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...
by Nate Murray, Eusang Ahn | Oct 3, 2024 | Commentary, Featured, Radiology, Ultrasound
Point-of-care ultrasound (POCUS) is often taught to answer binary questions, like, “Is there free fluid in the abdomen?” However, when we combine POCUS images with clinical documentation, we are telling a story — and every good story has a beginning,...
by Eusang Ahn | Sep 26, 2024 | Commentary, Critical Care, Featured, Neurology, pharmacology, Resuscitation
I wrote this piece because understanding diseases by framing them as high or low levels of dopamine, acetylcholine, glutamate, or GABA has significantly improved my grasp of their pathophysiology and treatment strategies. Too often, medicine is taught as isolated...
by Kevin Guo | Sep 19, 2024 | Dermatology, Featured, Immunology, Infectious Disease, Pediatrics
In the past year, there’s been a growing concern about the rising number of measles cases globally, including in Canada. This resurgence of measles cases in major centers has sparked worry. But is it something we should truly be alarmed about? How concerned...
by Alie Wudwud | Aug 22, 2024 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Radiology, Respirology, Resuscitation
Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic...
by Alie Wudwud | Aug 15, 2024 | Anesthesiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries, Infectious Disease, Recently Featured, Respirology, Resuscitation
Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. In this post, I’ve tried to highlight some key information about an approach to...
by Julie Ingratta | Aug 8, 2024 | Featured
Shoulder injuries are a common yet complex presentation in emergency medicine, presenting a unique challenge due to the intricate anatomy and diverse range of potential pathologies, where imaging may not always be helpful. In this post, we will explore the various...
by James Gilbertson | Aug 1, 2024 | Commentary, Featured, Grand Round Summaries, Physician Wellness
Social media headlines and evolving literature have highlighted the abysmal life expectancy of emergency room doctors. For example, Dr. Ken Milne, the creator behind The Skeptics Guide to Emergency Medicine, recently shared this post on sobering life-expectancy data...