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CJEM

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https://www.readbyqxmd.com/read/28318458/first-do-no-harm-advocating-for-opioid-prescribing-guidelines-in-canadian-emergency-departments
#1
Kieran Moore, Julia Lew, Samantha Buttemer, Lauren Kielstra
No abstract text is available yet for this article.
March 20, 2017: CJEM
https://www.readbyqxmd.com/read/28294100/on-the-tip-of-the-tongue
#2
Rachel Orchard, Sheena Belisle, Rodrick Lim
No abstract text is available yet for this article.
March 15, 2017: CJEM
https://www.readbyqxmd.com/read/28294095/the-simple-query-do-you-want-more-pain-medication-is-not-a-reliable-way-to-assess-acute-pain-relief-in-patients-in-the-emergency-department
#3
Jean-Marc Chauny, Martin Marquis, Jean Paquet, Gilles Lavigne, Alexis Cournoyer, Christiane Manzini, Raoul Daoust
OBJECTIVE: The management of acute pain constitutes an essential skill of emergency department (ED) physicians. However, the accurate assessment of pain intensity and relief represents a clinically challenging undertaking. Some studies have proposed to define effective pain relief as the patient's refusal for additional analgesic administration. The aim of this study was to verify whether such a refusal is effectively indicative of pain relief. METHODS: This prospective cohort study included ED patients who received single or multiple doses of pain medication for an acute pain problem...
March 15, 2017: CJEM
https://www.readbyqxmd.com/read/28264750/bilateral-nail-gun-traumatic-brain-injury-presents-as-intentional-overdose-a-case-report
#4
Judith Alain, Pascal Lavergne, Maude St-Onge, Myreille D'Astous, Stéphane Côté
This report describes a rare but life-threatening case of a suicide attempt initially considered as intentional overdose at the emergency department. Persistent altered mental status, despite normal toxicology investigations, led the attending team to order a head computed tomography scan, which revealed a bilateral penetrating nail gun injury with a right temporal hematoma for which a decompressive craniectomy was performed. Although voluntary intoxication is the most frequent form of suicide attempt, emergency physicians must be alert and maintain a broad differential diagnosis...
March 7, 2017: CJEM
https://www.readbyqxmd.com/read/28251880/choosing-wisely-canada%C3%A2-five-tests-procedures-and-treatments-to-question-in-emergency-medicine
#5
Amy H Y Cheng, Sam Campbell, Lucas B Chartier, Tom Goddard, Kirk Magee, Jill McEwen, Atul K Kapur, Brian R Holroyd, Suneel Upadhye, Stephanie Couperthwaite, Brian H Rowe
OBJECTIVES: Choosing Wisely Canada (CWC) is an initiative to encourage patient-physician discussions about the appropriate, evidence based use of medical tests, procedures and treatments. We present the Canadian Association of Emergency Physicians' (CAEP) top five list of recommendations, and the process undertaken to generate them. METHODS: The CAEP Expert Working Group (EWG) generated a candidate list of 52 tests, procedures, and treatments in emergency medicine whose value to care was questioned...
March 2, 2017: CJEM
https://www.readbyqxmd.com/read/28238290/a-determination-of-emergency-department-pre-triage-times-in-patients-not-arriving-by-ambulance-compared-to-widely-used-guideline-recommendations-corrigendum
#6
M Betz, J Stempien, S Trivedi, R Bryce
No abstract text is available yet for this article.
February 27, 2017: CJEM
https://www.readbyqxmd.com/read/28179038/an-environmental-scan-of-academic-emergency-medicine-at-the-17-canadian-medical-schools-why-does-this-matter-to-emergency-physicians-corrigendum
#7
G Stiell, J D Artz, E S Lang, J Sherbino, L J Morrison, J Christenson, J J Perry, C Topping, R Woods, R S Green, R Lim, K Magee, J Foote, G Meckle, M Mensour, S Field, B Chung, M Kuuskne, J Ducharme, V Klein, J McEwen
No abstract text is available yet for this article.
February 9, 2017: CJEM
https://www.readbyqxmd.com/read/28115027/real-time-visual-feedback-during-training-improves-laypersons-cpr-quality-a-randomized-controlled-manikin-study
#8
Enrico Baldi, Stefano Cornara, Enrico Contri, Francesco Epis, Dario Fina, Beatrice Zelaschi, Cinzia Dossena, Ferdinando Fichtner, Michela Tonani, Marzia Di Maggio, Elisa Zambaiti, Alberto Somaschini
OBJECTIVE: The chances of surviving an out-of-hospital cardiac arrest depend on early and high-quality cardiopulmonary resuscitation (CPR). Our aim is to verify whether the use of feedback devices during laypersons' CPR training improves chest compression quality. METHODS: Laypersons totalling 450 participating in Basic Life Support and Automated External Defibrillation (BLS/AED) courses were randomly divided into three groups: group No Feedback (NF) attended a course without any feedback, group Short Feedback (SF) a course with 1-minute training with real-time visual feedback, and group Long Feedback (LF) a course with 10-minute training with real-time visual feedback...
January 24, 2017: CJEM
https://www.readbyqxmd.com/read/28077195/evidence-based-medicine-in-the-era-of-social-media-scholarly-engagement-through-participation-and-online-interaction
#9
Teresa Chan, N Seth Trueger, Damian Roland, Brent Thoma
The integration of new knowledge into clinical practice continues to lag behind discovery. The use of Free Open Access Medical education (FOAM) has disrupted communication between emergency physicians, making it easy for practicing clinicians to interact with colleagues from around the world to discuss the latest and highest impact research. FOAM has the potential to decrease the knowledge translation gap, but the concerns raised about its growing influence are 1) research that is translated too quickly may cause harm if its findings are incorrect; 2) there is little editorial oversight of online material; and 3) eminent online individuals may develop an outsized influence on clinical practice...
January 12, 2017: CJEM
https://www.readbyqxmd.com/read/28069098/bolus-dose-of-epinephrine-for-refractory-post-arrest-hypotension
#10
Michael Gottlieb
Post-cardiac arrest hypotension is associated with worse outcomes. However, a significant proportion of patients may not be responsive to intravenous (IV) fluids, and vasopressor infusions require significant time to initiate. This case series describes the successful use of a bolus dose of epinephrine to rapidly treat IV fluid refractory hypotension among three patients in the post-arrest period. A bolus dose of epinephrine may be considered as a treatment for post-arrest hypotension that does not respond to IV fluids, but further studies should be performed prior to routine use...
January 10, 2017: CJEM
https://www.readbyqxmd.com/read/28067181/pediatric-information-seeking-behaviour-information-needs-and-information-preferences-of-health-care-professionals-in-general-emergency-departments-results-from-the-translating-emergency-knowledge-for-kids-trekk-needs-assessment
#11
Shannon D Scott, Lauren Albrecht, Lisa M Given, Lisa Hartling, David W Johnson, Mona Jabbour, Terry P Klassen
The majority of children requiring emergency care are treated in general emergency departments (EDs) with variable levels of pediatric care expertise. The goal of the Translating Emergency Knowledge for Kids (TREKK) initiative is to implement the latest research in pediatric emergency medicine in general EDs to reduce clinical variation. OBJECTIVES: To determine national pediatric information needs, seeking behaviours, and preferences of health care professionals working in general EDs...
January 9, 2017: CJEM
https://www.readbyqxmd.com/read/28065207/text-messaging-research-participants-as-a-follow-up-strategy-to-decrease-emergency-department-study-attrition
#12
Catherine Varner, Shelley McLeod, Negine Nahiddi, Bjug Borgundvaag
OBJECTIVE: Collecting patient-reported follow-up data for prospective studies in the emergency department (ED) is challenging in this minimal continuity setting. The objective of this study was to determine whether text messaging study participants involved in an ongoing randomized trial resulted in a lower rate of attrition as compared to conventional telephone follow-up. METHODS: This was a nested cohort analysis of research participants enrolled in a randomized controlled trial assessing head injury discharge instructions...
January 9, 2017: CJEM
https://www.readbyqxmd.com/read/27819222/can-an-emergency-department-clinical-triggers-program-based-on-abnormal-vital-signs-improve-patient-outcomes-corrigendum
#13
Jason Imperato, Tyler Mehegan, Daniel J Henning, John Patrick, Chase Bushey, Gary Setnik, Leon D Sanchez
No abstract text is available yet for this article.
January 2017: CJEM
https://www.readbyqxmd.com/read/27781970/sgem-hot-off-the-press-ultrasound-during-critical-care-simulation-a-randomized-crossover-study
#14
Paul McKenna, Brent Thoma, Ken Milne, Chris Bond
As part of the Canadian Journal of Emergency Medicine's (CJEM) developing social media strategy, 1 we are collaborating with the Skeptics' Guide to Emergency Medicine (SGEM) to summarize and critically appraise the current emergency medicine (EM) literature using evidence-based medicine principles. In the "Hot Off the Press" series, we select original research manuscripts published in CJEM to be featured on the SGEM website/podcast 2 and discussed by the study authors and the online EM community. A similar collaboration is underway between the SGEM and Academic Emergency Medicine...
January 2017: CJEM
https://www.readbyqxmd.com/read/27681663/a-prospective-evaluation-of-the-availability-and-utility-of-the-ambulance-call-record-in-the-emergency-department-erratum
#15
Natalie Cram, Shelley McLeod, Michael Lewell, Matthew Davis
No abstract text is available yet for this article.
January 2017: CJEM
https://www.readbyqxmd.com/read/27608851/a-diagnostic-challenge-acute-flaccid-paralysis
#16
David Lussier, Anthony Herd
No abstract text is available yet for this article.
January 2017: CJEM
https://www.readbyqxmd.com/read/27508353/prehospital-application-of-the-canadian-triage-and-acuity-scale-by-emergency-medical-services
#17
Murdoch Leeies, Cheryl Ffrench, Trevor Strome, Erin Weldon, Michael Bullard, Rob Grierson
OBJECTIVES: Triage is fundamental to emergency patient assessment. Effective triage systems accurately prioritize patients and help predict resource utilization. CTAS is a validated five-level triage score utilized in Emergency Departments (EDs) across Canada and internationally. Historically CTAS has been applied by triage nurses in EDs. Observational evidence suggests that the CTAS might be implemented reliably by paramedics in the prehospital setting. This is the first system-wide assessment of CTAS interrater reliability between paramedics and triage nurses during clinical practice...
January 2017: CJEM
https://www.readbyqxmd.com/read/27506243/a-cost-analysis-of-salbutamol-administration-by-metered-dose-inhalers-with-spacers-versus-nebulization-for-patients-with-wheeze-in-the-pediatric-emergency-department-evidence-from-observational-data-in-nova-scotia
#18
Paul Spin, Ingrid Sketris, Barbara Hill-Taylor, Courtney Ward, Katrina F Hurley
BACKGROUND: Despite evidence demonstrating the advantages of metered-dose inhalers with spacers (MDI-s), nebulization (NEB) remains the primary method of asthma treatment in some pediatric emergency departments (PEDs). There is a perception that delivering salbutamol by MDI-s is more costly than by NEB. This research evaluates the relative costs of MDI-s and NEB using local, hospital-specific, patient-level data. METHODS: Regression models estimated associations between the salbutamol inhalation method and costs, length of stay (LOS) in the PED and hospital, and the probability of admission...
January 2017: CJEM
https://www.readbyqxmd.com/read/27478036/a-low-fidelity-high-functionality-inexpensive-ultrasound-guided-nerve-block-model
#19
Daniel Micheller, Matthew J Chapman, Michael Cover, Jonathan D Porath, Nik Theyyunni, Ross Kessler, Robert Huang
No abstract text is available yet for this article.
January 2017: CJEM
https://www.readbyqxmd.com/read/27461420/herpes-zoster-overlying-recently-placed-central-venous-access-site-a-case-report
#20
Rebecca A Hess, Kyle Gunnerson, John Kahler
Herpes zoster, commonly called shingles, is a disease that results from the reactivation of varicella zoster virus. Local trauma has been reported as a precipitant for reactivation, but this condition is rarely seen localized to a fresh surgical incision. We present the case of a patient who developed shingles overlying the incision site of a recently buried central venous access port, illustrating the need to consider this diagnosis as a unique imposter of localized infection or reaction at sites of recent procedural trauma...
January 2017: CJEM
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