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Acute Valvular Emergencies

Acute Valvular Emergencies

by Emily Cino | Jul 30, 2026 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries, Resuscitation

Acute valvular emergencies are uncommon, but when they present they can rapidly become life-threatening. Patients often arrive with undifferentiated respiratory failure, pulmonary edema, hypotension, or cardiogenic shock, and the initial diagnosis may not be obvious....
When the Gut Don’t Flow: PoCUS for SBO

When the Gut Don’t Flow: PoCUS for SBO

by Thariq Badiudeen | Jul 23, 2026 | Featured, Surgery, Ultrasound

Small bowel obstruction (SBO) is a common ED presentation, and these patients are often in significant pain with persistent nausea and vomiting. While CT remains the gold standard to confirm the diagnosis, identify the transition point, detect complications such as...
Pour Some Colour On Me: A Guide to PoCUS Valve Assessment

Pour Some Colour On Me: A Guide to PoCUS Valve Assessment

by Thariq Badiudeen | Jul 16, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Ultrasound

Valvular heart disease is everywhere in emergency medicine, but it is sneaky.  We see the older patient with recurrent dyspnea whose chest radiograph is unremarkable and BNP is only mildly elevated. We see the patient in shock whose physiology never quite fits sepsis....
A Randomized Trial of Tenecteplase in Acute Central Retinal Artery Occlusion

A Randomized Trial of Tenecteplase in Acute Central Retinal Artery Occlusion

by Benjamin Viner, Christian Vaillancourt | Jul 6, 2026 | Featured, Journal Club, Neurology

A Randomized Trial of Tenecteplase in Acute Central Retinal Artery Occlusion Ryan SJ, et al. N Engl J Med. 2026 Jan 29;394(5):442-450. doi: 10.1056/NEJMoa2508515.   Editorial:  Seeing It Through – Lessons from a Retinal Stroke Trial. Schrag M, et al. N Engl J...
TEE During CPR in Patients With Out-of-Hospital Cardiac Arrest: The EXECT-CPR Trial

TEE During CPR in Patients With Out-of-Hospital Cardiac Arrest: The EXECT-CPR Trial

by James Linton | Jun 29, 2026 | Critical Care, Featured, Journal Club, Resuscitation

Transesophageal Echocardiography During CPR in Patients With Out-of-Hospital Cardiac Arrest: The EXECT-CPR Randomized Clinical Trial. Chu SE, et al. JAMA Intern Med. 2026 Mar 23. doi: 10.1001/jamainternmed.2026.0102.    Editorial:  Can Transesophageal...
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