Canadian Journal of Emergency Medicine articles from March 2007

Canadian Journal of Emergency Medicine archives from March 2007

Airway management in penetrating neck trauma at a Canadian tertiary trauma centre.(Advances)(Medical condition overview)
March 1, 2007... ABSTRACT Objectives: The optimal approach to airway management in penetrating neck injuries (PNIs) remains controversial. The primary objective of this study was to review the method of endotracheal intubation in PNI at a Canadian tertiary...

A comparative study of designated trauma team leaders on trauma patient survival and emergency department length-of-stay.(Advances)
March 1, 2007... ABSTRACT Objectives: There is controversy over who should serve as the Trauma Team Leader (TTL) at trauma-receiving centres. This study compared survival and emergency department (ED) length-of-stay between patients cared for by 3...

Understanding linear and logistic regression analyses.(Methodology)
March 1, 2007... Regression analysis, also termed regression modeling, is an increasingly common statistical method used to describe and quantify the relation between a clinical outcome of interest and one or more other variables. In this issue of CJEM,...

Analgesia in undifferentiated abdominal pain: Is it safe?(CJEM Journal Club)(Clinical report)
March 1, 2007... Background Patients frequently present to emergency departments (EDs) with abdominal pain. The use of analgesia for this complaint has been debated for many years. (1-3) The fear of analgesics originated from the early edition of Cope's...

Ethics approval requirement for CJEM research publications: a step forward for Canadian emergency medicine.(Commentary/Commentaire)
March 1, 2007... Every emergency medicine researcher has, on occasion, cursed a Research Ethics Board (REB). The ethics approval process is both complicated and time-consuming. REBs frequently request seemingly arbitrary changes to protocols that took months...

Emergency physicians: "burned out" or "fired up"?(Controversies)(Clinical report)
March 1, 2007... Background It is a commonly upheld belief that emergency physicians (EPs) become burned out at an increased rate, compared with other physicians or to the population. The primary objective of this study was to survey physicians and other...

A rare case of leaking abdominal aneurysm presenting as isolated right testicular pain.(Case Report/Observations de cas)
March 1, 2007... ABSTRACT An abdominal aortic aneurysm (AAA) is not usually considered in the differential diagnosis of isolated right testicular pain. We describe a patient who did present with isolated acute right testicular pain as the sentinel feature...

Poisoning due to raw Gyromitra esculenta (false morels) west of the Rockies.(Case Report/Observations de cas)
March 1, 2007... ABSTRACT Vomiting with abdominal pain is a common presentation in the emergency department (ED). Without a careful history, unusual causes, such as toxic ingestion, may evade diagnosis. We report a case of an Asian couple who presented to...

Identification and correction of guide wire malposition during internal jugular cannulation with ultrasound.(Case Report/Observations de cas)
March 1, 2007... ABSTRACT Real-time ultrasound guidance for central venous catheterization increases success and reduces procedural complications. I describe a case in which guide wire resistance was encountered and real-time ultrasound visualization of...

A case of Clostridium septicum spontaneous gas gangrene.(Case Report)
March 1, 2007... ABSTRACT Severe skin and soft tissue infections (SSTIs) are often life-threatening emergencies that require a rapid diagnosis. Gas gangrene is one of the most fulminant types of SSTI and is usually caused by Clostridium perfringens'...

The obituary.(Humour and Humanity/Humour et humanite)
March 1, 2007... The notice appeared in the local paper. The obituary read: "Rogers, Jim and Carol died peacefully together as they lived, after a short illness." The poignant story of this couple and their death did not accompany the notice. I was party to the...

Erratum.(Humour and Humanity/Humour et humanite)(Correction notice)
March 1, 2007... The title of a Commentary published in the September 2005 issue of CJEM contained an error. It should have read "Needed: a commitment to basic training in emergency medicine teaching". (1) Reference (1.) Frank J. Needed: a commitment...

CAEP 2007 roadshows.(CALENDAR/CALENDRIER)(Canadian Association of Emergency Physicians)(Brief article)(Calendar)
March 1, 2007... CAEP 2007 Roadshows "Bringing CAEP CME to You!" ** Register on line for CAEP events at www.caep.ca ** The New CAEP Musculoskeletal Roadshow Official launch at CAEP 2007 Victoria, BC ...

Special CAEP events in 2007.(CALENDAR/CALENDRIER)(Calendar)
March 1, 2007... Special CAEP Events in 2007 CAEP 2007 ED: The Canary in the Coalmine Victoria Conference Centre, Victoria, BC June 2-6 Contact: Conference Secretariat, c/o Advance Group Conference Management Tel: (604)...

Other CME programs.(CALENDAR/CALENDRIER)(Calendar)
March 1, 2007... Other CME Programs AAEM 13th Annual Scientific Assembly Caesar's Palace, Las Vegas, Nevada March 12-14 Sponsored by the American Academy of Emergency Medicine FREE Registration for AAEM Members http://www.aaem.org...

Simulating severe sepsis: see one, do one, teach one.(Letters/Courrier)(Letter to the editor)
March 1, 2007... To the editor: Mortality following severe sepsis and septic shock frequently exceeds 30% and depends largely on how quickly evidence-based therapies are administered. (1-3) As such, emergency physicians can improve outcomes enormously; however,...

Impact of a standardized communication system on continuity of care between family physicians and the emergency department.(Advances)
March 1, 2007... ABSTRACT Objective: It has been suggested that continuity of care is hampered because of the lack of communication between emergency departments (EDs) and primary care providers. A web-based, standardized communication system (SCS) that...

Can urine cultures and reagent test strips be used to diagnose urinary tract infection in elderly emergency department patients without focal urinary symptoms?(Advances)
March 1, 2007... ABSTRACT Objective: To compare the results of urine cultures and reagent strip testing in 2 groups of elderly emergency department (ED) patients: an asymptomatic group unlikely to have urinary tract infection (UTI), and a group who had...

Impact of a multifaceted pediatric sedation course: self-directed learning versus a formal continuing medical education course to improve knowledge of sedation guidelines.(Advances/Education)
March 1, 2007... ABSTRACT Background: Procedural sedation guidelines were established for a tertiary care pediatric emergency department (ED). We developed a pediatric procedural sedation course to disseminate these guidelines. Objective: Our objective...