by Naman Arora | Jan 9, 2025 | Critical Care, Endocrinology, Featured, Grand Round Summaries, Infectious Disease, Recently Featured
In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of...
by Rajan Walia, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Dec 18, 2024 | Featured, Infectious Disease, Journal Club, Pediatric Care, Pediatrics
Methodology: 3.5/5 Usefulness: 2/5 Gravel J, et al. Ann Emerg Med. 2024 Nov;84(5):490-499. doi: 10.1016/j.annemergmed.2024.05.005. Question and Methods: The authors aimed to validate the Sick Kids algorithm for distinguishing bacteremia from contaminants in pediatric...
by Kaitlin Endres | Nov 7, 2024 | Airway, Anesthesiology, cardiac arrest, Featured, Grand Round Summaries, Infectious Disease, Radiology, Respirology, Toxicology
Inhalational injuries are a critical yet often overlooked aspect of trauma care, with far-reaching consequences in emergency medicine. These injuries can arise from various sources, including thermal injuries from fires, recreational activities such as smoke exposure...
by Maria Doubova, Rory Connolly | Jun 20, 2024 | Featured, Infectious Disease, Radiology, Surgery, Ultrasound
This case report demonstrates the utility of point-of-care ultrasound (POCUS) to identify complicated gallbladder disease. In this case, the patient presented with abdominal pain and a known history of cholelithiasis. POCUS demonstrated signs of small bowel...
by Samara Adler, Hans Rosenberg, Ian Stiell | Jun 10, 2024 | Infectious Disease, Journal Club, Pediatrics
Methodology: 3.5/5 Usefulness: 2.5/5 Montini G, et al. Pediatrics. 2024 Jan 1;153(1):e2023062598. Question and Methods: This multicenter, parallel-group randomized controlled trial intended to determine the non-inferiority of a 5-day versus 10-day course of oral...
by Nate Murray, Mathieu McKinnon | Apr 4, 2024 | cardiac arrest, Cardiology, emergency, Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Radiology, Surgery, Thrombosis, Trauma, Ultrasound
Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In...
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 Kevin Guo, Hans Rosenberg, Krishan Yadav | May 3, 2023 | Critical Care, Featured, Infectious Disease, Journal Club, Resuscitation
Methodology: 4/5 Usefulness: 4/5 Dequin PF, et al. N Engl J Med. 2023 Mar 21. doi: 10.1056/NEJMoa2215145. Question and Methods: Pneumosepsis can lead to pulmonary and systemic inflammation that can increase risk of organ failure and death. The authors attempted to...
by Hailey Newton | Apr 20, 2023 | Featured, Grand Round Summaries, Infectious Disease, Infectious Disease, Trauma
In Part 1 of this 2 part series, we focused on animal bite management. In Part 2, we will look at our approach to human bites and considerations around addressing Rabies related concerns. Human Bites Human bites can present as: Occlusive bites: Bites from human...
by James Gilbertson, Hans Rosenberg, Ian Stiell | Apr 9, 2023 | Critical Care, Featured, Infectious Disease, Journal Club, Resuscitation
Methodology: 4/5 Usefulness: 3/5 National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network; et al. N Engl J Med. 2023 Feb 9;388(6):499-510. doi: 10.1056/NEJMoa2212663. Epub 2023 Jan 21. Question and...