Every wrinkle holds a thousand tales: A physician reflects on caring for an Inuk man in his final illness ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260356

Pacemaker lead failure: Pacemaker lead failure is broadly categorized into 2 types: conductor fracture and insulation failure. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260045

Pyoderma gangrenosum: Pyoderma gangrenosum is a rare but serious neutrophilic dermatosis that often presents as a rapidly expanding ulcer. Images provided in article. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260050

The narrow promise of lecanemab for Alzheimer disease This week on #CMAJPodcasts, we discuss lecanemab for Alzheimer disease with Drs. Sophie Weiss and Vivian Ewa ➡️ www.cmaj.ca/transcript-260193

What are the risks associated with bipolar disorder in the perinatal period? How can these risks be managed during pregnancy and lactation? What monitoring is required for a pregnant person taking mood stabilizers? Find out in our latest decisions article ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251879

"Health care system leaders must not use individuals as convenient human shields to avoid taking accountability for a complex system problem." How to stop Canada’s emergency physicians from leaving their profession: an editorial by Dr. Catherine Varner ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.261030

Emergency physician burnout: In a survey of Canadian emergency physicians, burnout remains high, with almost half of respondents having reduced their work hours, and 10% having left the profession. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251863

Burnout and attrition: how are emergency physicians faring? CMAJ Volume 198, Issue 27, features new articles on emergency physician burnout; pacemaker lead failure; bipolar disorder and pregnancy, and more. ➡️ https://www.cmaj.ca/content/198/27

Did you know wildfire smoke can be more toxic than pollution from other sources? Wildfire seasons are getting longer and more severe in Canada. Here are 5 things to know about wildfire smoke ➡️ https://doi.org/10.1503/cmaj.240135

On wildfire smoke air pollution: “Relying on people to protect themselves is not enough, and top–down strategies ... are also needed to protect human health as the climate continues to change.” ➡️ https://doi.org/10.1503/cmaj.250510

Medetomidine: Medetomidine should be suspected when patients present with features of opioid intoxication but do not respond to naloxone. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260399

New diagnosis of hepatitis B: What are the current recommendations for hepatitis B virus (HBV) screening in adult patients? What are the recommendations for management and treatment? Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260032

Anaplasmosis and myocarditis: Anaplasmosis should be suspected when patients living in endemic regions present with fever, malaise, headache, and gastrointestinal symptoms, even if they do not recall any tick bites. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260142

Combined therapy versus monotherapy in type 2 diabetes: Assessing cardiovascular and kidney outcomes of combined SGLT2i and GLP-1RA therapy versus monotherapy in the management of type 2 diabetes mellitus using network meta-analysis. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250369

This week on #CMAJPodcasts, we discuss rethinking the contrast allergy label with Drs. Samira Jeimy and Amit Katyan. ➡️ www.cmaj.ca/transcript-260319

Negative-pressure pulmonary edema: Negative-pressure pulmonary edema is an underrecognized cause of acute noncardiogenic pulmonary edema. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251553

Management of pulmonary embolism: Pulmonary embolism occurs when a venous thrombus becomes lodged in lung arteries, causing impairment in oxygenation, circulation, and heart function, potentially with fatal consequences. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250944

🩺🔍 Pulmonary embolism: what is the latest on management? Read new articles on management of pulmonary embolism; anaplasmosis and myocarditis; combined therapy versus monotherapy in type 2 diabetes; and more, published in this week's issue of CMAJ. ➡️ https://www.cmaj.ca/content/198/26

Lecanemab for early Alzheimer disease: Lecanemab is a humanized monoclonal antibody that binds soluble brain amyloid-β protein, promoting its removal and slowing the underlying process of Alzheimer disease. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260193

Adverse effects from sedatives in older adults: This research study's findings have important implications for in-hospital medication review and falls-risk assessment for older adults in Canada. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251965

Rheumatoid synovitis: Important differentials for nodular elbow swelling in rheumatoid arthritis include rheumatoid nodules, gouty tophi, olecranon bursitis, and methotrexate-induced accelerated nodulosis. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252052

Fatal rabies in a child: Rabies postexposure prophylaxis is highly effective in preventing infection in exposed humans if given promptly and before onset of rabies symptoms. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251933

🎉 CMAJ Podcasts just hit ONE MILLION downloads! Thank you to everyone who has listened, shared, and supported the show. People truly value trusted health information — accurate, evidence‑based conversations matter more than ever. Listen + subscribe: CMAJ.ca ➡️ www.cmaj.ca/page/multime...

Swimming pool closures: Community pools are disappearing from the Canadian landscape, often among the first casualties of tightening public budgets. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260959

Otitis externa: Infection of the external auditory canal occurs most often after moisture exposure or minor trauma to the ear canal. Learn more ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260196

🩺🔍 Otitis externa: what’s the latest on diagnosis and management? Read new articles on otitis externa; fatal rabies in a child; adverse effects from sedatives in older adults; and more, published in this week's issue of CMAJ. ➡️ https://www.cmaj.ca/content/198/25

Purple urine bag syndrome: Purple urine bag syndrome is a benign condition resulting from microbial metabolism of tryptophan into indigo and indirubin pigments that adhere to the catheter and bag surfaces, producing a purple coloration. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260150

Neuroinvasive eastern equine encephalitis: Neuroinvasive eastern equine encephalitis is a rare and severe mosquito-borne disease that occurs in North America. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252021

Ebola virus disease: Ebolaviruses transmit person-to-person through bodily fluid contact (e.g., blood, vomit, diarrhea, semen) or contaminated fomites. Here are 5 things to know ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260834

🩺🔍 Ebola virus disease: what’s the latest on diagnosis and management? Read new articles on Ebola virus disease; hantavirus; purple urine bag syndrome; and more, published in this week's issue of CMAJ. ➡️ https://www.cmaj.ca/content/198/24