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HIV in the ED : Part 2

HIV in the ED : Part 2

by Alex Viau, Josee Malette, Alex Coutin | Aug 4, 2022 | Featured, Grand Round Summaries, Infectious Disease

In PART 1 of our HIV in the ED Blog series, we explored the importance of diagnosing HIV in the ED, and the approach to the diagnosis.  In PART 2  we hope to address the following:  Indications for occupation and non-occupational post-exposure prophylaxis (PEP)...
HIV in the ED : Part 1

HIV in the ED : Part 1

by Alex Viau, Josee Malette, Alex Coutin | Jul 28, 2022 | Addictions, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health

When it comes to human immunodeficiency virus (HIV) in the ED, the most medically interesting pathology is in the acute presentation of AIDS-defining opportunistic infections. However, due to advances in anti-retroviral therapies (ART), you’re much less likely...
Patient Safety in the ED

Patient Safety in the ED

by Evelyn Tran, Lucy Karp | Jul 21, 2022 | Featured, Grand Round Summaries, Quality Improvement

What is patient safety? Patient safety is a discipline developed in response to the rise in hospital adverse events over the years. Aims to take lessons learned from prior unfavourable outcomes and make improvements that mitigate risks, prevent errors, and reduce...
Last Gag with Mary Jane: Cannabinoid Hyperemesis Syndrome (CHS)

Last Gag with Mary Jane: Cannabinoid Hyperemesis Syndrome (CHS)

by Julie Ingratta, Alex Coutin | Jul 14, 2022 | Addictions, emergency, Featured, Gastroenterology, Grand Round Summaries, Main page, Public health, Toxicology

With legalization, and increased ease of access to marijuana, there is increased focus on the diagnosis of Cannabinoid Hyperemesis Syndrome, with broader media attention and thus patient awareness to this entity.  History: Cannabis (Cannabis sativa spp.) has been...
Spontaneous Bacterial Peritonitis in Patients with Cirrhosis

Spontaneous Bacterial Peritonitis in Patients with Cirrhosis

by Chirag Bhat, Samara Adler | Jul 7, 2022 | Featured, Gastroenterology, Grand Round Summaries

Patients with cirrhosis are complex, with a plethora of comorbidities. They often present to emergency departments (ED) very sick, and there are many complications that emergency physicians need to know about. In this post, we’re going to focus on Spontaneous...
Venous Thromboembolism in Transgender & Gender Diverse (TGD) Persons

Venous Thromboembolism in Transgender & Gender Diverse (TGD) Persons

by Rebecca Seliga, Alex Coutin, Michael Kruse | Jun 29, 2022 | Cardiology, Featured, Grand Round Summaries, Thrombosis

You are working an urgent care shift and you access your ED electronic track-board to pick up the next patient waiting to be seen: You assign yourself to patient Smith, and notice a helpful comment from your triage nurse stating the patient’s name is Angela. You...
Surviving Sepsis: The 2021 Review

Surviving Sepsis: The 2021 Review

by Doran Drew, Amanda Mattice | Jun 23, 2022 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation

A review of some of the most relevant elements of the 2021 surviving sepsis campaign for the emergency physician. Definitions Our operative definition of sepsis & septic shock are the sepsis-3 definitions [1]. Sepsis: “Sepsis is a life threatening organ...
Urinary Tract Infection: All your questions answered

Urinary Tract Infection: All your questions answered

by Graham Wilson, Josee Malette | Jun 16, 2022 | Featured, Grand Round Summaries, Infectious Disease

How many times a shift do you consider a urinary tract infection?   As Emergency physicians, you make and/or consider urinary tract infection (UTI) multiple times per shift.1 Actually, up to 5% of ED visits are related to genitourinary complaints.2-4 From simple...
Pediatric Resuscitation: AHA PALS Updates

Pediatric Resuscitation: AHA PALS Updates

by Sheena Nandalal | May 26, 2022 | Airway, cardiac arrest, Featured, Grand Round Summaries, Pediatrics

Pediatric cardiac arrests are rare occurrences in Canada Due to the infrequency, pediatric cardiac arrest and resuscitation are challenging areas to study so the data we have is limited in scope and quality. This is an area for future research and improvement...
“Is there a doctor on board?”: In-Flight Emergencies

“Is there a doctor on board?”: In-Flight Emergencies

by Steven Sanders, Sam Wilson, Josee Malette | May 12, 2022 | Featured, Grand Round Summaries

  As global COVID-19 travel restrictions loosen, many people are finally taking the vacations they’ve been putting off for the last two years. As passenger air traffic climbs, in-flight medical emergencies will become increasingly frequent. Will you be ready when...
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