by Shane Baistrocchi | Nov 4, 2026 | Critical Care, Journal Club, Resuscitation, Thrombosis
YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism in Patients With Cancer: A Randomized Clinical Trial. (Therapy) Akerboom B, et al. JAMA. 2026 Aug 25;336(8):655-663. doi: 10.1001/jama.2026.10676. Editorial: Ruling Out PE in Cancer-Can YEARS Reduce CT...
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...
by Simranjeet Singh | Oct 28, 2026 | cardiac arrest, Critical Care, Journal Club, Resuscitation
Sodium Bicarbonate for In-Hospital Cardiac Arrest: A Randomized Clinical Trial. (Therapy) Granfeldt A, et al. JAMA. 2026 Aug 25;336(8):647-654. doi: 10.1001/jama.2026.10628. Editorial: Will the Bicarbonate for In-Hospital Cardiac Arrest Trial Change Practice?...
by Naman Arora | Oct 1, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
Sepsis resuscitation has evolved considerably over the past two decades, moving away from rigid protocols toward more individualized care. Yet many familiar targets remain: 30 mL/kg of fluid, a MAP of 65, and lactate clearance. But not every patient benefits from more...
by Shane Baistrocchi | Sep 17, 2026 | Critical Care, Featured, Grand Round Summaries, Hematology, Immunology, Infectious Disease, Resuscitation
Disseminated intravascular coagulation (DIC) is an acquired, life-threatening disorder characterized by systemic activation of coagulation, dysregulated fibrinolysis, and, as emphasized in the updated definition, endothelial injury. It exists on a continuum, from...
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...
by Erica Hoe | Aug 10, 2026 | cardiac arrest, Critical Care, Featured, Journal Club, Ultrasound
Gaspari et al. Ann Emerg Med. 2025 Oct;86(4):328-336. doi: 10.1016/j.annemergmed.2025.04.014. Question: To identify the prevalence of non-shockable ECG rhythm but ventricular fibrillation (VF) by Echo in out-of-hospital cardiac arrest (OHCA). To determine the...
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....
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....
by James Linton | Jun 29, 2026 | Critical Care, Featured, Journal Club, Resuscitation
Transesophageal Echocardiography During CPR in Patients With Out-of-Hospital Cardiac Arrest: The EXECT-CPR Randomized Clinical Trial. Chu SE, et al. JAMA Intern Med. 2026 Mar 23. doi: 10.1001/jamainternmed.2026.0102. Editorial: Can Transesophageal...
