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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...
Pericarditis and Myocarditis in the ED

Pericarditis and Myocarditis in the ED

by Maria Doubova, Lucy Karp | Apr 28, 2022 | Cardiology, COVID-19, emergency, Featured, Grand Round Summaries

Chest pain is one of the most common presentations to the emergency department (ED) and includes a wide differential diagnosis. In today’s post, we will review a less common cause of chest pain seen in the ED: pericarditis and myocarditis. We will also review...
Did You Do a Pelvic Exam?

Did You Do a Pelvic Exam?

by Kathleen O'Connell | Apr 21, 2022 | Featured, Grand Round Summaries, OBGYN, Public health

The role of the emergency department pelvic exam has come under debate for some time. Clinicians have raised concerns regarding whether or not it changes management, whether or not our findings are reliable, and of course the logistic barriers regarding space, time...
Atrial Fibrillation/Flutter Best Practice Checklist

Atrial Fibrillation/Flutter Best Practice Checklist

by Pascale King, Amanda Mattice | Apr 14, 2022 | Cardiology, Featured, Grand Round Summaries

Atrial fibrillation (AF) is encountered with significant frequency in the Emergency Department (ED). In fact, atrial fibrillation is the single most common arrhythmia seen in the ED. As per the 2020 CCS review, AF resulted in 8815 same-day procedures, 76 964 ED...
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