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The Aorta Made Me Do It: Cognitive Bias and Acute Aortic Syndrome

The Aorta Made Me Do It: Cognitive Bias and Acute Aortic Syndrome

by Talal Alkhaldi | Oct 29, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Surgery, Trauma

It is three in the morning. A 58-year-old man with hypertension walks in with sudden, severe chest pain. He looks uncomfortable but stable. His ECG is normal. His troponin is pending. And somewhere in the back of your mind, a quiet voice says: could this be a...
OMI-nously Yours: Is it time to re-think Code STEMI?

OMI-nously Yours: Is it time to re-think Code STEMI?

by Anchaleena Mandal | Aug 20, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation

Cardiovascular disease remains one of the leading causes of death worldwide, accounting for approximately 32% of deaths globally.¹ Acute myocardial infarction (MI) accounts for more than 50,000 deaths annually in Canada.² As emergency physicians, we all recognize the...
Acute Valvular Emergencies

Acute Valvular Emergencies

by Emily Cino | Jul 30, 2026 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries, Resuscitation

Acute valvular emergencies are uncommon, but when they present they can rapidly become life-threatening. Patients often arrive with undifferentiated respiratory failure, pulmonary edema, hypotension, or cardiogenic shock, and the initial diagnosis may not be obvious....
Pour Some Colour On Me: A Guide to PoCUS Valve Assessment

Pour Some Colour On Me: A Guide to PoCUS Valve Assessment

by Thariq Badiudeen, Rajiv Thavanathan | Jul 16, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Ultrasound

Valvular heart disease is everywhere in emergency medicine, but it is sneaky.  We see the older patient with recurrent dyspnea whose chest radiograph is unremarkable and BNP is only mildly elevated. We see the patient in shock whose physiology never quite fits sepsis....
Liar, Liar, Clot on Fire: Is a Negative D-Dimer Always Enough?

Liar, Liar, Clot on Fire: Is a Negative D-Dimer Always Enough?

by Caroline Gregory | Apr 16, 2026 | cardiac arrest, Cardiology, Featured, Grand Round Summaries, Respirology, Resuscitation, Thrombosis

Venous thromboembolism, which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is one of the most commonly worked-up diagnoses in the emergency department. Approximately half of all DVTs embolize to the lungs, and the annual incidence of PEs is about 1...
2025 AHA Guidelines Update: Key Changes in CPR and ECC

2025 AHA Guidelines Update: Key Changes in CPR and ECC

by Mathieu McKinnon | Jan 8, 2026 | cardiac arrest, Cardiology, Commentary, Critical Care

The 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) introduce several important updates across the resuscitation spectrum. Below is a concise, clinically focused summary tailored for emergency...
Primary Care in the ED: HTN and COPD

Primary Care in the ED: HTN and COPD

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...
JVP is Dead

JVP is Dead

by James Gilbertson, Rory Connolly | Oct 2, 2025 | Cardiology, Featured, Main page, Most Viewed, Radiology, Ultrasound

The Tooth Fairy. The Easter Bunny. Two cardiologists trying to agree on a JVP measurement. These are myths we share with children — and, perhaps, with medical students. When it comes to estimating right atrial pressure, maybe it’s time we add JVP to that list. A study...
5th Annual Ottawa POCUS Symposium – 2026 OTTAWA POCUS SYMPOSIUM

5th Annual Ottawa POCUS Symposium – 2026 OTTAWA POCUS SYMPOSIUM

by Rory Connolly | Oct 2, 2025 | Cardiology, Ultrasound

5th Annual Ottawa POCUS Symposium Choose 2 of 4 separate tracks to focus on what you want to improve: 1. Regional Analgesia: Upper limb, thoracic and hip blocks 2. Cardiac and DVT POCUS 3. Left ventricle function and basic valvular assessment 4. Procedural POCUS...
The Code Crew: Medications That Save the Beat!

The Code Crew: Medications That Save the Beat!

by Megan Brenkel | Jul 24, 2025 | cardiac arrest, Cardiology, Critical Care, Grand Round Summaries

Out-of-hospital cardiac arrest (OHCA) is sudden, silent, and devastating, claiming 9 out of 10 lives before they ever reach a hospital. In Canada, approximately 60,000 OHCAs occur annually — that’s one every nine minutes — and fewer than 1 in 10 people survive1....
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