by Samara Adler | Mar 20, 2025 | emergency, Featured, Full Article, Grand Round Summaries, Thrombosis
You are working in the low acuity zone of the ED when you encounter your first patient. She’s a 75-year-old female with a history of hypertension, diabetes and total right hip replacement 1.5 months ago presenting with left leg swelling and pain. You see the patient...
by Josee Malette, Hans Rosenberg, Ian Stiell | Oct 15, 2024 | Cardiothoracic Surgery, emergency, Featured, Full Article, Journal Club
Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9 Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity and specificity in the use of D-Dimer in the work-up for Acute...
by Patrick Fisk, Mathieu McKinnon | Jun 6, 2024 | Airway, Anesthesiology, Critical Care, emergency, Featured, Grand Round Summaries, Respirology, Resuscitation
Your patients need you to start rethinking what you know about pre-oxygenation. The peri-intubation period is a physiologically hazardous time; when we feel forced to act in critical situations, we often try to speed things up and cut corners. We hope to convince you,...
by Nate Murray, Mathieu McKinnon | Apr 4, 2024 | cardiac arrest, Cardiology, emergency, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Radiology, Surgery, Thrombosis, Trauma, Ultrasound
Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In...
by Amanda Mattice | Mar 7, 2024 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Prehospital and Transport Medicine, Resuscitation, Toxicology
In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be...
by Kaitlin Endres, Mathieu McKinnon | Jan 18, 2024 | Critical Care, emergency, Featured, Gastroenterology, Grand Round Summaries, Surgery, Thrombosis
When working up your patient, how often do you think of problems related to the hepatic venous system? Have you suppressed those memories of time spent over your cadaver in medical school learning the anatomy? By the end of this, you will all be newly discovered...
by Maria Doubova, Amanda Mattice | Nov 2, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Introduction Frostbite is a frequent presenting complaint to emergency departments (EDs) in cold climates. It is more common among those without housing, those with mental health disorders as well as those who work or engage in outdoor activities.(1) These injuries...
by Omar Anjum, Lucy Karp | Jun 8, 2023 | emergency, Featured, Grand Round Summaries, Patient Advocacy
Preamble: This Grand Rounds was inspired in part by a conversation I had with Dr. Andrew Petrosoniak during my time at St. Michael’s Hospital where we discussed the growing concern of excessive ED wait times and the limited concerted effort on addressing the waiting...
by James Gilbertson, Amanda Mattice, Doran Drew | May 4, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Previously in Part One, we reviewed the pathophysiology and pre-hospital management of patients who experienced non-fatal and fatal drownings. Now, in Part Two, let’s take a deeper dive into the resuscitation of these patients in the Emergency Department as well...
by Graham Wilson, Hans Rosenberg, Ian Stiell | Apr 3, 2023 | cardiac arrest, Cardiology, emergency, Journal Club, Resuscitation
Methodology: 4/5 Usefulness: 2.5/5 Suverein MM, et al. N Engl J Med. 2023 Jan 26;388(4):299-309. doi: 10.1056/NEJMoa2204511. Question and Methods: Does eCPR increase survival at 30 days with good neurologic outcome in refractory OHCA caused by an initial cardiac...
