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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...
Vernakalant versus procainamide for rapid cardioversion of patients with acute atrial fibrillation (RAFF4): randomised clinical trial

Vernakalant versus procainamide for rapid cardioversion of patients with acute atrial fibrillation (RAFF4): randomised clinical trial

by Anchaleena Mandal, Christian Vaillancourt | Mar 5, 2026 | Featured, Journal Club

Methodology Score: 4.5/5 Usefulness Score: 4/5 Stiell IG, et al. BMJ. 2025 Nov 11;391:e085632. doi: 10.1136/bmj-2025-085632. Question and Methods: This is a multi-center, open-label, patient randomised trial comparing the effectiveness and safety of cardioversion with...
Sleigh What You Think You Know (About White and Dark Clouds)

Sleigh What You Think You Know (About White and Dark Clouds)

by Shahbaz Syed | Dec 25, 2025 | Commentary, Featured

Every December, the Emergency Department changes character a little. Lights show up around the nursing station. Someone brings in shortbread that appears to pre-date the Roman Empire. There is Christmas music. Someone inevitably wrongly claims that “Die Hard” is not a...
JVP is Dead

JVP is Dead

by James Gilbertson, Rory Connolly | Oct 2, 2025 | Cardiology, Featured, Main page, Most Viewed, Radiology, Ultrasound

The Tooth Fairy. The Easter Bunny. Two cardiologists trying to agree on a JVP measurement. These are myths we share with children — and, perhaps, with medical students. When it comes to estimating right atrial pressure, maybe it’s time we add JVP to that list. A study...
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