by Thariq Badiudeen, Nathan Hecht | Oct 8, 2026 | Featured, OBGYN, Ultrasound
It’s 2:30 AM. A 29-year-old woman presents ten days after a medical abortion. She’s febrile, tachycardic, and complaining of worsening pelvic pain. She has a small amount of vaginal bleeding, and her abdomen is soft. Her β-hCG is still positive, which is...
by Naman Arora | Oct 1, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
Sepsis resuscitation has evolved considerably over the past two decades, moving away from rigid protocols toward more individualized care. Yet many familiar targets remain: 30 mL/kg of fluid, a MAP of 65, and lactate clearance. But not every patient benefits from more...
by Shahbaz Syed | Sep 24, 2026 | Featured, Infectious Disease
Here we present an updated STI “cheat sheet” for some of the infections and syndromes most commonly encountered in the Emergency Department: how they present, what to test, and what to treat. The following recommendations are based primarily on the current Public...
by Shane Baistrocchi | Sep 17, 2026 | Critical Care, Featured, Grand Round Summaries, Hematology, Immunology, Infectious Disease, Resuscitation
Disseminated intravascular coagulation (DIC) is an acquired, life-threatening disorder characterized by systemic activation of coagulation, dysregulated fibrinolysis, and, as emphasized in the updated definition, endothelial injury. It exists on a continuum, from...
by Anchaleena Mandal | Aug 20, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
Cardiovascular disease remains one of the leading causes of death worldwide, accounting for approximately 32% of deaths globally.¹ Acute myocardial infarction (MI) accounts for more than 50,000 deaths annually in Canada.² As emergency physicians, we all recognize the...
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, Rory Connolly | 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, Rajiv Thavanathan | 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...
