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CRACKCast & Physicians as Humans on CanadiEM

CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. The CanadiEM Podcast brings you cutting edge clinical topics on the National Rounds Series and delves into the struggles that doctors face on the Physicians as Humans Series.

Mar 8, 2018

Core questions:

  1. List 6 commonly abused opioids (Table 156:1)
  2. Describe the opioid toxidrome (list opioid effects on Neuro, Resp, Ophtho, CV, GI, Derm)
  3. List opioid preparations associated with the following presentations:
  1. Long QTc →
  2. Prolonged QRS →
  3. Seizures →
  4. Hallucinations →)
  5. Sensorineural hearing loss →
  6. Serotonin syndrome →


  1. i) What is the dose of narcan? ii) What is the duration of action? iii) How do you administer a narcan infusion?
  2. What opioid overdoses/ingestions need longer than 6 hours of observation?
  3. What is the clinical presentation of opioid withdrawal?
  4. What are risk factors for opioid withdrawal?
  5. List 3 medications effective for opioid withdrawal.
  6. What is the number one killer of people under 50?
  7. What is Suboxone?
  8. How do you do a Suboxone induction?


  1. List 5 ddx for opioid intoxication (CNS + resp depression, + miosis).
  2. What opioids don’t cause miosis?
  3. Risk factors for opioid overdose?
  4. What is NAPE? Narcan induced pulmonary edema.
  5. Difference between a “body packer” and “body stuffer”?