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Venomous Snake Bites: The Fangs, The Guidelines, The Myths

Venomous Snake Bites: The Fangs, The Guidelines, The Myths

by Amanda Mattice | Mar 7, 2024 | emergency, Featured, Grand Round Summaries, Pre-Hospital, Prehospital and Transport Medicine, Resuscitation, Toxicology

In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be...
Lacerations: The secrets they don’t want you to know

Lacerations: The secrets they don’t want you to know

by Maria Doubova | Feb 22, 2024 | Chronic Pain, Featured, Grand Round Summaries, Procedural care, Surgery

Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1). Let’s review some of the evidence (or lack...
Ketamine and Etomidate: Into the Void

Ketamine and Etomidate: Into the Void

by Isabella Menchetti | Feb 15, 2024 | Airway, Anesthesiology, cardiac arrest, Featured, Grand Round Summaries

We’re increasingly cognizant of the physiological importance of maintaining specific hemodynamics during resuscitation. Practice patterns vary broadly, so we’ve done a deep dive into the various evidence around the use of ketamine and etomidate in specific...
Abortion Care in the Emergency Department

Abortion Care in the Emergency Department

by Pascale King, Samara Adler | Feb 8, 2024 | Featured, Grand Round Summaries, OBGYN, Patient Advocacy

Abortion history in Canada is Complex. Countless hardships were overcome on the long journey to the legalization of medical induced abortion (IA). This blog post will focus on what you need to know as an acute care provider. Context: Unsafe abortions are the leading...
Liver Let Die? Approach to Splanchnic Vein Thrombosis & Shock Liver

Liver Let Die? Approach to Splanchnic Vein Thrombosis & Shock Liver

by Kaitlin Endres, Mathieu McKinnon | Jan 18, 2024 | Critical Care, emergency, Featured, Gastroenterology, Grand Round Summaries, Surgery, Thrombosis

When working up your patient, how often do you think of problems related to the hepatic venous system? Have you suppressed those memories of time spent over your cadaver in medical school learning the anatomy? By the end of this, you will all be newly discovered...
The Way is Shut: Aortic Stenosis Part 2

The Way is Shut: Aortic Stenosis Part 2

by Caitlin Hutchings | Dec 14, 2023 | Cardiology, Critical Care, Featured, Grand Round Summaries, Most Viewed

In part 1 of this series, we focused on the physiologic and hemodynamic consequences of aortic stenosis, as well as management in atrial fibrillation and procedural sedation. In this part, we will focus on the management of decompensated aortic stenosis with heart...
Decoding Code Status: A Goals of Care Framework

Decoding Code Status: A Goals of Care Framework

by Lucy Karp | Nov 30, 2023 | Critical Care, Featured, Grand Round Summaries, Resuscitation

In general, the public perception of CPR is filled with inaccuracies, and recently the New Yorker wrote about the Hidden Harms of CPR. In the article, Dr. Sunita Puir, a palliative care doctor, talks about how it is an “open secret in medicine that CPR is brutal and...
Change: Why Healthcare Reform is More Important Than Ever

Change: Why Healthcare Reform is More Important Than Ever

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...
Degenerative Cervical Myelopathy

Degenerative Cervical Myelopathy

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...
The Deep Freeze: A Review of Frostbite Management

The Deep Freeze: A Review of Frostbite Management

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...
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