Canadian Journal of Emergency Medicine articles from January 2007

Canadian Journal of Emergency Medicine archives from January 2007

Penetrating trauma in Ontario emergency departments: a population-based study.(Advances)
January 1, 2007... ABSTRACT Background: There is a paucity of population-based research on health service utilization related to penetrating trauma in Canada, even though such trauma can result in serious injury or death, and gunshot wounds have been...

Variations in monetary distribution among Ontario's Alternative Funding Agreement workload model hospitals.(Advances)
January 1, 2007... ABSTRACT Objectives: Alternative Funding Agreements (AFAs) were in place in 41 hospital emergency departments (EDs) in Ontario at the time of this survey (May to August 2005). Each of these 41 hospitals works with its own internal...

Does the administration of intravenous aminophylline improve survival in adults with bradyasystolic cardiac arrest?(CJEM Journal Club)(Clinical report)
January 1, 2007... Clinical question Does administration of intravenous aminophylline help restore circulation in patients with bradyasystolic cardiac arrest? Articles chosen 1. Abu-Laban RB, McIntyre CM, Christenson JM, et al. Aminophylline in...

Etomidate and RSI: how important is post-intubation hypotension?(Letters * Courrier)(Letter to the editor)
January 1, 2007... To the editor: In a recent issue of CJEM, Zed and colleagues (1) and also Sivilotti (2) outlined the controversy surrounding the use of etomidate for emergent endotracheal intubations. At the root of this matter is the relevance of...

Myth: parenteral ketorolac provides more effective analgesia than oral ibuprofen.(Medical Mythology)(Clinical report)
January 1, 2007... Introduction Acute pain is an extremely common presenting symptom to the emergency department (ED), making it imperative that emergency physicians provide adequate, safe and cost-effective analgesia. Nonsteroidal anti-inflammatory drugs...

Is it real?(Diagnostic Challenge)(traffic accidents, drunken driving)(Brief article)
January 1, 2007... Case history A young man was found lying in a ditch at the side of road near his parked motor vehicle. The mechanism of injury was uncertain and, although he was alert at the scene, it was not clear if there had been loss of consciousness...

Critical care response teams: potential roles for emergency physicians.(Commentary/Commentaire)
January 1, 2007... Objective To outline, with specific reference to a newly announced Ontario initiative, the potential roles for emergency physicians in the formation and implementation of critical care response teams in Canadian hospitals. Background...

Critical care response teams: a step forward in patient care, or a step closer to an emergency physician manpower crisis?(Commentary/Commentaire)
January 1, 2007... In this issue of CJEM, Upadhye and associates discuss the potential roles for emergency physicians (EPs) in the formation and implementation of critical care response teams (CCRTs) in Canadian hospitals. (1) They suggest that EPs could be...

Purulent pericarditis in a patient with rheumatoid arthritis treated with etanercept and methotrexate.(Case Report/Observations de cas)(Disease/Disorder overview)
January 1, 2007... ABSTRACT Purulent pericarditis is rarely seen in this post-antibiotic era. We report a case of spontaneous purulent pericarditis in a patient with rheumatoid arthritis being treated with etanercept, a tumour necrosis factor-alpha...

Right subclavian catheter perforation of the aorta due to an incorrect external landmark-guided insertion technique.(Case Report)(Clinical report)
January 1, 2007... ABSTRACT Emergency placement of a right subclavian triple lumen silastic catheter in an obese, unstable postoperative patient caused a perforation of the aorta, resulting in sudden cardiac tamponade. Because this complication was...

A rare case of penetrating knee injury by a rope.(Images)(Brief article)
January 1, 2007... A33-year-old man was using the winch on his car to tow a palate of piping. Under extreme tension, the 11-mm kernmantel rope broke. Its free end lashed back with such force that it penetrated the patient's knee like a missile, resulting in a...

Emergency physicians receive Who's Who in Healthcare Awards.(News/Nouvelles)
January 1, 2007... On Oct. 20, 2006, the Canadian College of Health Service Executives handed out its "Who's Who in Healthcare" Awards. These were in the areas of Government, Healthcare Collaboration, Hospital Leadership, Healthcare Provider, Medical Research,...

Emergency physician wins Giller Prize.(News/Nouvelles)
January 1, 2007... I'll admit it: I didn't think Vincent Lam, a first-time author, was going to win the 2006 Giller Prize for his Bloodletting & Miraculous Cures. The prestigious Giller Prize, at $40 000, is Canada's largest prize for best Canadian novel or short...

CMA editor extraordinaire retires.(News/Nouvelles)
January 1, 2007... Jennifer Raiche, an editor with CJEM's publishers, the Canadian Medical Association (CMA), has announced that she is retiring at the end of 2006. Jen has worked with CJEM from the beginning, helping Grant and his new editorial team establish...

Ruminations on a (newly indexed) journal.(Editorial)
January 1, 2007... The National Library of Medicine (NLM), part of the National Institutes of Health in Bethesda, Maryland, is the world's largest medical library. In 1879, NLM began publishing Index Medicus, a unified international database of biomedical...

Calendar/Calendrier.(Calendar)
January 1, 2007... CME in the SUN 2007 Club Med Punta Cana, Dominican Republic January 27-February 3 CME in the Sun 2007 is for all physicians who practice or are interested in emergency medicine on a full or part-time basis. We will be continuing a 4...

Answer.(Diagnostic Challenge)(posterior neural arch fracture)
January 1, 2007... The patient has an abnormal lateral cervical spine radiograph (see Figure on p. 33) with a lucency in the posterior elements (neural arches) of C1 (atlas). This finding is suspicious for a posterior neural arch fracture, which results from...

Minimally angulated pediatric wrist fractures: is immobilization without manipulation enough?(Advances)(Medical condition overview)
January 1, 2007... ABSTRACT Background: Emergency department (ED) manipulation of complete minimally angulated distal radius fractures in children may not be necessary, due to the excellent remodeling potential of these fractures. Objectives: The primary...