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CJEM

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https://www.readbyqxmd.com/read/30303054/wwgd-what-would-gwyneth-do
#1
Deepa Soni
No abstract text is available yet for this article.
October 10, 2018: CJEM
https://www.readbyqxmd.com/read/30295590/effects-of-a-reminder-to-initiate-oral-anticoagulation-in-patients-with-atrial-fibrillation-atrial-flutter-discharged-from-the-emergency-department-reminder-study
#2
Saman Rezazadeh, Derek S Chew, Robert J H Miller, Sheila Klassen, Payam Pournazari, Graham Bennett, Eddy Lang, F Russell Quinn
CLINICIAN'S CAPSULE What is known about the topic? Oral anticoagulation (OAC) reduces stroke risk in patients with atrial fibrillation or flutter; however, initiation rates in patients discharged from the ED are low. What did this study ask? Can a simple quality improvement intervention increase the initiation of appropriate OAC in the ED? What did this study find? The rate of OAC initiation was increased by 8.5%. Why does this study matter to clinicians? This simple intervention is transferrable and therefore can improve patient care...
October 8, 2018: CJEM
https://www.readbyqxmd.com/read/30295219/analysis-of-eye-tracking-behaviours-in-a-pediatric-trauma-simulation
#3
Omar Damji, Patricia Lee-Nobbee, David Borkenhagen, Adam Cheng
ABSTRACTEye-tracking devices are able to capture eye movements, which are further characterized by fixations. The application of eye tracking in a trauma setting has not been explored. Visual fixation can be utilized as a surrogate measure of attention during the management of a trauma patient. We aimed to determine the feasibility of using eye tracking and to characterize eye tracking behaviours of pediatric emergency medicine physicians during management of a simulated pediatric trauma patient. Each participant was equipped with a head-mounted eye-tracking device during a standardized simulated pediatric trauma scenario...
October 8, 2018: CJEM
https://www.readbyqxmd.com/read/30295218/methotrexate-for-the-treatment-of-unruptured-tubal-ectopic-pregnancy
#4
K Hawrylyshyn, S L McLeod, J Thomas, Catherine Varner
CLINICIAN'S CAPSULE What is known about the topic? Methotrexate is widely accepted as first-line treatment of non-ruptured ectopic pregnancy and may be considered for women with a suspected ectopic pregnancy. What did this study ask? What are the outcomes of pregnant women with suspected ectopic pregnancy who received methotrexate as first-line treatment? What did this study find? Of patients treated with methotrexate, 18% went on to require surgical management, with 11.2% having ruptured on surgical evaluation...
October 8, 2018: CJEM
https://www.readbyqxmd.com/read/30289098/the-effect-of-an-infographic-promotion-on-research-dissemination-and-readership-a-randomized-controlled-trial
#5
Simon Huang, Lynsey J Martin, Calvin H Yeh, Alvin Chin, Heather Murray, William B Sanderson, Rohit Mohindra, Teresa M Chan, Brent Thoma
CLINICIAN'S CAPSULE What is known about the topic? Infographics are graphical illustrations of complex ideas that are broadly shared on social media platforms. What did this study ask? What is the effect of a social media strategy using infographics on the readership and dissemination of research articles? What did this study find? Infographic articles were associated with increased Altmetric scores and abstract views, but not full-text views. Why does this study matter to clinicians? The promotion of articles with infographics may increase awareness and dissemination of research findings among clinicians...
October 5, 2018: CJEM
https://www.readbyqxmd.com/read/30277194/comparison-of-pecarn-catch-and-chalice-clinical-decision-rules-for-pediatric-head-injury-in-the-emergency-department
#6
Mark McGraw, Todd Way
Clinical questionWhat is the diagnostic accuracy of the PECARN, CATCH, and CHALICE clinical decision rules for pediatric head injury, and are the clinical decision rules valid when applied to a novel data set?Article chosenBabl FE, Borland ML, Phillips N, et al. Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study. Lancet (London, England) 2017;389(10087):2393-402. OBJECTIVES: The primary objective of the study was to determine the diagnostic accuracy and provide external validation for the PECARN, CATCH, and CHALICE clinical decision rules in a clinically homogeneous cohort of children...
October 2, 2018: CJEM
https://www.readbyqxmd.com/read/30277177/evaluation-of-emergency-department-ultrasound-machines-for-the-presence-of-occult-blood
#7
Zafrina Poonja, Jasmene Uppal, Stuart J Netherton, Rhonda Bryce, Andrew W Lyon, Bruce Cload
CLINICIAN'S CAPSULE What is known about the topic? Bedside ultrasound is a frequently used tool in the emergency department (ED), with no standard cleaning protocols in place. What did this study ask? Is there visible and occult contamination of the ED ultrasound machine after daily use and in trauma? What did this study find? This study found that the ultrasound machine tested positive for occult blood contamination on 10% of daily tests and on 43% of assessments after use in trauma. Why does this study matter to clinicians? Standard cleaning practices should be implemented to reduce contamination rates...
October 2, 2018: CJEM
https://www.readbyqxmd.com/read/30277176/retrospective-evaluation-of-a-clinical-decision-support-tool-for-effective-computed-tomography-angiography-utilization-in-urgent-brain-imaging-of-suspected-tia-minor-stroke-in-the-emergency-department
#8
Maximilian B Bibok, Kristine Votova, Robert F Balshaw, Melanie Penn, Mary L Lesperance, Devin R Harris, Colin Sedgwick, Madeline Nealis, Brian Farrell, John R Mathieson, Andrew M Penn
CLINICIAN'S CAPSULE What is known about the topic? Canadian guidelines recommend that suspected transient ischemic attack (TIA) patients receive brain imaging in the emergency department; yet, high requisition rates for non-cerebrovascular patients exist. What did this study ask? What is the hypothetical impact that a clinical decision support tool (CDST) would have on computed tomography angiography (CTA) requisitions for suspected TIA patients. What did this study find? CDST use would have resulted in more TIA patients receiving CTA, while imaging fewer non-cerebrovascular patients...
October 2, 2018: CJEM
https://www.readbyqxmd.com/read/30261938/sex-specific-high-sensitivity-cardiac-troponin-t-cut-off-concentrations-for-ruling-out-acute-myocardial-infarction-with-a-single-measurement
#9
Andrew McRae, Michelle Graham, Tasnima Abedin, Yunqi Ji, Hong Yang, Dongmei Wang, Danielle Southern, James Andruchow, Eddy Lang, Grant Innes, Isolde Seiden-Long, Lawrence DeKoning, Peter Kavsak
CLINICIAN'S CAPSULE What is known about the topic? Sex-specific, high-sensitivity cardiac troponin T (hs-cTnT) cut-offs increase the specificity of a myocardial infarction (MI) diagnosis. What did this study ask? Do sex-specific, hs-cTnT rule-out cut-offs enable ruling out MI in more patients while maintaining sensitivity? What did this study find? Sex-specific, hs-cTnT cut-offs ruled out MI in more patients than universal cut-offs; however, differences between sex-specific and universal cut-offs are small...
September 28, 2018: CJEM
https://www.readbyqxmd.com/read/30232951/the-practicalities-and-barriers-of-using-teg6s-in-code-red-traumas-an-observational-study-in-one-london-major-trauma-centre
#10
Sarah Morton, Judi Galea, James Uprichard, Anthony Hudson
CLINICIAN'S CAPSULE What is known about the topic? Thromboelastography (TEG) can identify trauma-induced coagulopathy and guide blood product management. What did this study ask? What currently limits the utilization of TEG in one major trauma centre, and can it be used practically? What did this study find? TEG can be successfully run during a major trauma, but a lack of knowledge relating to interpretation hinders its impact on blood component management. Why does this study matter to clinicians? Prior to introducing point-of-care tests, e...
September 20, 2018: CJEM
https://www.readbyqxmd.com/read/30201059/risk-factors-associated-with-acute-in-hospital-delirium-for-patients-diagnosed-with-a-hip-fracture-in-the-emergency-department
#11
Cameron Thompson, Vince J M Brienza, Aislinn Sandre, Sean Caine, Bjug Borgundvaag, Shelley McLeod
CLINICIAN'S CAPSULE What is known about the topic? Delirium, or acute confusion, occurs in up to 62% of patients who have experienced a hip fracture. What did this study ask? What risk factors are associated with acute in-hospital delirium for ED patients diagnosed with a hip fracture? What did this study find? History of neurodegenerative disease or dementia, age>75 years, and absence of analgesia in the ED were associated with acute in-hospital delirium. Why does this study matter to clinicians? Although many variables associated with delirium may not be easily modified, more careful attention to ED pain management and the provision of better analgesia are important...
September 11, 2018: CJEM
https://www.readbyqxmd.com/read/30152299/analysis-of-emergency-department-length-of-stay-for-mental-health-visits-a-case-study-of-a-canadian-academic-hospital
#12
Deyvison T Baia Medeiros, Shoshana Hahn-Goldberg, Erin O'Connor, Dionne M Aleman
CLINICIAN'S CAPSULE What is known about the topic? Little is available in Canadian literature regarding emergency department (ED) use by mental health patients. What did this study ask? Is the number of mental health visits to the ED increasing? Are there differences in ED length of stay between mental health and non-mental health visits? What did this study find? The number of mental health visits to the ED is increasing, and mental health patients experience longer wait times in the ED. Why does this study matter to clinicians? It informs clinicians who work with mental health patients of current ED demand trends and wait times for patients whom they see...
August 28, 2018: CJEM
https://www.readbyqxmd.com/read/30124176/self-documentary-in-the-emergency-department-perspectives-on-patients-recording-their-own-procedures
#13
Taofiq Oyedokun, Andrew Donauer, James Stempien, Shari McKay
CLINICIAN'S CAPSULE What is known about the topic? Taking photographs and educational videos are common in emergency departments (EDs), but little research exists about patients recording their own procedures. What did this study ask? What are patients' reasons for video recording in the ED and the views of patients and clinicians toward this practice? What did this study find? Patients were in favour of ED video recording, whereas clinicians were not. Patients' reasons and clinicians' caveats for recording are provided...
August 20, 2018: CJEM
https://www.readbyqxmd.com/read/30205864/a-new-era-in-stroke-care
#14
Devin R Harris
No abstract text is available yet for this article.
September 2018: CJEM
https://www.readbyqxmd.com/read/30205863/should-you-adjust-your-d-dimer
#15
Kerstin de Wit
No abstract text is available yet for this article.
September 2018: CJEM
https://www.readbyqxmd.com/read/30205862/from-abstraction-to-action-making-wellness-practical-during-residency-training
#16
Daniel K Ting, Jared Baylis
No abstract text is available yet for this article.
September 2018: CJEM
https://www.readbyqxmd.com/read/30205861/a-tale-of-two-cities-divergent-management-of-patients-with-ureteral-colic
#17
Philipp Dahm, John M Hollingsworth
No abstract text is available yet for this article.
September 2018: CJEM
https://www.readbyqxmd.com/read/30205860/-triage-formal-emergency-department-triage-tools-are-inefficient-unfair-and-they-waste-time-and-resources
#18
Dug Andrusiek, Michael Bullard, Paul Atkinson
No abstract text is available yet for this article.
September 2018: CJEM
https://www.readbyqxmd.com/read/30205859/topical-tranexamic-acid-for-the-treatment-of-epistaxis-in-patients-using-antiplatelet-agents
#19
Mark Sanderson, James Powell, Eddy Lang
ABSTRACTClinical questionDoes the addition of topical tranexamic acid to anterior nasal packing decrease bleeding in patients with epistaxis who are taking antiplatelet medications?Article chosenZahed R, Jayazeri M, Naderi A, et al. Topical tranexamic acid compared with anterior nasal packing for treatment of epistaxis in patients taking antiplatelet drugs: randomized controlled trial. Acad Emerg Med 2018;25(3):261-6. OBJECTIVES: The primary outcome of this randomized controlled trial was the percentage of patients whose epistaxis had stopped at 10 minutes from the time of intervention...
September 2018: CJEM
https://www.readbyqxmd.com/read/30205858/back-in-print
#20
Ian G Stiell
No abstract text is available yet for this article.
September 2018: CJEM
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