. Respectful. Diligent. Full of integrity.
Very cool to watch the first Canadian professional women’s soccer league game. Inspiring for future women soccer players! ici.radio-canada.ca/nouvelle/21558… @NorthernSuperLg @yycwildfc

Let's find solutions to crowding and stop shaming/blaming non-urgent patients for using the emergency department. @alandrummond2 @CAEP_Docs Click on the link to find out more. youtube.com/watch?v=-4hZgE…
⏱️ Time searching dropped from 52 → 10 minutes 📉 That’s an 80% reduction ✅ Better care. Less stress. Happier teams. Full case study - eolasmedical.com/research-and-c…