by Naman Arora | Jan 9, 2025 | Critical Care, Endocrinology, Featured, Grand Round Summaries, Infectious Disease
In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of...
by Rajan Walia, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Dec 18, 2024 | Featured, Infectious Disease, Journal Club, Pediatric Care, Pediatrics
Methodology: 3.5/5 Usefulness: 2/5 Gravel J, et al. Ann Emerg Med. 2024 Nov;84(5):490-499. doi: 10.1016/j.annemergmed.2024.05.005. Question and Methods: The authors aimed to validate the Sick Kids algorithm for distinguishing bacteremia from contaminants in pediatric...
by Hétoum Misirliyan, Paul Pageau | Dec 12, 2024 | Cardiology, Cardiothoracic Surgery, Featured, Infectious Disease, Ultrasound
A 59-year-old man presented to a community Emergency Department with a one-month history of subjective fevers and dyspnea. Due to COVID-19 restrictions, he had only consulted a physician via telephone, during which he was prescribed two courses of antibiotics for...
by Caitlin Hutchings | Nov 21, 2024 | Featured, OBGYN
A common Emergency Department (ED) presentation, vaginal bleeding in pregnancy affects approximately 30% of pregnancies in the 1st trimester and 1-2% in the 2nd trimester. About half of these result in pregnancy loss. Here we will use cases to highlight an ED approach...
by Shahbaz Syed | Nov 14, 2024 | Commentary, Featured, Toxicology
Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour. Yet,...
by Kaitlin Endres | Nov 7, 2024 | Airway, Anesthesiology, cardiac arrest, Featured, Grand Round Summaries, Infectious Disease, Radiology, Respirology, Toxicology
Inhalational injuries are a critical yet often overlooked aspect of trauma care, with far-reaching consequences in emergency medicine. These injuries can arise from various sources, including thermal injuries from fires, recreational activities such as smoke exposure...
by Simranjeet Singh | Oct 31, 2024 | Featured, Geriatrics, Grand Round Summaries, Infectious Disease
Delirium is a medical emergency. It is characterized by acute disturbance of consciousness, with changes in perceptual disturbances and fluctuation of symptoms. Delirium is often the initial manifestation of an underlying acute illness and can be present before fever,...
by Shahbaz Syed | Oct 24, 2024 | Airway, Anesthesiology, Commentary, Critical Care, Featured, Resuscitation
Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical...
by Rebecca Seliga | Oct 17, 2024 | Critical Care, Featured, Grand Round Summaries, pharmacology, Resuscitation, Toxicology
We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from stimulant and other substance use. In 2023 there were 3479 apparent...
by Josee Malette, Hans Rosenberg, Ian Stiell | Oct 15, 2024 | Cardiothoracic Surgery, emergency, Featured, Full Article, Journal Club
Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9 Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity and specificity in the use of D-Dimer in the work-up for Acute...
