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The Kids Are(n’t) Alright: Distinguishing Necessary from Unnecessary Discomfort in Medical Training

The Kids Are(n’t) Alright: Distinguishing Necessary from Unnecessary Discomfort in Medical Training

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...
The Performance Art of Medicine

The Performance Art of Medicine

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...
ED Return Visits: Separating Signal from Noise

ED Return Visits: Separating Signal from Noise

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...
Raising the Barb: Evolving Practices in Alcohol Withdrawal Management

Raising the Barb: Evolving Practices in Alcohol Withdrawal Management

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...
Beyond Weight Loss: ED Implications of the GLP-1 Era

Beyond Weight Loss: ED Implications of the GLP-1 Era

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...
Traumatic Brain Injuries: A (m)BIG Headache

Traumatic Brain Injuries: A (m)BIG Headache

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...
Liar, Liar, Clot on Fire: Is a Negative D-Dimer Always Enough?

Liar, Liar, Clot on Fire: Is a Negative D-Dimer Always Enough?

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...
Going viral – Emergency Medicine in the age of algorithms

Going viral – Emergency Medicine in the age of algorithms

by Madison Van Dusen | Apr 9, 2026 | Commentary, Grand Round Summaries

“A patient sits in front of you, phone in hand. ‘I think I have hypertrophic cardiomyopathy… I saw it on TikTok.’” Social media is no longer peripheral to healthcare, it is embedded within it. From how patients interpret symptoms to how clinicians learn, connect, and...
Blood Pressure Targets in Trauma Resuscitation: The New Thinking

Blood Pressure Targets in Trauma Resuscitation: The New Thinking

by Mathieu McKinnon | Mar 26, 2026 | Anesthesiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma

Blood pressure management in trauma is one of the most deceptively complex decisions we make in the emergency department. In the first hour of resuscitation, competing physiologic priorities collide: permissive hypotension may protect clot integrity in hemorrhagic...
Signal or Noise? Using Inflammatory Markers Wisely Through a Bayesian Lens

Signal or Noise? Using Inflammatory Markers Wisely Through a Bayesian Lens

by Lucy Karp | Mar 19, 2026 | Featured, Gastroenterology, Grand Round Summaries, Immunology, Infectious Disease, Most Viewed, Ophthalmology, Rheumatology

There seems to be a growing cultural obsession with “inflammation”. Scroll through social media long enough and you’ll find sweeping claims: inflammation is the root of fatigue, weight gain, menstrual cramps, brain fog, and even depression. And alongside this...
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