Canadian Journal of Emergency Medicine articles from July 2005

Canadian Journal of Emergency Medicine archives from July 2005

Answer.(Diagnostic Challenge/Defi diagnostique)
July 1, 2005... The best responses for this case are C and E. Although this patient had ECG criteria for thrombolysis (i.e., ST-segment elevation in 2 contiguous leads), which persisted on serial ECGs, the clinical picture was also compatible with aortic...

CAEP 2005 CME events.(Canadian Association of Emergency Physicians)(Calendar)
July 1, 2005... CAEP 2005 CME Events Register online for CAEP events: www.caep.ca AIME:Airway Interventions & Management Education Vancouver Island Oct. 21 & 22 Smithers, BC ...

Other CME programs.(Calendar)
July 1, 2005... Other CME Programs Annual EM Conference Niagara Falls, Ont. July 8 & 9 Contact: William Osler Health Centre, Brampton Memorial Hospital, 905 796-4066 x25011, sandy_doerfler@oslerhc.org 2nd...

Something's not right.(Diagnostic Challenge/Defi diagnostique)(Brief Article)
July 1, 2005... Case history A 59-year-old gentleman awoke from sleep in the morning and attempted to get out of bed. He immediately began to experience chest pain and took some of his wife's nitro-glycerine with minimal relief. At this point, his wife...

Nail embolization to the femoral artery.(Case Report/Observations de cas)
July 1, 2005... ABSTRACT Modern air-nailing tools are known to cause penetrating trauma. We report the unusual case of a pneumatically fired carpenter's nail that penetrated the chest of a 30-year-old man and subsequently embolized from the heart to the...

Tunnelled central venous catheter-induced thrombosis: a rare case of superior vena cava syndrome.(Case Report/Observations de cas)
July 1, 2005... ABSTRACT Thrombotic venous obstruction in patients with a tunnelled central venous catheter is a cause of superior vena cava syndrome that is not routinely encountered by emergency physicians. Diagnosis requires identifying patients at...

Diagnostic uncertainty in a case of neuroleptic malignant syndrome.(Case Report/Observations de cas)
July 1, 2005... ABSTRACT Neuroleptic malignant syndrome (NMS) is a potentially life-threatening condition that has been associated with antipsychotic use. Most diagnostic criteria include fever and muscle rigidity, although NMS may present without either....

Myth: intravenous amiodarone is safe in patients with atrial fibrillation and Wolff-Parkinson-White syndrome in the emergency department.(Medical Mythology/Mythes medicaux)
July 1, 2005... ABSTRACT Wolff-Parkinson-White (WPW) syndrome with atrial fibrillation (AF) is a potentially life-threatening problem requiring rapid conversion to sinus rhythm. The most recent American Heart Association guidelines for the treatment of...

Hyperbaric oxygen therapy in the management of two cases of hydrogen sulfide toxicity from liquid manure.(Toxicology/Toxicologie)
July 1, 2005... ABSTRACT Hydrogen sulfide is a potent lethal gas. Supportive care, nitrite therapy and hyperbaric oxygen are the treatment modalities reported in the literature in cases of hydrogen sulfide exposure. We describe an industrial exposure in...

Variation in emergency department visits for conditions that may be treated in alternative primary care settings.(ED Administration/L'Administration de la MU)
July 1, 2005... ABSTRACT The purpose of this report is to examine Ontario's geographic variation in emergency department (ED) visits for conditions that may be treated in alternative primary care settings. We studied all visits to Ontario EDs in 2002/03...

What happens to my patients? An automated linkage between emergency department and mortality data.(ED Administration/L'Administration de la MU)
July 1, 2005... ABSTRACT A simple application linking mortality data from the Bureau of Vital Statistics with data from the emergency department information system is described. This application has been used to supplement the regular mortality review...

Clinical research in the emergency department conducted by non-emergency physicians: potential problems and proposed recommendations.(Methodology: the Science of EM/ Methodologie : Science de la MU)
July 1, 2005... Introduction The emergency department (ED) is often seen as a desirable place to conduct clinical research due to the broad and undifferentiated spectrum of acute conditions encountered. As a result, ED administrators are often faced with...

Comparison views to diagnose elbow injuries in children: a survey of Canadian non-pediatric emergency physicians.(Pediatric EM/Pediatrie d'urgence)
July 1, 2005... ABSTRACT Objectives: Elbow injuries in children are a common presenting complaint to the emergency department. Although radiography is a valuable tool in the diagnosis of this injury, x-rays of the injured elbow are inherently difficult to...

Cellulitis: getting it right.(Commentary/Commentaire)
July 1, 2005... Cellulitis seems at first glance to be a straightforward infection that should respond to readily available antibiotics, guaranteeing excellent outcomes. Certainly most emergency physicians treat it as such, giving it little extra thought in...

Treatment failure in emergency department patients with cellulitis.
July 1, 2005... ABSTRACT Objective: To identify the rate of treatment failure in emergency department patients with cellulitis. Methods: This prospective observational convenience study enrolled adult patients with uncomplicated cellulitis. Physicians...

Sepsis therapy in the next decade: seamless care from emergency to the ICU.(Letters/Courrier)(Letter to the Editor)
July 1, 2005... To the Editor: Severe sepsis: defined by inflammation (aberrant temperature and white blood cell count, tachypnea and tachycardia); suspicion of infection; and evolving organ dysfunction, is associated with an incidence, mortality and cost...

Children and magnet-backed jewellery.(Letters/Courrier)(Letter to the Editor)
July 1, 2005... To the Editor: My thanks to your Journal and Drs. Brown, Tomasi and Salcedo, the authors of "An attractive approach to magnets adherent across the nasal septum."1 This past Christmas Eve, during my first year as an attending, I was providing...