CAEP National Grand Rounds

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Learning Objectives

By the end of the session, participants will be able to:

  1. Describe the pathophysiology of diabetic ketoacidosis (DKA) in children and how it differs from adults
  2. Review pediatric DKA management, goals of treatment, and potential complications
  3. Outline the proposed changes in the upcoming Canadian Pediatric Society Practice Point and TREKK guidelines and provide evidence-based rationale for these changes


Gurinder Sangha



Karen Gripp


Dr. Karen Gripp is a pediatric emergency physician and associate professor within the Rady Faculty of Health Sciences at the University of Manitoba, Section Head of Pediatric Emergency Medicine, and Medical Director of the Children’s Hospital Emergency Department. Dr. Gripp received her medical degree from The Johns Hopkins School of Medicine in 1996 and completed her pediatric residency training at Johns Hopkins before obtaining additional training in pediatric critical care at the Children’s Hospital Colorado.
Since coming to Winnipeg, Dr. Gripp has served as Pediatric Postgraduate Medical Education co-director and as chair of the national Canadian Pediatric Program Director group. She remains active with the Royal College of Physicians and Surgeons as vice-chair of the Specialty Committee in Pediatrics and is a member of the Royal College Specialty Standards Review Committee and Pediatrics Examination Board as well as a past member of the Canadian Pediatric Society Acute Care Committee.
Provincially, Dr. Gripp has served as the chair of the College of Physicians and Surgeons Child Health Standards Committee and is the Manitoba course director and master faculty for Trauma Resuscitation for Kids, a high-fidelity intra-professional simulation training event. She also serves as the Vice President Education for the Canadian Women Physicians chapter of Toastmasters.

Sarah Lawrence


Sarah Lawrence is a Pediatric Endocrinologist at CHEO in Ottawa where she has practiced since 1995. She completed medical school at Dalhousie University, pediatrics residency at the University of Ottawa and endocrinology training at the Montreal Children’s Hospital. She was lead author on a Canadian CPSP surveillance study of risk factors for cerebral edema in DKA published in 2005.  More recently she has collaborated with colleagues in CPEG and the TREKK group on national recommendations for initial and ongoing DKA management. Guidelines for management of pediatric Hyperglycemic Hyperosmolar State are pending final review.

This Group Learning program has been certified by the College of Family Physicians of Canada for up to 24 Mainpro+ credits.  Earn up to one (1) certified Mainpro+® credit per webinar.

This webinar series is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada and approved by Canadian Association of Emergency Physicians.  You may claim a maximum of 24 hours.  Earn up to one (1) MOC Section 1 hour per webinar (credits are automatically calculated).

The pandemic has been hard on Emergency Physicians in Canada.  Already working in overcrowded emergency departments we came together early in the pandemic at CAEP’s virtual town halls.  We shared ideas and expertise from across the country to become stronger and care better for our patients.  After the new normal of the pandemic set in, the need to share expertise and stay connected continued.  National Grand Rounds replaced the virtual town halls and is now where Canada’s Emergency Physicians come to stay connected and up to date on the latest evidence.   Difficult issues within emergency medicine are discussed and debated.  Important clinical topics relevant to every emergency department across the country, from small-town to large urban centre, are covered in this virtual platform.  CAEP’s National Grand Rounds will remain as a silver lining to the many challenges faced by the Emergency Medicine community in responding to the COVID-19 pandemic.

Overall learning objectives:

  1. Consider strategies to ensure career longevity.
  2. Apply up-to-date evidence to inform clinical decisions.
  3. Influence the future direction of EM in Canada
  4. Stay connected to CAEP and colleagues within a virtual platform.

Given the importance of the subject of the November 4th Grand Rounds, CAEP is making this recording FOAMed (see videos below). Grand Rounds post recordings after the September 23rd session are only available to CAEP members via their portal.  Login at the button below and select Grand Rounds from the left menu bar.
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Grand Rounds Recordings from September 2022 onwards

Recordings from September 1, 2022 onwards are available to CAEP members.

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Grand Rounds Recordings prior to September 2022

Recordings between September 23, 2021 and June 1, 2022 are available to CAEP members by logging in here.

If you have issues accessing the recordings, please message Gail Chapman.

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Grand Rounds Recordings Open Access below Royal CBD Royal CBD Creams