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Vector-Borne Illness P2: the Chikun or Zika?

Vector-Borne Illness P2: the Chikun or Zika?

by Jessica McCallum, Alex Coutin | Oct 15, 2020 | Featured, Global health, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health, Tropical Medicine

In part one of this two-part series, we took a bite out of Lyme disease and Malaria (see what we did there?). In this part, we’ll be covering African tick-bite fever, African sleeping sickness, Dengue, Chikungunya, and Zika. Fever in the returning traveler is...
ROTEM in Trauma: Blood is thicker with Wine – Part 1

ROTEM in Trauma: Blood is thicker with Wine – Part 1

by Richard Hoang | Sep 24, 2020 | Critical Care, Featured, Grand Round Summaries, Trauma

In this post, we’ll discuss viscoelastic hemostatic assays (VHAs), namely ROTEM (Rotational Thromboelastometry), and how we can use this tool to enhance the care of traumatically injured patients. This is the first in a two-part series. This part reviews the Evidence...
Vector-Borne Illness: Lyme disease and Malaria

Vector-Borne Illness: Lyme disease and Malaria

by Jessica McCallum, Alex Coutin | Sep 24, 2020 | Featured, Global health, Grand Round Summaries, Infectious Disease, Public health, Tropical Medicine

In part one of a two-part series on vector-borne illnesses, we seek to take a deep dive into Lyme disease and Malaria. For more on the other vector-borne illnesses, check out part two!   The only helpful way to distinguish between all these illnesses is the...
An approach to acute diarrhea

An approach to acute diarrhea

by Robert Suttie, Shahbaz Syed | Sep 10, 2020 | Featured, Grand Round Summaries, Infectious Disease

Does diarrhea run in your family? Ok, that one’s bad, we apologize. There is significant practice variation when it comes to acute diarrheal illness – fortunately, there are some recommendations to help guide our practices, and in particular, when we...
The Status on Status: Management of Status Epilepticus

The Status on Status: Management of Status Epilepticus

by Evelyn Tran, Pascale King | Jul 16, 2020 | Featured, Grand Round Summaries, Neurology

Status epilepticus (SE) is considered one of the most common neurological emergencies with an estimated incidence of 20 cases/100,000 people worldwide. Just the facts The distribution is bimodal, peaking in patients <1 and >60 years old.  In children, the cause...
What a headache: Updates on Migraine Management

What a headache: Updates on Migraine Management

by Maeghan Fu, Pascale King | Jul 9, 2020 | Featured, Grand Round Summaries, Neurology

  Migraine headaches are not a benign disease – they have a significant impact on quality of life, ability to function, and pose a considerable economic and societal burden. Prevalence tends to peak during peoples’ period of highest productivity. ...
Complications of Assisted Reproductive Technology

Complications of Assisted Reproductive Technology

by Nick Prudhomme | Jun 25, 2020 | Featured, Grand Round Summaries, OBGYN

Assisted reproductive technology (ART) is an evolving field with many therapies that have a common goal: to maximize the chance of pregnancy while minimizing the risk of multiple gestations. As the Canadian infertility rate approaches 15%, the use of ART is steadily...
Let’s talk about some drugs

Let’s talk about some drugs

by Shahbaz Syed | Jun 11, 2020 | Featured, Grand Round Summaries, Resuscitation, Toxicology

Here, we seek to explore some controversial, poorly known, or irrelevant drugs in medicine in a menagerie of drug cocktails. 1. What drugs best treat SVT? A patient presents with the following rhythm strip, they’re totally stable, on no medications and with no...
Anxiety, Depression and Everything in Between

Anxiety, Depression and Everything in Between

by Shahbaz Syed | Jun 11, 2020 | Featured, Grand Round Summaries, psychiatry

In the past 5-10 years we have seen a significant increase in mental health-related complaints in the Emergency Department (ED), and during COVID this is especially noticeable. Historically, we’ve classically been taught to focus on performing safety...
Braving the Electrical Storm in the ED

Braving the Electrical Storm in the ED

by Lindsay Cheskes, Kate O'Connell | May 21, 2020 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation

This post takes a deep dive into the pathophysiology, presentation and management of electrical storm in the emergency department. The management focuses on patients with implantable cardioverter-defibrillators receiving multiple shocks, patients with polymorphic...
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