by Josee Malette | Nov 23, 2023 | Featured, Grand Round Summaries, Quality Improvement
As you’ve gleaned from the title of this blog post, today we are focusing our conversation on CHANGE; with a particular emphasis on its implications in healthcare. However, before we get deep in the weeds, it’s important that we acknowledge the elephant in...
by Zach MacDonald | Nov 9, 2023 | Grand Round Summaries, Neurology
Your next patient is an 80-year-old male, who had been functioning well until about a month ago. He has a history of type II diabetes, hypertension, and dyslipidemia, and has been working full-time. Upon reading the triage note and assessing the patient, you discover...
by Maria Doubova, Amanda Mattice | Nov 2, 2023 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Introduction Frostbite is a frequent presenting complaint to emergency departments (EDs) in cold climates. It is more common among those without housing, those with mental health disorders as well as those who work or engage in outdoor activities.(1) These injuries...
by Rosa Ramaekers, Courtney Price | Oct 26, 2023 | Featured, Grand Round Summaries, Pediatrics
You are seeing your next patient in urgent care, a 35-year-old female with a wrist injury who has been waiting for 6-hours. After sending her for an x-ray and offering pain control in the ED, she tells you she is 3-months post-partum and is currently nursing. She asks...
by Kate O'Connell, Sam Wilson | Oct 5, 2023 | Critical Care, Featured, Grand Round Summaries, Pediatrics, Resuscitation
Do you remember when every newborn under 30 days with a fever needed an LP/admission/blood cultures? Well.. times are a little different but its nuanced. The goal of this update is to provide a practical update in pediatric emergency medicine to the average Canadian...
by Graham Wilson, Sam Wilson | Sep 28, 2023 | Featured, Grand Round Summaries, Infectious Disease, Surgery
You are treating a 43-year-old male with two days of left lower quadrant abdominal pain, a documented fever of 38.4 and malaise. He has no urinary or bowel symptoms. His past medical history is unremarkable. He looks well by ED standards. After a focused history and...
by Sheena Nandalal | Sep 7, 2023 | Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma
According to WHO and CDC: more than nine people die every minute from injuries or violence, and 5.8 million people die every year. It is the leading cause of death in people 1-44 years of age in developed countries (unintentional injuries, homicide, suicide). The...
by Eusang Ahn | Aug 31, 2023 | Commentary, Featured, Grand Round Summaries
In Korea where I (hi!) originally trained, because of fewer human resources (like radiologists), and an abundance of technological resources,(like CT and MRI) emergency physicians often are expected to read their own imaging. There are next-day overreads from...
by Maria Doubova, Amanda Mattice | Aug 24, 2023 | Featured, Grand Round Summaries, Resuscitation
Dr. Barnes had previously provided a very thorough guide on burns management, which can be found here. The management of thermal injury has largely stayed the same but there have since been some important points that were highlighted by the ABA Pain management...
by Alex Viau | Jul 27, 2023 | Featured, Grand Round Summaries, Resuscitation, Urology
Acute scrotal pain is a common in emergency departments, comprising ~ 0.5% of all presentations. However, torsion is another very time sensitive diagnosis that is ubiquitous across all ages as seen by this Rosen’s table. Incidence / Epidemiology Unfortunately,...
