Canadian Journal of Emergency Medicine articles from July 2006

Canadian Journal of Emergency Medicine archives from July 2006

Pretreatment in rapid sequence intubation: indicated or contraindicated?(Letter to the editor)
July 1, 2006... To the Editors: In response to Kuzak and associates' Original Research article on the use of lidocaine and fentanyl premedication for neuroprotective rapid sequence intubation (RSI) in the emergency department (ED), (1) it is well known that...

Treatment of patients with severe sepsis and septic shock: real-life lessons.(Letters/Courrier)(Letter to the editor)
July 1, 2006... To the Editors: Evidence-based therapies for severe sepsis and septic shock include broad spectrum antibiotics, early goal-directed resuscitation, corticosteroids, glycemic control and recombinant human activated protein C (rhAPC). (1) Prior to...

Prehospital intubation for severe head injury.(Letter to the editor)
July 1, 2006... To the Editors: We greatly appreciated the detailed, yet succinct Journal Club summary by Topping and Ducharme (1) of Wang and colleagues' paper (2) on the deleterious association demonstrated by pre-hospital intubation in the seriously...

Safety and effectiveness of intravenous regional anesthesia (Bier block) for outpatient management of forearm trauma.(Advances)(Medical condition overview)(Clinical report)
July 1, 2006... ABSTRACT Objective: To assess the safety and effectiveness of intravenous regional anesthesia (Bier block) in the management of forearm injuries (i.e., forearm, wrist or hand) by primary care physicians at a diagnostic and treatment...

Potential impact of N-terminal pro-BNP testing on the emergency department evaluation of acute dyspnea.(Advances)
July 1, 2006... ABSTRACT Objectives: Measurement of the serum B-type natriuretic peptide (BNP) level and more recently its precursor, N-terminal proBNP (NT-proBNP), has been advocated to facilitate the diagnosis of heart failure in the emergency...

Should natriuretic peptide testing be incorporated into emergency medicine practice?(Commentary/Commentaire)
July 1, 2006... Shortness of breath is a common complaint among adults presenting to the emergency department (ED). The most frequent diagnosis made in this context is heart failure (HF). The prognosis for patients with HF remains poor, with only 45% to 60% of...

Capacity-related interfacility patient transports: patients affected, wait times involved and associated morbidity.(Advances)
July 1, 2006... ABSTRACT Objectives: The trend toward operating Canadian hospitals at full capacity necessitates in some settings the transfer of patients from one hospital's emergency department (ED) to another hospital for admission, due to lack of bed...

Demography of pediatric emergency care in Halifax, Canada.(Pediatrics)
July 1, 2006... ABSTRACT Objectives: Demography affects emergency department (ED) utilization and influences the health care needs of patients, yet the demographics of the caregivers who accompany children to pediatric EDs are not well described. The...

Pediatric emergency care: are family characteristics important?(Commentary/Commentaire)
July 1, 2006... In this issue of the journal, Taylor reports an observational study describing caregivers of children visiting the pediatric emergency department (ED) in Halifax. (1) He concludes that factors such as being a single female parent, a visible...

All-terrain vehicle major injury patterns in children: a five-year review in Southwestern Ontario.(Pediatrics)
July 1, 2006... ABSTRACT Objective: The aim of the study was to characterize the nature of the injuries sustained by children involved in all-terrain vehicle (ATV) crashes in Southwestern Ontario over a 5-year period. Methods: A retrospective chart...

A swimmer's wheeze.(Diagnostic Challenge)
July 1, 2006... Case history A previously healthy 38-year-old triathlete prepared for a swim in a cold (15[degrees]C) lake by drinking 1/2 L of a protein supplement and putting on a wetsuit. After swimming approximately 500 m, she developed dyspnea. She...

Dexamethasone for mild croup.(CJEM Journal Club)
July 1, 2006... Clinical question Does dexamethasone provide benefit to children with mild croup? Article chosen Bjornson CL, Klassen TP, Williamson J, et al. A randomized trial of a single dose of oral dexamethasone for mild croup. N Engl J Med...

Perinephric abscess secondary to a staghorn calculus presenting as a subcutaneous abscess.(Case Report/Observations de cas)
July 1, 2006... ABSTRACT Perinephric abscesses often present with flank pain and signs of sepsis, and are known to discharge to the skin. We report a case of a young patient presenting with a 48-hour history of painful swelling in her right renal angle...

Acute myocardial infarction after administration of low-dose intravenous epinephrine for anaphylaxis.(Case Report/Observation de cas)
July 1, 2006... ABSTRACT This case describes a 29-year-old woman who presented with an acute severe anaphylactic reaction to penicillin. In addition to other medications administered in the emergency department, she received 0.1 mg intravenously of 1:10...

The obligation of narrative.(Humour and Humanity/Humour et Humanite)
July 1, 2006... Did I tell you about the back pain patient who paused in our waiting room after being discharged just long enough to steal the coin change machine? He didn't get away with it though, because he stopped in the parking lot for a smoke, where...

Answer.(Diagnostic Challenge)
July 1, 2006... The correct answer to this Diagnostic Challenge is swimming-induced pulmonary edema (SIPE). Cardiogenic pulmonary edema is an unlikely diagnosis in this case. Even without knowing the results of serial troponin determinations, the...

Calendar/Calendrier.(Canadian Association of Emergency Physicians)(Table)(Calendar)
July 1, 2006... CAEP 2006-07 Roadshows AIME: Airway Interventions & Management Education Quebec City [prior to CCFP FM Forum] Oct. 31-Nov. 1 Sun Peaks, BC--SKI AIME Mar. 9 & 10 EDTU--ED Targeted Ultrasound ...