by Alex Viau, Josee Malette, Alex Coutin | Aug 4, 2022 | Featured, Grand Round Summaries, Infectious Disease
In PART 1 of our HIV in the ED Blog series, we explored the importance of diagnosing HIV in the ED, and the approach to the diagnosis. In PART 2, we hope to address the following: Indications for occupation & non-occupational post-exposure prophylaxis (PEP)...
by Alex Viau, Josee Malette, Alex Coutin | Jul 28, 2022 | Addictions, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health
When it comes to human immunodeficiency virus (HIV) in the ED, the most medically interesting pathology is in the acute presentation of AIDS-defining opportunistic infections. However, due to advances in anti-retroviral therapies (ART), you’re much less likely...
by Evelyn Tran, Lucy Karp | Jul 21, 2022 | Featured, Grand Round Summaries, Quality Improvement
What is patient safety? Patient safety is a discipline developed in response to the rise in hospital adverse events over the years. Aims to take lessons learned from prior unfavourable outcomes and make improvements that mitigate risks, prevent errors, and reduce...
by Julie Ingratta, Alex Coutin | Jul 14, 2022 | Addictions, emergency, Featured, Gastroenterology, Grand Round Summaries, Main page, Public health, Toxicology
With legalization, and increased ease of access to marijuana, there is increased focus on the diagnosis of Cannabinoid Hyperemesis Syndrome, with broader media attention and thus patient awareness to this entity. History: Cannabis (Cannabis sativa spp.) has been...
by Chirag Bhat, Samara Adler | Jul 7, 2022 | Featured, Gastroenterology, Grand Round Summaries
Patients with cirrhosis are complex, with a plethora of comorbidities. They often present to emergency departments (ED) very sick, and there are many complications that emergency physicians need to know about. In this post, we’re going to focus on Spontaneous...
by Rebecca Seliga, Alex Coutin, Michael Kruse | Jun 29, 2022 | Cardiology, Featured, Grand Round Summaries, Thrombosis
You are working an urgent care shift and you access your ED electronic track-board to pick up the next patient waiting to be seen: You assign yourself to patient Smith, and notice a helpful comment from your triage nurse stating the patient’s name is Angela. You...
by Doran Drew, Amanda Mattice | Jun 23, 2022 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
A review of some of the most relevant elements of the 2021 surviving sepsis campaign for the emergency physician. Definitions Our operative definition of sepsis & septic shock are the sepsis-3 definitions [1]. Sepsis: “Sepsis is a life threatening organ...
by Graham Wilson, Josee Malette | Jun 16, 2022 | Featured, Grand Round Summaries, Infectious Disease
How many times a shift do you consider a urinary tract infection? As Emergency physicians, you make and/or consider urinary tract infection (UTI) multiple times per shift.1 Actually, up to 5% of ED visits are related to genitourinary complaints.2-4 From simple...
by Josee Malette | Jun 9, 2022 | Commentary, Featured
Morale amongst Emergency Medicine providers is at a crushing low. If you were to walk through any Emergency Department (ED) or spend 5 minutes on #MedTwitter, this would be abundantly apparent. Slogging through a pandemic, EM providers put their heads down – they put...
by Sheena Nandalal | May 26, 2022 | Airway, cardiac arrest, Featured, Grand Round Summaries, Pediatrics
Pediatric cardiac arrests are rare occurrences in Canada Due to the infrequency, pediatric cardiac arrest and resuscitation are challenging areas to study so the data we have is limited in scope and quality. This is an area for future research and improvement...