by Julie Ingratta | Nov 10, 2022 | Featured, Grand Round Summaries, Orthopedics, Trauma
The acutely injured knee can often be challenging to assess when there is no associated fracture. Identifying the possible non-bony acute pathology is important to help discern the most appropriate approach to treatment for the patient. Assessment History Mechanism...
by Cameron Leafloor, Courtney Price, Sam Wilson | Oct 13, 2022 | Featured, Grand Round Summaries
How many times on shift do you see a patient that is on an anticoagulant or antiplatelet agent? The answer is probably almost always. The use of these agents and their complications are extremely common. And in particular cases, such intra-cerebral hemorrhage...
by Mark McKinney | Aug 11, 2022 | Commentary, COVID-19, Featured, Grand Round Summaries
The COVID-19 pandemic has been the most globally disruptive event of a generation. But is COVID a once in a lifetime event, or just another in a long line of infectious threats? Human history has been marked by new and re-emerging illnesses often on a global scale....
by Alex Viau, Josee Malette, Alex Coutin | Aug 4, 2022 | Featured, Grand Round Summaries, Infectious Disease
In PART 1 of our HIV in the ED Blog series, we explored the importance of diagnosing HIV in the ED, and the approach to the diagnosis. In PART 2, we hope to address the following: Indications for occupation & non-occupational post-exposure prophylaxis (PEP)...
by Alex Viau, Josee Malette, Alex Coutin | Jul 28, 2022 | Addictions, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health
When it comes to human immunodeficiency virus (HIV) in the ED, the most medically interesting pathology is in the acute presentation of AIDS-defining opportunistic infections. However, due to advances in anti-retroviral therapies (ART), you’re much less likely...
by Evelyn Tran, Lucy Karp | Jul 21, 2022 | Featured, Grand Round Summaries, Quality Improvement
What is patient safety? Patient safety is a discipline developed in response to the rise in hospital adverse events over the years. Aims to take lessons learned from prior unfavourable outcomes and make improvements that mitigate risks, prevent errors, and reduce...
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...
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...
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...
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...
