Canadian Journal of Emergency Medicine articles from July 2008

Canadian Journal of Emergency Medicine archives from July 2008

EM training in Canada: two is better than one.(Letters * Correspondance)(Letter to the editor)
July 1, 2008... To the editor: We read with interest and concern the articles by Drs. Rutledge (1) and Abu-Laban (2) on EM training in Canada. Dr. Rutledge states that "the coexistence of the 2 programs inevitably leads to competition for scarce resources and...

Is this really the right time for an identity crisis? (Letters * Correspondance).(Letter to the editor)
July 1, 2008... To the editor: I was struck by the contrast of my recent attendance at the International Federation for Emergency Medicine (IFEM) meeting and the arrival of the latest issue of CJEM in the mail. At IFEM, I listened with great interest to...

Emergency medicine certification in Canada.(Letters * Correspondance)(Letter to the editor)
July 1, 2008... To the editor: I read with great interest the editorials in the March 2008 issue. I am a graduating FRCPC emergency medicine resident from the University of Calgary with additional training in medical education. I am emboldened by the...

EM dual training impacts the advancement of the specialty.(Letters * Correspondance)(Letter to the editor)
July 1, 2008... To the editor: I read with great interest the editorials by Drs. Abu-Laban and Rutledge in the March edition of CJEM. (1,2) I too have the similar "queasy" feeling that Dr. Abu-Laban described when I am asked about the pros and cons of the 2...

Caring for victims of intimate partner violence: a survey of Canadian emergency departments.(EM Advances)(Survey)
July 1, 2008... ABSTRACT Objective: We sought to determine the proportion of Canadian emergency departments (EDs) that have intimate partner violence (IPV) universal screening programs and intervention policies and procedures. Of the EDs with programs, we...

To screen or not to screen: identification of domestic violence in Canadian emergency departments.(Editorial)
July 1, 2008... The study by McClennan and colleagues in this issue of CJEM, "Caring for Victims of Intimate Partner Violence: A Survey of Canadian Emergency Departments," (1) brings needed attention to an ongoing and serious public health issue. Intimate...

Erratum.(Correction notice)
July 1, 2008... A CAEP Update about the Canadian Emergency Department Triage and Acuity Scale (CTAS) adult guidelines in the March 2008 issue contained an error. Box 1 should have listed the classification of bleeding severity for moderate, minor bleeds as...

Oui ou non pour le depistage de la violence familiale dans les salles d'urgence?(Editorial)
July 1, 2008... Il est grand temps d'aborder la grave question de la violence conjugale, un probleme persistant de sante publique, et l'etude de McClennan et de ses collegues figurant dans ce numero du JCMU, > (1), attire l'attention sur ce sujet. La violence...

The "delay effect" of donning a gown during cardiopulmonary resuscitation in a simulation model.(EM Advances)
July 1, 2008... ABSTRACT Objective: We sought to determine whether the use of currently issued gowns delays initiation of chest compressions and ventilations during cardiopulmonary resuscitation and whether simple gown modifications can reduce this delay....

Experiences of substance-using suicidal males who present frequently to the emergency department.(EM Advances)
July 1, 2008... ABSTRACT Objective: This qualitative study investigated the repeated use of the emergency department (ED) by men with a history of suicidal behaviour and substance abuse to understand the needs and barriers to care for this high-risk...

Does a waiting room video about what to expect during an emergency department visit improve patient satisfaction?(EM Advances)(Survey)(Clinical report)
July 1, 2008... ABSTRACT Objective: We created an instructional waiting room video that explained what patients should expect during their emergency department (ED) visit and sought to determine whether preparing patients using this video would 1) improve...

Introducing a nurse practitioner into an urban Canadian emergency department.(ED Administration)(Report)
July 1, 2008... ABSTRACT Objective: Our objective was to compare the emergency care provided by a nurse practitioner (NP) with that provided by emergency physicians (EPs), to identify emergency department (ED) patients appropriate for autonomous NP...

Assessing competence in emergency medicine trainees: an overview of effective methodologies.(Student Teaching and Evaluation)(Report)
July 1, 2008... ABSTRACT How do we define competence in emergency medicine (EM), and how do we know when a resident has achieved it? In recent years, the idea of physician competence has become widely recognized as being multidimensional. This has...

Diagnostic accuracy of clinical prediction rules to exclude acute coronary syndrome in the emergency department setting: a systematic review.(Clinical report)
July 1, 2008... ABSTRACT Objective: We sought to determine the diagnostic accuracy of clinical prediction rules to exclude acute coronary syndrome (ACS) in the emergency department (ED) setting. Methods: We searched MEDLINE, EMBASE, Web of Science and...

Ondansetron for pediatric gastroenteritis.
July 1, 2008... Clinical question Does ondansetron improve outcome in dehydrated children with gastroenteritis? Article chosen Freedman SB, Adler M, Seshadri R, et al. Oral ondansetron for gastroenteritis in a pediatric emergency department. N...

Traumatic occurrence of chest wall tamponade secondary to subcutaneous emphysema.
July 1, 2008... ABSTRACT Subcutaneous emphysema is a physical finding that itself is usually perceived as benign yet rarely may, in and of itself, be life-threatening. We present an unusual case of a 67-year-old woman who developed delayed severe...

Stable fracture of the pubic rami: a rare cause of life-threatening bleeding from the inferior epigastric artery managed with transcatheter embolization.(Clinical report)
July 1, 2008... ABSTRACT Extraperitoneal bleeding from the inferior epigastric artery (IEA) and its branches is a rare complication of blunt pelvic trauma; however, it can result in life-threatening hemorrhage, even in cases of minimally displaced...

ER top 5: a few thoughts on why I (generally) love my job.
July 1, 2008... I am an emergency physician. It's been 10 years since I completed my residency and skipped off into the big wide world where my name is the one marked "attending physician" on the ER chart. This 10-year marker apparently qualifies me as an...