by Sam Wilson, Venkatesh Thiruganasambandamoorthy | Jun 1, 2026 | Critical Care, Journal Club, Resuscitation
Personalized Hemodynamic Resuscitation Targeting Capillary Refill Time in Early Septic Shock: The ANDROMEDA-SHOCK-2 Randomized Clinical Trial. Hernandez G, ANDROMEDA-SHOCK-2 Investigators for the ANDROMEDA Research Network JAMA. 2025 Oct 29:e2520402. doi:...
by Rebecca Seliga | May 21, 2026 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Toxicology
In the ED we are certainly no stranger to seeing alcohol use disorder, its complications, and alcohol withdrawal. Every day in Canada, there are approximately 269 hospitalizations directly attributable to alcohol. This is more than admissions for acute MI. As the...
by Madison Van Dusen, Christian Vaillancourt | May 7, 2026 | Critical Care, Journal Club, Resuscitation
Deferring Arterial Catheterization in Critically Ill Patients with Shock Muller G, et al. Deferring Arterial Catheterization in Critically Ill Patients with Shock. N Engl J Med. 2025 Nov 13;393(19):1875-1888 Editorial: A Less Invasive Approach to Intensive Care....
by Lucy Karp, Christian Vaillancourt | Apr 27, 2026 | Critical Care, Featured, Journal Club
A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline McIntyre L, et al. Canadian Critical Care Trials Group. A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline. N Engl J Med. 2025 Aug...
by Camille Dagenais | Apr 23, 2026 | Critical Care, Featured, Grand Round Summaries, Neurology, Neurosurgery, Resuscitation, Trauma
Traumatic brain injury (TBI) is a common yet challenging presentation in emergency medicine. As CT imaging becomes increasingly sensitive, clinicians are identifying more subtle intracranial injuries. The Brain Injury Guidelines (BIG) and Modified Brain Injury...
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 Mejbel Alazemi | Mar 12, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
Antimicrobial stewardship (AMS) is about using the right antibiotic, only when needed, and choosing the appropriate dose, route, and duration. The goal is to treat infections effectively while reducing harm, both to the individual and to the healthcare system. It’s...
by Meehan Andrew, Nikki Huebener | Jan 29, 2026 | cardiac arrest, Chronic Pain, Critical Care, Featured, Grand Round Summaries
As Emergency Physicians, we are all experts in saving lives, yet we are often least prepared for the moment when a patient is imminently dying. The hardest decision isn’t starting resuscitation; it’s knowing when it is non-beneficial and ensuring the patient is...
by Benjamin Viner, Eadan Farber | Jan 22, 2026 | Critical Care, Endocrinology, Featured, Grand Round Summaries
As of 2024, approximately 15% of Canadians live with Diabetes Mellitus (DM). Type I DM accounts for 5-10% of these cases and is more commonly associated with Diabetic Ketoacidosis (DKA). Patient’s with DKA may present with varied levels of acuity, requiring...
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...
