Rotating Around the Cuff of Shoulder Injuries
Shoulder injuries are a common yet complex presentation in emergency medicine, presenting a unique challenge due to the intricate anatomy and diverse range of potential pathologies, where imaging may...
View ArticleBy the Hammer of Thora: Pleural Effusions in the ED (part 1)
Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. In this...
View ArticleBy the Hammer of Thora: Pleural Effusions in the ED (Part 2)
Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one...
View ArticleMeasles… its backkkk (again)
In the past year, there’s been a growing concern about the rising number of measles cases globally, including in Canada. This resurgence of measles cases in major centers has sparked worry. But is it...
View ArticleAcetylcholine vs Dopamine “It’s Not You, It’s Me”
I wrote this piece because understanding diseases by framing them as high or low levels of dopamine, acetylcholine, glutamate, or GABA has significantly improved my grasp of their pathophysiology and...
View ArticleTell me an Ultrasonic Love Story – PoCUS for the everyday user
Point-of-care ultrasound (POCUS) is often taught to answer binary questions, like, “Is there free fluid in the abdomen?” However, when we combine POCUS images with clinical documentation, we are...
View ArticleDiagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review...
Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9 Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity...
View ArticleS’now Problem: Keep your Cool when Stimulants turn up the Speed
We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from...
View ArticleIs there a Precedence for Precedex in the ED?
Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. It offers a unique profile of sedation without respiratory...
View ArticleDelirium revisited
Delirium is a medical emergency. It is characterized by acute disturbance of consciousness, with changes in perceptual disturbances and fluctuation of symptoms. Delirium is often the initial...
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