by Jeff Landerville, Warren Cheung | Nov 12, 2020 | Featured, Infographics, Medical Education
A Competence Committee (CC) is a key component of Competence by Design (CBD), the Royal College of Physicians and Surgeons of Canada’s version of Competency-Based Medical Education. A CC is a sub-committee of the Residency Program Committee (RPC) that provides robust...
by Michael Hale, Kate O'Connell | Nov 5, 2020 | Featured, Grand Round Summaries, Neurosurgery, Radiology
The diagnosis of subarachnoid hemorrhage (SAH) carries with it remarkable morbidity and mortality. Case fatality rates approach 50% 1,2 Of those who survive, half will experience chronic disability and a significant reduction in health-related quality of...
by Shahbaz Syed | Oct 29, 2020 | Commentary, Featured
You’re starting your shift, and you’re only moderately caffeinated. You meet your resident and they tell you that their goal for the shift is to “work on flow”. You think, cool – let’s see how many patients they see today. At least,...
by Simon Wells, Pascale King | Oct 22, 2020 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries
A 65-year-old male self-presents to the Emergency Department (ED) with sudden-onset severe chest pain. The pain was sharp, lasted 30 minutes, and has now resolved. His vitals and ECG are normal, and his high-sensitivity troponin testing is negative. He has a normal...
by Jessica McCallum, Alex Coutin | Oct 15, 2020 | Featured, Global health, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health, Tropical Medicine
In part one of this two-part series, we took a bite out of Lyme disease and Malaria (see what we did there?). In this part, we’ll be covering African tick-bite fever, African sleeping sickness, Dengue, Chikungunya, and Zika. Fever in the returning traveler is...
by Richard Hoang | Sep 24, 2020 | Featured
In Part 2 of ROTEM for Trauma: Blood is Thicker with Wine – we will review the approach to interpreting ROTEM and how it can guide massive transfusion in the injured and bleeding patient. We will also touch on the practical considerations for starting a ROTEM program...
by Richard Hoang | Sep 24, 2020 | Critical Care, Featured, Grand Round Summaries, Trauma
In this post, we’ll discuss viscoelastic hemostatic assays (VHAs), namely ROTEM (Rotational Thromboelastometry), and how we can use this tool to enhance the care of traumatically injured patients. This is the first in a two-part series. This part reviews the Evidence...
by Jessica McCallum, Alex Coutin | Sep 24, 2020 | Featured, Global health, Grand Round Summaries, Infectious Disease, Public health, Tropical Medicine
In part one of a two-part series on vector-borne illnesses, we seek to take a deep dive into Lyme disease and Malaria. For more on the other vector-borne illnesses, check out part two! The only helpful way to distinguish between all these illnesses is the...
by Hans Rosenberg | Sep 23, 2020 | Featured, Journal Club, Orthopedics, Ultrasound
Methodology: 3/5 Usefulness: 3/5 Secko MA, et al. Ann Emerg Med. 2020 Aug;76(2):119-128. Question and Methods: Attempted to validated the use of a posterior PoCUS approach in diagnosing shoulder dislocations and assessing the adequacy of reduction in the ED...
by Shahbaz Syed | Sep 17, 2020 | Featured, Infectious Disease
Here we present a STI ‘cheat sheet’ to commonly encountered STIs – their etiology, workup and treatment. The following recommendations are based on the Canadian PHAC guidelines. We will not cover the important aspect of taking a sexual history, but...
