by Kathleen O'Connell | Mar 14, 2024 | Critical Care, Featured, Grand Round Summaries, Neurology, Resuscitation
Posterior circulation ischemia accounts for approximately 20-25% of all ischemic strokes and is a significant cause of patient disability. The diagnosis can be extremely challenging as findings are often not typically focal. Posterior strokes are misdiagnosed more...
by Amanda Mattice | Mar 7, 2024 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Prehospital and Transport Medicine, Resuscitation, Toxicology
In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be...
by Maria Doubova | Feb 22, 2024 | Chronic Pain, Featured, Grand Round Summaries, Procedural care, Surgery
Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1). Let’s review some of the evidence (or lack...
by Isabella Menchetti | Feb 15, 2024 | Airway, Anesthesiology, cardiac arrest, Featured, Grand Round Summaries
We’re increasingly cognizant of the physiological importance of maintaining specific hemodynamics during resuscitation. Practice patterns vary broadly, so we’ve done a deep dive into the various evidence around the use of ketamine and etomidate in specific...
by Pascale King, Samara Adler | Feb 8, 2024 | Featured, Grand Round Summaries, OBGYN, Patient Advocacy
Abortion history in Canada is Complex. Countless hardships were overcome on the long journey to the legalization of medical induced abortion (IA). This blog post will focus on what you need to know as an acute care provider. Context: Unsafe abortions are the leading...
by Kaitlin Endres, Mathieu McKinnon | Jan 18, 2024 | Critical Care, emergency, Featured, Gastroenterology, Grand Round Summaries, Surgery, Thrombosis
When working up your patient, how often do you think of problems related to the hepatic venous system? Have you suppressed those memories of time spent over your cadaver in medical school learning the anatomy? By the end of this, you will all be newly discovered...
by Caitlin Hutchings | Dec 14, 2023 | Cardiology, Critical Care, Featured, Grand Round Summaries
In part 1 of this series, we focused on the physiologic and hemodynamic consequences of aortic stenosis, as well as management in atrial fibrillation and procedural sedation. In this part, we will focus on the management of decompensated aortic stenosis with heart...
by Lucy Karp | Nov 30, 2023 | Critical Care, Featured, Grand Round Summaries, Resuscitation
In general, the public perception of CPR is filled with inaccuracies, and recently the New Yorker wrote about the Hidden Harms of CPR. In the article, Dr. Sunita Puir, a palliative care doctor, talks about how it is an “open secret in medicine that CPR is brutal and...
by Josee Malette | Nov 23, 2023 | Featured, Grand Round Summaries, Quality Improvement
As you’ve gleaned from the title of this blog post, today we are focusing our conversation on CHANGE; with a particular emphasis on its implications in healthcare. However, before we get deep in the weeds, it’s important that we acknowledge the elephant in...
by Zach MacDonald | Nov 9, 2023 | Grand Round Summaries, Neurology
Your next patient is an 80-year-old male, who had been functioning well until about a month ago. He has a history of type II diabetes, hypertension, and dyslipidemia, and has been working full-time. Upon reading the triage note and assessing the patient, you discover...