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 | 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...
by Majid Al-Bahri, Terry Varshney | Jun 25, 2026 | Critical Care, Featured, Infectious Disease, Pediatrics, Resuscitation
Every emergency physician associates influenza with fever. But occasionally, children with influenza present at the opposite end of the spectrum.n During a single influenza season, CHEO encountered six children with laboratory-confirmed influenza who all presented...
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...
