by Justin Godbout | Nov 26, 2020 | Featured, Grand Round Summaries, Medical Education, Pre-Hospital, Quality Improvement, Trauma
“The differences between expert performers and normal adults are not immutable, that is, due to genetically prescribed talent. Instead, these differences reflect a life-long period of deliberate effort to improve performance.” – K. Anders Ericsson What defines...
by Jim Yang | Nov 19, 2020 | All Posts, Critical Care, Featured, Grand Round Summaries, Medical Education, Thrombosis
Pulmonary embolism is often a nebulous diagnosis with various nuances. COMMON: They affect 25-100 people per 100,000, or approximately 30,000 Canadians every year Potentially FATAL: 3rd most deadly cardiovascular disease, after Heart Attack and Stroke Associated with...
by Hans Rosenberg | Nov 17, 2020 | Featured, Rural Medicine
One of our residents, Dr. Wilson Lam is part of a team looking to offer Rurals EDs across Canada as a way to complement and grow their rural emergency medicine practice by helping develop SIM programs for rural doctors and ED’s. See the great video below and...
by Jeff Landreville | Nov 12, 2020 | Featured, Medical Education
A Competence Committee (CC) is a key component of Competence by Design (CBD), the Royal College of Physicians and Surgeons of Canada’s version of Competency-Based Medical Education. A CC is a sub-committee of the Residency Program Committee (RPC) that provides robust...
by Michael Hale | Nov 5, 2020 | Featured, Grand Round Summaries, Neurosurgery, Radiology
The diagnosis of subarachnoid hemorrhage (SAH) carries with it remarkable morbidity and mortality. Case fatality rates approach 50% 1,2 Of those who survive, half will experience chronic disability and a significant reduction in health-related quality of life1,2 Given...
by Shahbaz Syed | Oct 29, 2020 | Commentary, Featured
You’re starting your shift, and you’re only moderately caffeinated. You meet your resident and they tell you that their goal for the shift is to “work on flow”. You think, cool – let’s see how many patients they see today. At least,...
by Simon Wells | Oct 22, 2020 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries
A 65-year-old male self-presents to the Emergency Department (ED) with sudden-onset severe chest pain. The pain was sharp, lasted 30 minutes, and has now resolved. His vitals and ECG are normal, and his high-sensitivity troponin testing is negative. He has a normal...
by Jessica McCallum | Oct 15, 2020 | All Posts, Featured, Global health, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health, Tropical Medicine
In part one of this two-part series, we took a bite out of Lyme disease and Malaria (see what we did there?). In this part, we’ll be covering African tick-bite fever, African sleeping sickness, Dengue, Chikungunya, and Zika. Fever in the returning traveler is...
by Richard Hoang | Sep 24, 2020 | Featured
In Part 2 of ROTEM for Trauma: Blood is Thicker with Wine – we will review the approach to interpreting ROTEM and how it can guide massive transfusion in the injured and bleeding patient. We will also touch on the practical considerations for starting a ROTEM program...
by Richard Hoang | Sep 24, 2020 | Critical Care, Featured, Grand Round Summaries, Trauma
In this post, we’ll discuss viscoelastic hemostatic assays (VHAs), namely ROTEM (Rotational Thromboelastometry), and how we can use this tool to enhance the care of traumatically injured patients. This is the first in a two-part series. This part reviews the Evidence...
