by Naman Arora | Oct 1, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
Sepsis resuscitation has evolved considerably over the past two decades, moving away from rigid protocols toward more individualized care. Yet many familiar targets remain: 30 mL/kg of fluid, a MAP of 65, and lactate clearance. But not every patient benefits from more...
by Shane Baistrocchi | Sep 17, 2026 | Critical Care, Featured, Grand Round Summaries, Hematology, Immunology, Infectious Disease, Resuscitation
Disseminated intravascular coagulation (DIC) is an acquired, life-threatening disorder characterized by systemic activation of coagulation, dysregulated fibrinolysis, and, as emphasized in the updated definition, endothelial injury. It exists on a continuum, from...
by Anchaleena Mandal | Aug 20, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
Cardiovascular disease remains one of the leading causes of death worldwide, accounting for approximately 32% of deaths globally.¹ Acute myocardial infarction (MI) accounts for more than 50,000 deaths annually in Canada.² As emergency physicians, we all recognize the...
by Emily Cino | Jul 30, 2026 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries, Resuscitation
Acute valvular emergencies are uncommon, but when they present they can rapidly become life-threatening. Patients often arrive with undifferentiated respiratory failure, pulmonary edema, hypotension, or cardiogenic shock, and the initial diagnosis may not be obvious....
by Thariq Badiudeen, Rajiv Thavanathan | Jul 16, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Ultrasound
Valvular heart disease is everywhere in emergency medicine, but it is sneaky. We see the older patient with recurrent dyspnea whose chest radiograph is unremarkable and BNP is only mildly elevated. We see the patient in shock whose physiology never quite fits sepsis....
by Isaac Kim | Jul 2, 2026 | Featured, Grand Round Summaries, Quality Improvement, Radiology
Contrast media agents are among the most commonly administered pharmaceutical compounds worldwide, improving diagnostic accuracy across a wide range of imaging studies and enabling angiographic procedures. In Canada alone, an estimated 2.7 million contrast-enhanced...
by Kaitlin Endres | Jun 18, 2026 | Commentary, Featured, Grand Round Summaries, Medical Education
“It feels like they’re just mostly just trying to make me comfortable with being uncomfortable” My now-husband was always a year ahead of me in training. He was a first-year medical student before I was, a clerk before I was, and every year I would ask him the...
by Maria Berliant | Jun 11, 2026 | Commentary, Featured, Grand Round Summaries
“Medicine is not only a science, it is also an art. It does not consist of compounding pills and plasters, it deals with the very processes of life, which must be understood before they may be guided.”- Paracelsus We often hear about the art of medicine...
by Simranjeet Singh | Jun 4, 2026 | Grand Round Summaries, Quality Improvement
There are few phrases in emergency medicine that generate as much discomfort as hearing, “Remember that patient you saw yesterday? They’re back.” Most of us immediately retrace the encounter in our minds, wondering whether something was missed or...
by Rebecca Seliga | May 21, 2026 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Toxicology
In the ED we are certainly no stranger to seeing alcohol use disorder, its complications, and alcohol withdrawal. Every day in Canada, there are approximately 269 hospitalizations directly attributable to alcohol. This is more than admissions for acute MI. As the...
