by Caroline Gregory | Jan 16, 2025 | Featured, Grand Round Summaries, Orthopedics, Trauma
A stable and functional fingertip is essential for sensation, fine motor skills, grip strength, and the overall durability and cosmetic appearance of the hand. Fingertips, often the first point of contact during daily activities, are particularly susceptible to...
by Naman Arora | Jan 9, 2025 | Critical Care, Endocrinology, Featured, Grand Round Summaries, Infectious Disease
In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of...
by Nicholas Choi | Dec 5, 2024 | Anesthesiology, cardiac arrest, Grand Round Summaries, Respirology, Resuscitation
Quantitative End-Tidal CO2 (ETCO2) was in vogue for a while, and seemingly some centres adopted it as standard of care, while others found that it did not make a significant clinical impact so it fell out of style and left to ‘practitioner preference’....
by Kaitlin Endres | Nov 7, 2024 | Airway, Anesthesiology, cardiac arrest, Featured, Grand Round Summaries, Infectious Disease, Radiology, Respirology, Toxicology
Inhalational injuries are a critical yet often overlooked aspect of trauma care, with far-reaching consequences in emergency medicine. These injuries can arise from various sources, including thermal injuries from fires, recreational activities such as smoke exposure...
by Simranjeet Singh | Oct 31, 2024 | Featured, Geriatrics, Grand Round Summaries, Infectious Disease
Delirium is a medical emergency. It is characterized by acute disturbance of consciousness, with changes in perceptual disturbances and fluctuation of symptoms. Delirium is often the initial manifestation of an underlying acute illness and can be present before fever,...
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 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, 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 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...
by Max Zworth | Jul 11, 2024 | cardiac arrest, Critical Care, Dermatology, Grand Round Summaries, Infectious Disease
In Fall 2023, I was working an evening shift at a community hospital when we got a patch. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. CPR was ongoing, and their ETA was 10 minutes. We prepared the ED for the patient’s arrival....
