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Cardiovascular risk in Transgender and Gender Diverse Persons

Cardiovascular risk in Transgender and Gender Diverse Persons

by Rebecca Seliga, Alex Coutin | Sep 29, 2022 | Cardiology, EDI, Endocrinology

Clinical case: You are working an urgent care shift and your next patient to see is Jessica, a 35 yo female with an upper extremity injury. The one-liner on the EMR reads: ‘Jesse’. When you go to speak with them, you see a young masculine-presenting patient who...
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis

Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis

by Hans Rosenberg | Nov 12, 2018 | Critical Care, Endocrinology, Journal Club

Journal Club Summary Methodology: 4/5 Usefulness: 4/5 Kuppermann N, et al. N Engl J Med. 2018 Jun 14;378(24):2275-2287. Editorial: Fluid Composition, Infusion Rate, and Brain Injury in Diabetic Ketoacidosis. Question and Methods: 13 centre RCT with four arms to...
No Thanks, I’m Sweet Enough: Non-emergent Hyperglycemia in the ED

No Thanks, I’m Sweet Enough: Non-emergent Hyperglycemia in the ED

by Rajiv Thavanathan, Richard Hoang | Sep 27, 2018 | Endocrinology, Grand Round Summaries

In the Emergency Department (ED) we’re always thinking about the “ABC’s”. You’ve also probably heard of “DEFG: Don’t Ever Forget Glucose”. This usually refers to hypoglycemia in our critically ill patients—those with decreased level of consciousness, new onset...
Adjunctive Glucocorticoid Therapy in Patients with Septic Shock

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock

by Hans Rosenberg | Jun 11, 2018 | Critical Care, Endocrinology, Journal Club, Resuscitation

Methodology Score: 4/5 Usefulness Score: 3/5 Venkatesh B, et al. N Engl J Med. 2018 Jan 19. Journal Club Bottom Line Question/Methods: This was a international, pragmatic, double-blind, randomized, controlled trial comparing hydrocortisone as continuous infusion to...
To ‘Roid or not to ‘Roid: Steroids in the ED!

To ‘Roid or not to ‘Roid: Steroids in the ED!

by emottawa | Mar 1, 2016 | Endocrinology, Grand Round Summaries

      Steroids have been used in medicine for their immune-modulating effects for decades, but how much of their use is actually evidence based?  Here we review the most recent literature for their use in four select presentations often seen in the Emergency...
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