by Mathieu McKinnon | Mar 26, 2026 | Anesthesiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
Blood pressure management in trauma is one of the most deceptively complex decisions we make in the emergency department. In the first hour of resuscitation, competing physiologic priorities collide: permissive hypotension may protect clot integrity in hemorrhagic...
by Amanda Mattice | Mar 25, 2026 | Anesthesiology, emergency, Journal Club, Pre-Hospital, Prehospital and Transport Medicine, PTM Journal Club, Trauma
In this month’s Journal Club, we explored the impact of post-intubation hypotension for critically ill trauma patients with severe traumatic brain injury (TBI) in the prehospital setting. Background and Study Objectives Trauma patients present with a variety of...
by Thariq Badiudeen, Rajiv Thavanathan, Yuqi Gu | Dec 18, 2025 | Anesthesiology, Featured, Ultrasound
Hip fractures are a common emergency department presentation and, with an aging population, their incidence will continue to rise. These injuries are profoundly painful, and many patients experience moderate to severe pain for at least one month following fracture...
by Courtney Price | Oct 16, 2025 | Anesthesiology, Cardiology, CME, emergency, Grand Round Summaries, Respirology
It’s no secret that in Canada, family medicine is in crisis. 6.5 million Canadians are without a family doctor,¹ and in a recent Ontario survey, 65% of family physicians reported preparing to leave their profession or reduce hours over the next five years.² This is...
by Hailey Newton | Sep 25, 2025 | Airway, Anesthesiology, ENT, Featured, Grand Round Summaries, Infectious Disease
As an emergency medicine physician, whether you are working in the resuscitation bay or in urgent care, ENT complaints are common and will be encountered in both areas. The goal of this post is to provide you with a practical framework and highlight tips and tricks...
by Isabella Menchetti | Sep 18, 2025 | Airway, Anesthesiology, emergency, Gastroenterology
A 60-year-old male with a history of cirrhosis arrives in your ED in extremis; no vital signs, massive hematemesis en route, and a presumptive diagnosis of ruptured esophageal varices. Your team initiates the massive transfusion protocol, secures the airway, and...
by James Gilbertson, Michael Woo, Sarah Tierney, Reva Ramlogan | May 8, 2025 | Anesthesiology, Featured, Orthopedics, Ultrasound
Do you like Sci-Fi? You’ll love the SIFI! Since we’re in May, Star Wars fans get to celebrate with “May the 4th be with you”, but we’re here to introduce you to an even better type of SIFI: The Supra-Inguinal Fascia Iliaca (SIFI) Block. (…we’re well...
by Nicholas Choi | May 1, 2025 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Respirology
Disclaimer: there is little high-quality evidence on the ED management of hemoptysis, particularly non-massive hemoptysis. The recommendations made below are heavily influenced by published case reports and expert opinion, as well as discussions with local specialty...
by Naman Arora, Hans Rosenberg, Christian Vaillancourt | Mar 10, 2025 | Airway, Anesthesiology, Critical Care, Full Article, Journal Club
Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods: The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for...
by Shane Baistrocchi | Feb 13, 2025 | Airway, Anesthesiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
Procedural sedation (PS) is a cornerstone of Emergency Medicine, frequently employed in the Emergency Department (ED) to facilitate painful or anxiety-provoking procedures while ensuring patient comfort. The goal is to achieve optimal sedation while allowing for rapid...
