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Clinical outcomes and patient satisfaction of a pharmacist-managed, emergency department-based outpatient treatment program for venous thromboembolic disease.(EM Advances)(Medical condition overview)
January 1, 2008... ABSTRACT
Objective: The purpose of this study was to evaluate the efficacy, safety and patient satisfaction outcomes of our pharmacist-managed, emergency department (ED)-based outpatient treatment program for venous thromboembolism (VTE)...
Can Telehealth Ontario respiratory call volume be used as a proxy for emergency department respiratory visit surveillance by public health?(EM Advances)
January 1, 2008... ABSTRACT
Objective: There is a paucity of information regarding the usefulness of non-traditional data streams for real-time syndromic surveillance systems. The objective of this paper is to examine the temporal relation between Ontario's...
Consultation outcomes in the emergency department: exploring rates and complexity.(EM Advances)(Medical condition overview)(Survey)
January 1, 2008... ABSTRACT
Objective: Consultation is a common and important aspect of emergency department (ED) care. We prospectively examined the consultation rates, the admission rates of consulted patients, the emergency physician (EP) disposition...
Safety of a modification of the triage level for febrile children 6 to 36 months old using the Paediatric Canadian Triage and Acuity Scale.(Pediatrics)(Clinical report)
January 1, 2008... ABSTRACT
Objective: The Paediatric Canadian Triage and Acuity Scale (PaedCTAS) stipulates that febrile patients who are 3 to 36 months old should be triaged to the PaedCTAS 3 "urgent" category. To optimize resource use, we implemented a...
Patient and family-centred care for pediatric patients in the emergency department.(Pediatrics)
January 1, 2008... ABSTRACT
Patient and family-centred care (PFCC) is an approach to health care that recognizes the integral role of the family and encourages mutually beneficial collaboration between the patient, family and health care professionals....
Daily encounter cards facilitate competency-based feedback while leniency bias persists.(Student Teaching and Evaluation)
January 1, 2008... ABSTRACT
Objective: We sought to determine if a novel competency-based daily encounter card (DEC) that was designed to minimize leniency bias and maximize independent competency assessments could address the limitations of existing...
Bilateral subacute-chronic subdural hematomas.(LETTERS * CORRESPONDANCE)(Disease/Disorder overview)(Letter to the editor)(Brief article)
January 1, 2008... A 73-year-old man with no past medical history of note presented to the emergency room with progressive cognitive impairment and difficulty walking. He had been well until 4 weeks earlier, when he suffered a fall with minor head trauma. In the...
Understanding and improving low bystander CPR rates: a systematic review of the literature.(Medical condition overview)
January 1, 2008... ABSTRACT
Objectives: Cardiopulmonary resuscitation (CPR) is a crucial yet weak link in the chain of survival for out-of-hospital cardiac arrest. We sought to understand the determinants of bystander CPR and the factors associated with...
Feedback from the readers: what you have told us/Commentaires de nos lecteurs: ce qu'ils nous ont dit.(Editorial)(Editorial)
January 1, 2008... In the summer of 2007, the new senior editorial board at CJEM felt it was essential to obtain input from its various decision and section editors and, more importantly, from you, its readers. This input was to be used as the starting point for...
Ketorolac and morphine for analgesia in acute renal colic: is this combination more effective than monotherapy?(CJEM Journal Club)(Clinical report)
January 1, 2008... Clinical question
For patients with a suspected diagnosis of acute renal colic, does combination intravenous (IV) ketorolac and morphine provide better analgesia than either agent alone?
Article chosen
Safdar B, Degutis LC, Landry...
Withdrawal from gamma-hydroxybutyrate, 1,4-butanediol and gamma-butyrolactone: a case report and systematic review.(Case Report * Rapport de cas)(Medical condition overview)
January 1, 2008... ABSTRACT
1,4-Butanediol (1,4-BD) is an industrial solvent that is metabolized to gamma-hydroxybutyrate (GHB), a gamma-aminobutyric acid agonist and central nervous system depressant. GHB and its analogues are popular drugs of abuse....
The utility of multiple imaging modalities to diagnose acute aortic dissection.(Case Report * Rapport de cas)(Clinical report)
January 1, 2008... ABSTRACT
A 21-year-old man with Marfan syndrome and known aortic root aneurysm presented to our emergency department with symptoms suggestive of acute aortic dissection. The patient was hemodynamically stable and bilateral upper extremity...
The debriefing.(Humour and Humanity * Humour et humanite)
January 1, 2008... The nurses asked for a debriefing. A level 1 trauma: the activity has been intense and now that there is a lull they have asked for this time out. They need to talk about how they are doing and what could have been done better; and for some,...