by Patrick Fisk | Jan 19, 2023 | Critical Care, Grand Round Summaries, Mass Casualty / Disaster, Resuscitation
This post seeks to provide some insights and discussion around CBRNE events (Chemical, Biological, Radioactive, Nuclear and Explosive). We want to review procedures within a mass casualty CBRNE event, principles related to decontamination, PEE, and review the...
by Emma Ferguson, Courtney Price | Jan 5, 2023 | Featured, Grand Round Summaries, Neurology
While most strokes we see are ischemic in nature, 10% of stroke presentations are intracerebral hemorrhages (ICH) 1. However, unlike ischemic strokes that have clear and evolving pathways for treatments, novel treatments for spontaneous intracerebral hemorrhages...
by Nicholas Choi | Dec 1, 2022 | Airway, Anesthesiology, Critical Care, Grand Round Summaries, Resuscitation
Awake intubations are an uncommon procedure, so cognitively practicing the nuances can be critically important to success. Here, we present an updated practical guide on awake intubations in the ED intended to supplement a previously posted topic. You can see the...
by Nate Murray, Talal Alkhaldi | Nov 24, 2022 | Airway, Critical Care, Featured, Grand Round Summaries, Resuscitation
When encountering patients with angioedema, we have historically used a similar approach to anaphylaxis, mostly out of a lack of evidence supporting a particular practice. Here, we take a deep dive into ACE inhibitor-induced angioedema to provide the most up to date...
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...
