Canadian Journal of Emergency Medicine articles from July 2007

Canadian Journal of Emergency Medicine archives from July 2007

So you want to be an editor-in-chief * ... / Ainsi, vous aimeriez etre redacteur en chef ... *.(Editorial)
July 1, 2007... There are so many with better research track records in Canada, so many with far more research training, that I find myself asking: "how did I ever get this job?" I am honored by the selection yet humbled by the task ahead. Soon I will start...

Misdiagnosis of pulmonary bulla.(Letters/Courrier)
July 1, 2007... We read with considerable interest the diagnostic challenge on bullous emphysema in a young man in India. (1) It brought to mind a recent unreported case, experienced by one of us, which led to a significant diagnostic error. A 73-year-old man...

Implementation of a novel prehospital advance directive protocol in southeastern Ontario.(Advances)
July 1, 2007... ABSTRACT Introduction: Do not resuscitate (DNR) orders are commonly accepted in most health care settings, but are less widely recognized in the prehospital setting. We describe the implementation of and satisfaction with a prehospital DNR...

The effect of training on nurse agreement using an electronic triage system.(Advances)
July 1, 2007... ABSTRACT Objectives: Emergency department (ED) triage prioritizes patients based on urgency of care, and the Canadian Triage and Acuity Scale (CTAS) is the national standard. We describe the inter-rater agreement and manual overrides of...

Emergency department visits for acetaminophen overdose: a Canadian population-based epidemiologic study (1997-2002).(Advances)
July 1, 2007... ABSTRACT Objective: We describe the epidemiology of emergency department (ED) visits for acetaminophen overdose in a large Canadian health region, with a focus on sociodemographic risk factors and temporal trends. Methods: Patients...

Integrating nurse practitioners into Canadian emergency departments: a qualitative study of barriers and recommendations.(Advances)
July 1, 2007... ABSTRACT Objective: The objective of this study was to identify the facilitators and barriers associated with integrating nurse practitioners (NPs) into Canadian emergency departments (EDs) from the perspectives of NPs and ED staff. ...

Advocacy and activism in emergency medicine.(Resident Issues / Polemiques des residents)
July 1, 2007... What is advocacy? Advocacy can be defined as speaking forth in order to compel positive change at a personal, institutional or governmental level. Advocacy is a central part of medical professionalism and of the growing movement of...

Erratum.(Correction notice)
July 1, 2007... In the conclusion section of the Abstract as well as in the main conclusion section of the March 2007 original research article, (1) the word "blood" was used in 2 instances that should have read "urine." The sentences appear in their corrected...

A systematic review of the impact of nurse practitioners on cost, quality of care, satisfaction and wait times in the emergency department.(State of the Art/Systematic Review)
July 1, 2007... ABSTRACT Introduction: US emergency personnel cared for 106% more patients in 1990 than they did in 1980,1 and national emergency department census data show that 60%-80% of those patients presented with non-urgent or minor medical...

My aching shoulder.(Diagnostic Challenge)
July 1, 2007... Case history A previously healthy 43-year-old man was referred to the emergency department (ED) from a sports medicine clinic because of persistent shoulder pain and reduced function. He first presented to the clinic about 1 week earlier...

Nurse practitioners in Canadian emergency departments: an idea worthy of attention or diverting our attention?(Commentary/Commentaire)
July 1, 2007... This issue of the Journal contains 2 articles on the introduction of nurse practitioners (NPs) into the emergency department (ED). Both raise interesting points, and the authors should be applauded for investigating this issue and allowing us...

Necrotizing pneumonia and septic shock: suspecting CA-MRSA in patients presenting to Canadian emergency departments.(Case Report/Observation de cas)
July 1, 2007... ABSTRACT We report a case of fatal necrotizing pneumonia and sepsis caused by community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in an otherwise well, 48-year-old Canadian man with type 2 diabetes mellitus who had...

Nebulized racemic epinephrine used in the treatment of severe asthmatic exacerbation: a case report and literature review.(Case Report/Observation de cas)(Clinical report)
July 1, 2007... ABSTRACT Acute asthma is a common emergency department (ED) problem that is typically treated with bronchodilators and anti-inflammatories. Nebulized selective, short-acting [beta]-agonists, such as salbutamol, are the bronchodilators of...

Answer.(Diagnostic Challenge)(chest x-ray and thoracic empyema)
July 1, 2007... The correct answer is "b" (a chest x-ray). An anterior-posterior chest x-ray revealed a 4-cm round opacity in the right upper lobe, along with lower lobe atelectasis and a pleural effusion (Fig. 1). The patient's white blood count was...