The Casino Shift: Stories from an ER on the Edge

NATIONAL BESTSELLER

ONE OF INDIGO'S BEST NON-FICTION BOOKS OF 2026

For fans of The Pitt, a look at life on the front line in one of Canada’s busiest ERs

The Casino Shift is an hour-by-hour account of what a Canadian emergency room is like in these turbulent times when ER staff must be prepared to see, diagnose, and treat any condition, often under unrelenting pressure. In addition to the introduction of the “casino shift” (a shorter night shift), there have been incredible leaps in technology and the know-how of ER physicians since Dr. Brian Goldman wrote the bestselling The Night Shift fifteen years ago. But patients’ problems can be exponentially more complex too.

But The Casino Shift is about much more than one shift at one hospital, though. It’s also about what goes on in ERs big and small across Canada. From the incredible challenges of practising “waiting room medicine,” to discovering untreated cancer in a twenty-something patient, to diagnosing an extremely rare case of auto-brewery syndrome, Dr. Goldman shares the stories of frustrated and burned-out colleagues as well as the passion they have for being there in your hour of greatest need. With inspiring stories about diagnoses made, puzzles solved, and lives saved, The Casino Shift is a raw, revealing, and compelling look at life on the front line.