CFPC cheat sheet

Periodic health visit: screen for hypertension at every visit in adults; colorectal cancer screening ages 45-74 (FIT q1-2y, colonoscopy q10y); cervical screening q3y cytology ages 25-69 in most Canadian jurisdictions.

Prenatal care schedule: visits q4-6 weeks to 28 weeks, q2-3 weeks to 36 weeks, then weekly; gestational diabetes screening at 24-28 weeks with 50 g glucose challenge.

Well-baby visits at 1-2 weeks, 2, 4, 6, 9, 12, 18 months, then annually; immunization schedule follows the Canadian Immunization Guide provincial equivalents.

Framingham/CANHEART risk: statin therapy indicated for adults with 10-year cardiovascular risk >=20%, or >=10% with additional risk modifiers.

Depression: PHQ-9 score >=10 supports moderate depression; first-line is psychotherapy and/or SSRI; screen for bipolar disorder before starting antidepressants.

Diabetes: A1c >=6.5% diagnoses diabetes; target A1c <=7% for most adults; metformin first-line; screen for nephropathy with urine ACR and eGFR annually.

Anticoagulation: CHADS-65 guides atrial fibrillation stroke prevention; DOACs preferred over warfarin in non-valvular AF without mechanical valve or severe mitral stenosis.

Opioid prescribing: reassess benefit at 4 weeks; if pain and function not improved, taper; co-prescribe naloxone when >=50 MME/day or concurrent sedative use.

Cardiac arrest: high-quality CPR at 100-120/min, depth 5-6 cm, full recoil; minimize interruptions; defibrillate VF/pVT immediately; epinephrine 1 mg IV q3-5 min.

Post-ROSC targeted temperature management at 32-36 C for >=24 h in comatose survivors; avoid fever; treat hypotension to MAP >=65 mmHg.

Acute coronary syndrome: obtain ECG within 10 min of arrival; STEMI requires reperfusion within 90 min of first medical contact (PCI) or 30 min of fibrinolysis.

Sepsis: draw cultures, give broad-spectrum antibiotics and 30 mL/kg crystalloid within 1 h for septic shock or lactate >=4 mmol/L.

Anaphylaxis: IM epinephrine 0.3-0.5 mg (1:1000) into anterolateral thigh, repeat q5-15 min; adjuncts (antihistamine, steroid) never replace epinephrine.

Stroke: IV thrombolysis within 4.5 h of last known well; endovascular thrombectomy up to 6 h (selected patients to 24 h) with large vessel occlusion.

Trauma: permissive hypotension (SBP ~90 mmHg) in penetrating trauma without TBI; tranexamic acid 1 g within 3 h of injury, then 1 g over 8 h.

Airway: predict difficult airway with LEMON/MOANS; preoxygenate; RSI induction with ketamine or etomidate plus a paralytic; confirm with waveform capnography.