by Alex Viau | Jul 27, 2023 | Featured, Grand Round Summaries, Resuscitation, Urology
Acute scrotal pain is a common in emergency departments, comprising ~ 0.5% of all presentations. However, torsion is another very time sensitive diagnosis that is ubiquitous across all ages as seen by this Rosen’s table. Incidence / Epidemiology Unfortunately,...
by Alex Coutin, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Jul 17, 2023 | Featured, Full Article, Journal Club, Thrombosis
Methodology: 2/5 Usefulness: 1/5 Lim P, et al. Eur Heart J Acute Cardiovasc Care. 2022 Jan 12;11(1):2-9. Question and Methods: Does diuresis with single-dose IV furosemide improve hemodynamic parameters and prevent oligo-anuria in normotensive patients with...
by Shahbaz Syed | Jul 13, 2023 | Featured
Five years ago, as a relatively new staff physician, I had written a letter to my younger-self, as to subscribe some wisdom to the to what I wish I had known heading into residency. Five years later, I’ve realized that early staff transition phase had a lot of...
by Steven Sanders | Jul 6, 2023 | Critical Care, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation, Toxicology
Global temperatures are increasing and are projected to continue warming. The rates of warming across out planet are not uniform. In Canada, the loss of snow and sea ice reduces the reflectivity of the surface leading to increased absorption of solar radiation and a...
by Pascale King | Jun 29, 2023 | Cardiology, Featured, Grand Round Summaries, Resuscitation
Patients with heart failure are often newly diagnosed in the Emergency Department, or are the presenting location for those with decompensated heart failure. This is why it is important for ER Physicians to remain updated on the latest AHA/ACC/HFSA guidelines for the...
by Hailey Newton, Hans Rosenberg, Jeff Perry | Jun 19, 2023 | Featured, Journal Club, Thrombosis, Trauma
Methodology: 4/5 Usefulness: 3.5/5 Bouzat P, et al. JAMA. 2023 Mar 21:e234080. doi: 10.1001/jama.2023.4080. Question and Methods: This double-blind, randomized, placebo-controlled superiority trial aimed to assess whether 4F-PCC decreases 24hr blood product...
by Nicholas Choi, Hans Rosenberg, Jeff Perry | Jun 12, 2023 | Featured, Full Article, Journal Club, Quality Improvement
Methodology: 2/5 Usefulness: 3/5 Warstadt NM, et al. BMJ Open Qual. 2022 Jan;11(1):e001624. Questions and Methods: Using a cohort and QI approach, to demonstrate the effectiveness of a multidisciplinary educational intervention and EHR tool to increase sepsis bundle...
by Omar Anjum, Lucy Karp | Jun 8, 2023 | emergency, Featured, Grand Round Summaries, Patient Advocacy
Preamble: This Grand Rounds was inspired in part by a conversation I had with Dr. Andrew Petrosoniak during my time at St. Michael’s Hospital where we discussed the growing concern of excessive ED wait times and the limited concerted effort on addressing the waiting...
by Sheena Nandalal, Hans Rosenberg, Jeff Perry | Jun 5, 2023 | Featured, Full Article, Journal Club, Pediatrics, Trauma
Methodology: 4.5/5 Usefulness: 5/5 Beno S, al. CJEM. 2022 Aug;24(5):535-543. Editorial: Reducing overuse of CT imaging in pediatric trauma: a model example of the Model for Improvement. Question and Methods: The aim of this QI project was to reduce unnecessary CT...
by Shahbaz Syed | Jun 1, 2023 | Commentary, Featured
Well, the CAEP 2023 (#CAEP23) (Canadian Associated of Emergency Physicians) conference is officially over. We’ve head back to our respective homes and departments, and by now the melancholy has fully kicked in. It was the first time, in a while, that the CAEP...
