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Intravenous Lipid Emulsion: The New Fad Diet

Intravenous Lipid Emulsion: The New Fad Diet

by Kevin Durr, Sam Wilson, Josee Malette | Jan 20, 2022 | Featured, Grand Round Summaries, Resident Insights, Resuscitation, Toxicology

Much uncertainty still exists surrounding intravenous lipid emulsion (ILE) therapy. The precise mechanism of action remains unknown, no definitive consensus exists regarding its clinical indications, and there are no high quality studies evaluating its potential...
Shouldering the load: Shoulder dislocations in the ED

Shouldering the load: Shoulder dislocations in the ED

by Zach MacDonald, Lucy Karp | Dec 9, 2021 | Featured, Grand Round Summaries, Orthopedics, Orthopedics, Radiology, Trauma, Ultrasound

Shoulder dislocations are the most common large joint dislocation encountered by emergency physicians. Given their incidence in the emergency department, managing shoulder dislocations efficiently is key to departmental flow.` Recently, Dowson et al.1 utilized a...
Tacit Knowledge: The ER Physician’s Secret Weapon

Tacit Knowledge: The ER Physician’s Secret Weapon

by Stella Yiu, Marianne Yeung | Nov 25, 2021 | Commentary, Featured, Grand Round Summaries

Onboarding and transition to independent practice are challenging (1–3). New attending physicians need knowledge to function in novel roles (4), (Yeung, Cheung et al, personal communication) However,  this knowledge is often tacit. By improving our understanding of ...
Human Trafficking in the Emergency Department

Human Trafficking in the Emergency Department

by Lindsay Cheskes, Alex Coutin | Nov 11, 2021 | Featured, Grand Round Summaries, Main page, Patient Advocacy

The United Nations (UN) defines human trafficking (HT) as “the recruitment, transport, transfer, harbouring, or receipt of a person by such means as threat or use of force or other forms of coercion, abduction, fraud, or deception for the purpose of...
Quality Improvement (QI) in the ED

Quality Improvement (QI) in the ED

by Garrick Mok, Samara Adler, Josee Malette | Oct 21, 2021 | Featured, Grand Round Summaries

As part of a Quality Improvement initiative you are tasked with improving ED length of stay for patients presenting with ankle pain. You remember learning about the Ottawa Ankle Rules to help screen which patients require ankle x-rays. How will you implement that...
Palliative Care in the ED – Part 2

Palliative Care in the ED – Part 2

by Alex Viau, Josee Malette, Mejbel Alazemi | Oct 14, 2021 | Featured, Grand Round Summaries

We are back with Part-2 of our blog series on Palliative Care in the ED. If you haven’t already check-out Part 1 HERE. In this series, we will delve into the subject further by exploring the following topics:  Screening Tools: The Old and the New Education and...
Palliative Care in the ED – Part 1

Palliative Care in the ED – Part 1

by Alex Viau, Josee Malette, Mejbel Alazemi | Oct 7, 2021 | Featured, Grand Round Summaries

Pulling back the Pall from palliative care The word pall refers to a traditional death shroud or a dark cloud of dust or smoke. The aim of this blog post is both explore some of the inequities and recommendations for the palliative care landscape today, but also to...
Mastering the myocardium: Cardiogenic Shock

Mastering the myocardium: Cardiogenic Shock

by Omar Anjum, Alex Coutin | Sep 2, 2021 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries

Cardiogenic shock (CS) is considered the most severe form of acute heart failure. It is an important and often under-recognized clinical entity in the emergency department (ED). The difficulty in diagnosis lies in its diverse presentations, overlap with other shock...
Advancing Resuscitation Care: Controversial Guidelines

Advancing Resuscitation Care: Controversial Guidelines

by Renee Bradley, Josee Malette | Aug 26, 2021 | Featured, Grand Round Summaries, Resuscitation, Ultrasound

There are 35,000 out-of-hospital cardiac arrests (OHCA) annually in Canada6. Patient survival in OHCA increases dramatically with resuscitation; bystander CPR, use of AEDs and activation of EMS. Signifiant gains have been made with education at both the community and...
Navigating ED Patient Complaints

Navigating ED Patient Complaints

by Nick Schouela, Josee Malette | Jul 22, 2021 | Commentary, Featured, Grand Round Summaries

Patient complaints are common in medicine. Emergency medicine (EM) in particular has some of the highest numbers of complaints, just behind obstetrics and surgery. Almost all of you reading this have probably been subject to some sort of complaint, and if it...
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