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 | 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...
by Camille Dagenais | May 7, 2026 | Endocrinology, Featured, Gastroenterology, Grand Round Summaries, Resuscitation
GLP-1 receptor agonists have moved from niche diabetes therapies to some of the most commonly encountered medications in modern clinical practice. Drugs like semaglutide and tirzepatide are reshaping the management of obesity and cardiometabolic disease, with millions...
by Camille Dagenais | Apr 23, 2026 | Critical Care, Featured, Grand Round Summaries, Neurology, Neurosurgery, Resuscitation, Trauma
Traumatic brain injury (TBI) is a common yet challenging presentation in emergency medicine. As CT imaging becomes increasingly sensitive, clinicians are identifying more subtle intracranial injuries. The Brain Injury Guidelines (BIG) and Modified Brain Injury...
by Caroline Gregory | Apr 16, 2026 | cardiac arrest, Cardiology, Featured, Grand Round Summaries, Respirology, Resuscitation, Thrombosis
Venous thromboembolism, which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is one of the most commonly worked-up diagnoses in the emergency department. Approximately half of all DVTs embolize to the lungs, and the annual incidence of PEs is about 1...
