by Thariq Badiudeen, Nathan Hecht | Oct 8, 2026 | Featured, OBGYN, Ultrasound
It’s 2:30 AM. A 29-year-old woman presents ten days after a medical abortion. She’s febrile, tachycardic, and complaining of worsening pelvic pain. She has a small amount of vaginal bleeding, and her abdomen is soft. Her β-hCG is still positive, which is...
by Naman Arora | Oct 1, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
Sepsis resuscitation has evolved considerably over the past two decades, moving away from rigid protocols toward more individualized care. Yet many familiar targets remain: 30 mL/kg of fluid, a MAP of 65, and lactate clearance. But not every patient benefits from more...
by Shane Baistrocchi | Sep 17, 2026 | Critical Care, Featured, Grand Round Summaries, Hematology, Immunology, Infectious Disease, Resuscitation
Disseminated intravascular coagulation (DIC) is an acquired, life-threatening disorder characterized by systemic activation of coagulation, dysregulated fibrinolysis, and, as emphasized in the updated definition, endothelial injury. It exists on a continuum, from...
by Anchaleena Mandal | Aug 20, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
Cardiovascular disease remains one of the leading causes of death worldwide, accounting for approximately 32% of deaths globally.¹ Acute myocardial infarction (MI) accounts for more than 50,000 deaths annually in Canada.² As emergency physicians, we all recognize the...
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....
