This is Emergency Medicine Cases, EM Quick Hits podcast, and I'm your host, Dr. Anton Hellman. EMCases is brought to you by Shremi, the Schwartz-Rizman Emergency Medicine Institute. That's a non-profit organization dedicated to improving EM care through high-quality research and education. The opinions expressed on this podcast are intended for general information and educational purposes only, and should not be used to diagnose treat or prevent any medical condition, nor should they be used as a substitute for medical advice from qualified practicing physician. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of the Institute nor medicine cases. First, a word from our sponsor, Metricade, the experts in complex physician scheduling since 2012. I've been using Metricade's incredible scheduling system for a decade, and it's been a game changer for me and my colleagues.

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That's easyresc.com slash EMC-A-S-E Resus.com slash EMCASES. It's an absolute pleasure to have Dr. Isaac Bogosh,

infectious disease specialists at University Health Network in Toronto. We've spoken together at a bunch

of conferences. I'm excited to say that he has agreed to be on the next EMCases

summit. He's a fantastic speaker. And I just have one question for him, and that is, what's the

latest on tick-borne illnesses? Uh, ticks. Everyone's favorite and least favorite topic. Favorite

because it's interesting, least favorite because

they're kind of a pain in the ass and they're spreading and they're gross and nobody wants

a tick bite. We're going to be geographically biased here. We're sitting in Toronto and this is going

to be a bit of a Canadian approach, but in general, we're having less cold and shorter winters, which is allowing

ticks to survive and thrive in more northern latitudes. And we are seeing more tick transmitted

illnesses in Canada. The obvious one that everybody knows of is Lyme. In 2024, based on the public health agency of Canada's data,

there were roughly 5,000 cases of Lyme diagnosed. In the country, this is a gross underestimate.

And I think anywhere where Lyme is endemic, you know, the reported cases is a gross underestimate.

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