MITRAL RUMBLES

 

 

By Dr. Ross Feldman,
Medical Lead,
Cardiac Sciences Manitoba

January 11, 2022

Announcements

Sals Star of the Week: Dr. Justin Cloutier (introduced by Colette Seifer)

This week’s Sals Star has been a member of Cardiac Sciences and the Section of Cardiology since 2019, having completed his training at the University of Manitoba.

What makes him stand out, is he was attending last week on CTU B– a challenging task at the best of times being on intake for new patients or post intake of new patients every weekday.  However, he also was covering the service for the second straight week therefore, technically, being on call since last year!

He has managed approximately 60 admissions and consults and discharged 30 patients, making room for the low risk STEMI’s, new SBH ED patients and other patients across the province needing cardiac care. 

In his true team player style, our Sals Star reports that he would not have been able to do this without “our awesome CA/PA’s, house staff and trainees”.

Congratulations Dr Justin Cloutier!

Cardiac Sciences Program Highlight of the Month

Perioperative Cardiac Anesthesia (POCA) Clinical Assistants

Within the Cardiac Sciences Program the Section of Cardiac Anesthesia has the privilege of working with a subgroup of Anesthesia Clinical Assistants (ACA) that help to provide high quality care to our cardiac patients at St. Boniface Hospital. They are an integral part to the structure of clinical service delivery provided by the Section of Cardiac Anesthesia.

The Anesthesia Clinical Assistants (officially designated as Clinical Assistants in Anesthesia or CI.A.) are allied health professionals, qualified by advanced academic and clinical education to provide anesthetic care under the supervision of a fellowship-trained Anesthesiologist or a Physician trained in Anesthesiology and credentialed to practice the specialty in a WHRA/Shared Health facility. The  ACA is licensed by CPSM as a clinical assistant. The ACA executes complementary and supplementary therapeutic interventions and monitoring tasks that allow the Supervising Anesthesiologist to use his or her own skills more efficiently and effectively.

The role of the Clinical Assistant within any given anesthesia service is:

•        dependent on the nature of the services that the hospital/facility provides

•        as directed by the assigned Supervising Physician

•        defined by the job description approved by the CPSM

The ACA possesses a defined body of knowledge, clinical skills, procedural skills and professional attitudes, which are directed to effective patient centered care in the anesthesia and operative environment. They apply these competencies to collect and interpret information, make appropriate clinical decisions, and carry out diagnostic and therapeutic interventions. They do so within the boundaries of the discipline in which they are practicing, personal expertise, the healthcare setting, and the delegator relationship with their Supervising Physician(s) and the patient context. Specifically within Cardiac Anesthesia the ACA’s are directly involved in patient care as Physician Extenders as described above in the operating room, ICCS, and Bergen Centre.

This Week’s Faculty Publications

Danyal Ladha, Karima Khamisa, Steven Promislow Hemolytic anemia and a new murmur in a 77-year-old man  CMAJ. 2021 Sep 7;193(35):E1389. doi: 10.1503/cmaj.202620.

Kevin F Boreskie, Jacqueline L Hay, Patrick E Boreskie, Rakesh C Arora, Todd A Duhamel Frailty-aware care: giving value to frailty assessment across different healthcare settings BMC Geriatr. 2022 Jan 3;22(1):13. doi: 10.1186/s12877-021-02722-9.

Rosie Fountotos, Haroon Munir, Michael Goldfarb, Sandra Lauck, Dae Kim, Louis Perrault, Rakesh Arora, Emmanuel Moss, Lawrence G Rudski, Melissa Bendayan, Palina Piankova, Victoria Hayman, Julia Rodighiero, Marie-Claude Ouimet, Sarah Lantagne, Nicolo Piazza, Jonathan Afilalo  Prognostic Value of Handgrip Strength in Older Adults Undergoing Cardiac Surgery  Can J Cardiol. 2021 Nov;37(11):1760-1766. doi: 10.1016/j.cjca.2021.08.016. Epub 2021 Aug 28.

Hilary Bews, Mahwash Saeed, Shuangbo Liu Peripartum cardiomyopathy CMAJ. 2021 Nov 15;193(45):E1733. doi: 10.1503/cmaj.210468.

Hoping everyone in the CSMB community is keeping safe and warm!

Ross