by Prince Asare-Agbo | Nov 6, 2025 | Critical Care, Featured, Grand Round Summaries, Hematology, Resuscitation
You can find Part 1 on Hemophilia here. For Part 2, we’ll be focusing on hemolytic anemias and thrombotic microangiopathies, or TMAs for short. Defined simply, hemolytic anemia is the destruction of red blood cells before their normal 120-day lifespan. It’s a broad...
by Prince Asare-Agbo | Oct 30, 2025 | Critical Care, Featured, Grand Round Summaries, Hematology, Resuscitation
Blood tests (especially complete blood counts and coagulation markers) are some of the most commonly ordered investigations in both the emergency department and the hospital at large. It’s important for us as emergency physicians to have an excellent understanding of...
by Lucy Karp | Aug 7, 2025 | Commentary, Critical Care, Grand Round Summaries, Resuscitation
While the term ‘God Squad’ reflects a real committee from the 1960s, we use it here critically to examine the risks of unchecked decision-making power in emergency care. This is a photo of the Admissions and Policy Committee of the Seattle Artificial Kidney Centre,...
by Jessica Tat | Jul 31, 2025 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation, Tropical Medicine
Global travel has surged back in full force following the COVID-19 pandemic, bringing with it an important clinical consideration for emergency physicians—evaluating febrile patients with recent travel history. Despite the growing need, many emergency clinicians still...
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....
by Alie Wudwud | Jun 19, 2025 | Critical Care, Featured, Grand Round Summaries, Surgery, Trauma
Blunt cerebrovascular injury (BCVI) involves vessel injuries that occur from trauma mechanisms commonly seen in the emergency department: falls down stairs, motor vehicle collisions, and facial trauma. By identifying high-risk patients early, we can decrease the risk...
by Prince Asare-Agbo, Hans Rosenberg, Ian Stiell | Jun 17, 2025 | Cardiology, Critical Care, Journal Club
Methodology: 4/5 Usefulness: 1/5 Thiele H, et al. Lancet. 2024 Sep 14;404(10457):1019-1028. doi: 10.1016/S0140-6736(24)01448-X Question and Methods: Does routine early use of mechanical circulatory support (MCS) reduce mortality in acute myocardial infarction...
by Alie Wudwud | Jun 12, 2025 | Critical Care, Featured, Grand Round Summaries, Neurosurgery, Surgery, Trauma
Blunt cerebrovascular injury (BCVI) involves vessel injuries that occur from trauma mechanisms commonly seen in the emergency department: falls down stairs, motor vehicle collisions, and facial trauma. By identifying high-risk patients early, we can decrease the risk...
by Caitlin Hutchings, Hans Rosenberg, Ian Stiell | Jun 2, 2025 | Critical Care, Full Article, Respirology
Methodology: 3.5/5 Usefulness: 3/5 RENOVATE Investigators and the BRICNet Authors; et al. JAMA. 2025 Mar 11;333(10):875-890. doi: 10.1001/jama.2024.26244. Question and methods: This multicentre, adaptive, RCT aimed to demonstrate noninferiority of HFNO vs NIV in...
by Megan Brenkel, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | May 5, 2025 | Critical Care, Featured, Journal Club, Neurosurgery
Methodology: 4/5 Usefulness: 3/5 English SW, et al. N Engl J Med. 2025 Mar 13;392(11):1079-1088. doi: 10.1056/NEJMoa2410962. Question and Methods: This multicenter RCT assessed whether a liberal (Hgb≤100 g/L) versus restrictive (Hgb≤80 g/L) transfusion strategy...
