by Lucy Karp, Christian Vaillancourt | Apr 27, 2026 | Critical Care, Featured, Journal Club
A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline McIntyre L, et al. Canadian Critical Care Trials Group. A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline. N Engl J Med. 2025 Aug...
by Camille Dagenais | Apr 23, 2026 | Critical Care, Featured, Grand Round Summaries, Neurology, Neurosurgery, Resuscitation, Trauma
Traumatic brain injury (TBI) is a common yet challenging presentation in emergency medicine. As CT imaging becomes increasingly sensitive, clinicians are identifying more subtle intracranial injuries. The Brain Injury Guidelines (BIG) and Modified Brain Injury...
by Caroline Gregory | Apr 16, 2026 | cardiac arrest, Cardiology, Featured, Grand Round Summaries, Respirology, Resuscitation, Thrombosis
Venous thromboembolism, which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is one of the most commonly worked-up diagnoses in the emergency department. Approximately half of all DVTs embolize to the lungs, and the annual incidence of PEs is about 1...
by Mathieu McKinnon | Mar 26, 2026 | Anesthesiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
Blood pressure management in trauma is one of the most deceptively complex decisions we make in the emergency department. In the first hour of resuscitation, competing physiologic priorities collide: permissive hypotension may protect clot integrity in hemorrhagic...
by Lucy Karp | Mar 19, 2026 | Featured, Gastroenterology, Grand Round Summaries, Immunology, Infectious Disease, Most Viewed, Ophthalmology, Rheumatology
There seems to be a growing cultural obsession with “inflammation”. Scroll through social media long enough and you’ll find sweeping claims: inflammation is the root of fatigue, weight gain, menstrual cramps, brain fog, and even depression. And alongside this...
by Mejbel Alazemi | Mar 12, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
Antimicrobial stewardship (AMS) is about using the right antibiotic, only when needed, and choosing the appropriate dose, route, and duration. The goal is to treat infections effectively while reducing harm, both to the individual and to the healthcare system. It’s...
by Louis Gascon-Tetreault, Josee Malette | Mar 9, 2026 | Featured, Prehospital and Transport Medicine, PTM Journal Club
As the ski season peaks in February, learn how intranasal fentanyl as analgesia is becoming the go-to solution for ski patrols, ensuring rapid pain relief for injured skiers right on the hill in this months PTM Journal Club Review. Background and Objectives:...
by Anchaleena Mandal, Christian Vaillancourt | Mar 5, 2026 | Featured, Journal Club
Methodology Score: 4.5/5 Usefulness Score: 4/5 Stiell IG, et al. BMJ. 2025 Nov 11;391:e085632. doi: 10.1136/bmj-2025-085632. Question and Methods: This is a multi-center, open-label, patient randomised trial comparing the effectiveness and safety of cardioversion with...
by Amanda Mattice | Mar 4, 2026 | Airway, emergency, Featured, Journal Club, Pre-Hospital, Prehospital and Transport Medicine, Procedural care, PTM Journal Club, Quality Improvement
In this month’s Journal Club, we explored the highly debated topic of video laryngoscopy versus direct laryngoscopy and its application in the prehospital setting. Background There exists a breadth of research which compares video laryngoscopy (VL) to direct...
by Mathieu McKinnon, Jeff Perry, Shahbaz Syed | Mar 3, 2026 | Featured, Journal Club
Methodology: 4/5 Usefulness: 4/5 N Engl J Med. 2025 Dec 9. doi: 10.1056/NEJMoa2511420. Question and Methods: This multi-center, open label RCT of 2359 patients compared 28-day mortality in patients randomized to receiving ketamine or etomidate for their sedation prior...
