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Clinical Cue Cards 2.2.5 Nov 2022.pdf

Printing instructions

Cards are optimized for printing double sided in colour, in a 4x6 inch size. Many home printers can print on 4x6 inch cardstock (use the borderless setting if available). The cards will be most resilient if they are laminated. Heavy cardstock with a glossy finish, similar to ACLS cards, is also a good choice, though it may not withstand wiping for cleanliness.

Hole punch the top left corner of the cards, ideally with a 1/8 inch hole punch, and use a binder ring to hold the set together. A coil ring binding along the left margin may also work, though you risk losing content.

If you are considering professional printing (+/- lamination), let the print shop know that they can trim up to 1/8 inch from all sides of the cards if needed. Any local print shop should be able to do this work for you.

Revision history

The below list reflects the revision history since creation of this website

November 2022: Updated C3 (Reverse) - Thrombolysis in the ED to reflect Menon et al.'s AcT trial (Lancet. 2022 Jul 16;400(10347):161-169.)
January 2020: Minor typo corrected
August 28, 2019: Selected Obstetrical Emergencies (O3) - Updated definition of preeclampsia with severe features to reflect ACOG practice bulletin (Obstet Gynecol 2019; 133:e1-e25.)
December 26, 2018: RSI Drugs (A1) - Fixed a typo for fentanyl post-intubation sedation (50-100 mcg/hour infusion, not mcg/kg/hour).
December 14, 2018: Version 2.2.2 Published
- Added a new card (O5) - An Approach to Adult Procedural Sedation / Selected Paediatric Analgesic and Sedative Drugs.
- Updated DKA and HHS in Adults (O2 Reverse) - Added recommendation to consider giving a long acting basal insulin such as glargine in patient's usual 24 hour total basal insulin dose (or 0.25 units/kg of glargine if insulin naive) at the same time as starting the traditional insulin infusion. This has been shown in retrospective observational studies to lower the required dose and shorten the duration of insulin infusion, lower the incidence of rebound hyperglycemia, result in faster resolution of acidosis, and shorten the hospital stay (Cardoso et al, see References)
- Updated Selected Emergency Toxicology Treatments (D3) - Slightly altered Midazolam IM dose
- Updated Bleeding and Coagulopathy / Thrombolysis in the ED (C3) - Corrected references
November 17, 2018: Selected Emergency Toxicology Treatments (D3 Reverse) - Slightly altered naloxone dosing based on simplified algorithm suggested by EM Cases Episode 116
November 9, 2018: Updated Adult Airway Management Pause (A2 Front) to reflect current version of Pause being used in the Calgary Zone

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