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Deferring Arterial Catheterization in Critically Ill Patients with Shock

Deferring Arterial Catheterization in Critically Ill Patients with Shock

by Madison Van Dusen, Christian Vaillancourt | May 7, 2026 | Critical Care, Journal Club, Resuscitation

Deferring Arterial Catheterization in Critically Ill Patients with Shock Muller G, et al. Deferring Arterial Catheterization in Critically Ill Patients with Shock. N Engl J Med. 2025 Nov 13;393(19):1875-1888 Editorial: A Less Invasive Approach to Intensive Care....
Beyond Weight Loss: ED Implications of the GLP-1 Era

Beyond Weight Loss: ED Implications of the GLP-1 Era

by Camille Dagenais | May 7, 2026 | Endocrinology, Featured, Gastroenterology, Grand Round Summaries, Resuscitation

GLP-1 receptor agonists have moved from niche diabetes therapies to some of the most commonly encountered medications in modern clinical practice. Drugs like semaglutide and tirzepatide are reshaping the management of obesity and cardiometabolic disease, with millions...
Traumatic Brain Injuries: A (m)BIG Headache

Traumatic Brain Injuries: A (m)BIG Headache

by Camille Dagenais | Apr 23, 2026 | Critical Care, Featured, Grand Round Summaries, Neurology, Neurosurgery, Resuscitation, Trauma

Traumatic brain injury (TBI) is a common yet challenging presentation in emergency medicine. As CT imaging becomes increasingly sensitive, clinicians are identifying more subtle intracranial injuries. The Brain Injury Guidelines (BIG) and Modified Brain Injury...
Liar, Liar, Clot on Fire: Is a Negative D-Dimer Always Enough?

Liar, Liar, Clot on Fire: Is a Negative D-Dimer Always Enough?

by Caroline Gregory | Apr 16, 2026 | cardiac arrest, Cardiology, Featured, Grand Round Summaries, Respirology, Resuscitation, Thrombosis

Venous thromboembolism, which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is one of the most commonly worked-up diagnoses in the emergency department. Approximately half of all DVTs embolize to the lungs, and the annual incidence of PEs is about 1...
Blood Pressure Targets in Trauma Resuscitation: The New Thinking

Blood Pressure Targets in Trauma Resuscitation: The New Thinking

by Mathieu McKinnon | Mar 26, 2026 | Anesthesiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Trauma

Blood pressure management in trauma is one of the most deceptively complex decisions we make in the emergency department. In the first hour of resuscitation, competing physiologic priorities collide: permissive hypotension may protect clot integrity in hemorrhagic...
Smarter Starts and Safer Stops: Antibiotic Stewardship in the ED

Smarter Starts and Safer Stops: Antibiotic Stewardship in the ED

by Mejbel Alazemi | Mar 12, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation

Antimicrobial stewardship (AMS) is about using the right antibiotic, only when needed, and choosing the appropriate dose, route, and duration. The goal is to treat infections effectively while reducing harm, both to the individual and to the healthcare system. It’s...
Top EMOttawa Posts of 2025

Top EMOttawa Posts of 2025

by Shahbaz Syed | Jan 5, 2026 | Critical Care, Featured, Grand Round Summaries, Resuscitation

This year on the EMOttawa Blog, our team continued to focus on clinically grounded, practical, and thoughtful emergency medicine scholarship. From procedures and decision rules to reflection and wellness, our goal has remained simple: help Emergency Physicians deliver...
Not-so-Benign Hematology Part 2: Hemolytic Anemia & Thrombotic Microangiopathies

Not-so-Benign Hematology Part 2: Hemolytic Anemia & Thrombotic Microangiopathies

by Prince Asare-Agbo | Nov 6, 2025 | Critical Care, Featured, Grand Round Summaries, Hematology, Resuscitation

You can find Part 1 on Hemophilia here. For Part 2, we’ll be focusing on hemolytic anemias and thrombotic microangiopathies, or TMAs for short. Defined simply, hemolytic anemia is the destruction of red blood cells before their normal 120-day lifespan. It’s a broad...
Not-so-Benign Hematology for the ER Physician

Not-so-Benign Hematology for the ER Physician

by Prince Asare-Agbo | Oct 30, 2025 | Critical Care, Featured, Grand Round Summaries, Hematology, Resuscitation

Blood tests (especially complete blood counts and coagulation markers) are some of the most commonly ordered investigations in both the emergency department and the hospital at large. It’s important for us as emergency physicians to have an excellent understanding of...
Are We Triage Monkeys or Gods? Big and Small Decisions in the ED

Are We Triage Monkeys or Gods? Big and Small Decisions in the ED

by Lucy Karp | Aug 7, 2025 | Commentary, Critical Care, Grand Round Summaries, Resuscitation

While the term ‘God Squad’ reflects a real committee from the 1960s, we use it here critically to examine the risks of unchecked decision-making power in emergency care.   Watch the entire Grand Rounds here This is a photo of the Admissions and Policy Committee...
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