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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...
Echos of the Future: PoCUS in EM

Echos of the Future: PoCUS in EM

by James Gilbertson | Mar 13, 2025 | Featured, Grand Round Summaries, Radiology, Resuscitation, Ultrasound

How did ultrasound become a cornerstone of emergency medicine? What ultrasound skills should an emergency physician in Canada possess? And with the rise of handheld devices and AI-driven diagnostics, where is PoCUS in emergency medicine headed? Here, we are going to...
Mastery of DVT PoCUS

Mastery of DVT PoCUS

by James Gilbertson, Michael Woo, Nathan Hecht | Dec 19, 2024 | Cardiology, Ultrasound

Point-of-care ultrasound (PoCUS) for lower extremity deep vein thrombosis (DVT) remains a skill with significant variability in local practice. While some physicians perform DVT scans regularly, others rarely incorporate PoCUS into their workflow. Regardless of your...
Venous Thromboembolism in Transgender & Gender Diverse (TGD) Persons

Venous Thromboembolism in Transgender & Gender Diverse (TGD) Persons

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...
A simplified decision rule to rule out deep vein thrombosis using clinical assessment and D-dimer

A simplified decision rule to rule out deep vein thrombosis using clinical assessment and D-dimer

by Hans Rosenberg | Jul 8, 2021 | Journal Club, Thrombosis

Methodology: 3.5/5 Usefulness: 2/5 Xu K, et al. J Thromb Haemost. 2021 Apr 8. doi: 10.1111/jth.15337. Epub ahead of print. PMID: 33834620. Question and methods: The authors sought to develop a new, simplified clinical decision rule to exclude DVT using individual...
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