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...
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 Nicholas Choi, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Apr 28, 2025 | Airway, Critical Care, Full Article, Journal Club, Respirology
Methodology: 3/5 Usefulness: 3/5 Luo Z, et al. JAMA. 2024;332(20):1709–1722. doi:10.1001/jama.2024.15815 Question and Methods: Multi-centre, randomized control trial to determine whether a high-intensity NIPPV strategy reduces the need for intubation in AECOPD...
