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Confronting the Storm: The Overactive Thyroid

Confronting the Storm: The Overactive Thyroid

by Josee Malette | Mar 16, 2023 | Critical Care, emergency, Featured, Grand Round Summaries

“When You Hear Hooves, Think Horse, Not Zebra” – Dr. Theodore Woodward   This above sentence is a dictum that every medical student has heard at some point during their training. It’s the reason, that when someone comes in febrile and agitated our first...
Buprenorphine: A guide for ED providers

Buprenorphine: A guide for ED providers

by Max Zworth, Rebecca Seliga | Mar 9, 2023 | Addictions, Critical Care, Featured, Grand Round Summaries, Resuscitation, Toxicology

The opioid epidemic is not new to ED providers, but many will be shocked to learn about the true extent of the harm caused by opioids in Canada.  In the first half of 2022, there were 3556 recorded deaths due to opioid toxicity in Canada. This amounts to 19 deaths...
Pacemakers and ICDs!

Pacemakers and ICDs!

by Darren Wong | Feb 23, 2023 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation

I read around pacemakers SO often throughout my residency, but it was a topic that I found was often a struggle to absorb. So, here we’re going to tackle what the ED Physician should know about managing patients with pacemaker and ICDs: Pacemaker Basics...
Anger Management: Agitated Patients in the ED

Anger Management: Agitated Patients in the ED

by Jessica Tat | Feb 16, 2023 | Critical Care, Featured, Grand Round Summaries, psychiatry, Resuscitation

The Emergency Department is no stranger to the acutely agitated patient. Agitation remains a broad and multifactorial syndrome with a high potential for significant morbidity or mortality if not recognized and managed appropriately. This can be tricky at times when...
Vaccination status: Does it Matter?

Vaccination status: Does it Matter?

by Ceilidh Kinlin | Feb 9, 2023 | cheo, Featured, Grand Round Summaries, Infectious Disease, Pediatric Care, Pediatrics

You have just seen an 10 month old previously healthy well-appearing female with 2 day history of fever (Tmax 39.5). No focus of infection is obvious on history of examination. Vitals are normal when ibuprofen is on board. She is completely unimmunized. What is your...
CBRNE and HAZMAT: Be Prepared!

CBRNE and HAZMAT: Be Prepared!

by Patrick Fisk | Jan 19, 2023 | Critical Care, Grand Round Summaries, Mass Casualty / Disaster, Resuscitation

This post seeks to provide some insights and discussion around CBRNE events (Chemical, Biological, Radioactive, Nuclear and Explosive). We want to review procedures within a mass casualty CBRNE event, principles related to decontamination, PEE, and review the...
Spontaneous Intracerebral Hemorrhage – 2022 AHA/ASA Guidelines

Spontaneous Intracerebral Hemorrhage – 2022 AHA/ASA Guidelines

by Emma Ferguson, Courtney Price | Jan 5, 2023 | Featured, Grand Round Summaries, Neurology

While most strokes we see are ischemic in nature, 10% of stroke presentations are intracerebral hemorrhages (ICH) 1.  However, unlike ischemic strokes that have clear and evolving pathways for treatments, novel treatments for spontaneous intracerebral hemorrhages...
Awake Intubation in the ED: A Practical Update

Awake Intubation in the ED: A Practical Update

by Nicholas Choi | Dec 1, 2022 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Resuscitation

Awake intubations are an uncommon procedure, so cognitively practicing the nuances can be critically important to success. Here, we present an updated practical guide on awake intubations in the ED intended to supplement a previously posted topic. You can see the...
ACE Inhibitor-Induced Angioedema

ACE Inhibitor-Induced Angioedema

by Nathaniel Murray, Talal Alkhaldi | Nov 24, 2022 | Airway, Critical Care, Featured, Grand Round Summaries, Resuscitation

When encountering patients with angioedema, we have historically used a similar approach to anaphylaxis, mostly out of a lack of evidence supporting a particular practice. Here, we take a deep dive into ACE inhibitor-induced angioedema to provide the most up to date...
Le Genou: Everything you Knee-d to know!

Le Genou: Everything you Knee-d to know!

by Julie Ingratta | Nov 10, 2022 | Featured, Grand Round Summaries, Orthopedics, Trauma

The acutely injured knee can often be challenging to assess when there is no associated fracture. Identifying the possible non-bony acute pathology is important to help discern the most appropriate approach to treatment for the patient.  Assessment History Mechanism...
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