2024


The wife, children, and grandchildren of Dr Joseph Walker (Nanoose Bay, BC) are heartbroken to announce his death at home on 22 August 2024, after a heroic struggle with metastatic melanoma.

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The BC Ministry of Health has committed to digitizing the health care system. In 2016, the Island Health Authority pioneered Cerner at Nanaimo Regional General Hospital (NRGH), transitioning from paper-based to digital systems, where clinicians could enter electronic orders and notes accessible across different settings.[1] Starting in 2018, Cerner was rolled out in phases in the Vancouver Coastal Health Authority and Provincial Health Service Authority, and Meditech Expanse adoption continued in the Fraser Health Authority and Interior Health Authority.

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We thank Dr Lenskyj for his thoughtful comments. The evaluation of emergency department patients with chest pain, while improving over the past 2 decades,[1] still has few tools to risk stratify patients who do not have an acute coronary syndrome but may require further assessment. The Vancouver Chest Pain Rule (VCPR) is an adjunctive tool that permits clinicians to safely discharge a greater number of low-risk patients, while preserving scarce hospital beds for those at higher risk.

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