by Thariq Badiudeen | Jul 23, 2026 | Featured, Surgery, Ultrasound
Small bowel obstruction (SBO) is a common ED presentation, and these patients are often in significant pain with persistent nausea and vomiting. While CT remains the gold standard to confirm the diagnosis, identify the transition point, detect complications such as...
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 Benjamin Viner, Christian Vaillancourt | Jul 6, 2026 | Featured, Journal Club, Neurology
A Randomized Trial of Tenecteplase in Acute Central Retinal Artery Occlusion Ryan SJ, et al. N Engl J Med. 2026 Jan 29;394(5):442-450. doi: 10.1056/NEJMoa2508515. Editorial: Seeing It Through – Lessons from a Retinal Stroke Trial. Schrag M, et al. N Engl J...
by Isaac Kim | Jul 2, 2026 | Featured, Grand Round Summaries, Quality Improvement, Radiology
Contrast media agents are among the most commonly administered pharmaceutical compounds worldwide, improving diagnostic accuracy across a wide range of imaging studies and enabling angiographic procedures. In Canada alone, an estimated 2.7 million contrast-enhanced...
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 Kaitlin Endres | Jun 18, 2026 | Commentary, Featured, Grand Round Summaries, Medical Education
“It feels like they’re just mostly just trying to make me comfortable with being uncomfortable” My now-husband was always a year ahead of me in training. He was a first-year medical student before I was, a clerk before I was, and every year I would ask him the...
by Isaac Kim, Christian Vaillancourt | Jun 17, 2026 | Featured, Journal Club
Age-Adjusted D-Dimer Cutoff Levels to Rule Out Deep Vein Thrombosis. Le Gal G, et al. JAMA. 2026 Feb 3;335(5):416-424. doi: 10.1001/jama.2025.21561. Editorial: Like a Fine Wine—Aging the D-Dimer to Improve Value and Clinical Efficiency. Ujueta F, et...
by Maria Berliant | Jun 11, 2026 | Commentary, Featured, Grand Round Summaries
“Medicine is not only a science, it is also an art. It does not consist of compounding pills and plasters, it deals with the very processes of life, which must be understood before they may be guided.”- Paracelsus We often hear about the art of medicine...
by Grace Northrop | May 28, 2026 | Featured
Acute Liver Failure (ALF) is rare, with an estimated incidence of 1–6 cases per million per year in Western countries¹². Despite its rarity, it carries significant morbidity and mortality¹. ALF most often affects previously healthy adults in their 30s; in North...
