Canadian Journal of Emergency Medicine articles from March 2009

Canadian Journal of Emergency Medicine archives from March 2009

Safety first--sedate and shock.(Correspondance)
March 1, 2009... To the editor: Mitchell and Lazarenko recently authored a diagnostic challenge in the November 2008 issue of CJEM. (1) We thank the authors for providing this worthy topic for discussion and congratulate them on their publication. However, with...

A sentinel event for Ontario hospitals.(Letters/Correspondance)(Letter to the editor)
March 1, 2009... To the editor: In January of this year, the Huron Perth Healthcare Alliance of 4 Ontario hospitals (Stratford General Hospital, St. Mary's Memorial Hospital, Seaforth Community Hospital and Clinton Public Hospital) announced the reduction in...

Advocate or abdicate: the responsible choice for today's emergency medicine resident.(Letters/Correspondance)(Letter to the editor)
March 1, 2009... To the editor: I think it can be safely argued that many of the problems that now beset emergency medicine (e.g., crowding, insufficient human resources and service disruptions) are, in part, a result of a lack of advocacy by our specialty...

Erratum.(Letters/Correspondance)(Correction notice)
March 1, 2009... In the January 2009 issue, there was a typing error in the abstract for the article entitled "Validity of the Canadian Paediatric Triage and Acuity Scale in a tertiary care hospital." The first sentence of the conclusion should read, "This...

Ten years old and still learning to walk/Dix ans et toujours en train d'apprendre a marcher.(Editorial)
March 1, 2009... It was April 1999 when a new journal was born, coming to life crying and wailing as do all healthy babies. Its parents couldn't initially decide on a name but finally agreed that the Canadian Journal of Emergency Medicine (CJEM) was best. Those...

Adherence to emergency department discharge prescriptions.(EM Advances)(Clinical report)
March 1, 2009... Introduction Adherence describes the extent to which a patient follows an agreed-on mode of treatment recommended by a health care professional with limited or no supervision. (1) Nonadherence to prescription medication is a problem...

The appropriateness of referrals to a pediatric emergency department via a telephone health line.(EM Advances)(Report)
March 1, 2009... Introduction Telephone health lines have become increasingly widespread. (1) These health lines vary in availability from "after hours" to coverage 24 hours per day, 7 days per week. Nurses usually staff the lines and triage the callers...

Individual emergency physician admission rates: predictably unpredictable.(EM Advances)
March 1, 2009... Introduction The daily challenges faced by many urban Canadian emergency departments (EDs) that are forced to deal with a backlog of admitted patients have been outlined in detail. (1-3) Many recommendations have been generated detailing...

Acute myocardial infarction in patients with syncope.(EM Advances)(Report)
March 1, 2009... Introduction Syncope accounts for 1%-2% of all emergency department (ED) visits. (1-3) The causes of syncope are usually benign, but are occasionally significant and life-threatening. Cardiovascular causes are particularly concerning, with...

Youth violence secondary prevention initiatives in emergency departments: a systematic review.(Report)
March 1, 2009... Introduction Youth violence continues to be a very troubling problem in Canada. Although overall homicide rates have decreased substantially since the early 1990s, the rate of youths accused of homicide in Canada was at its highest in 2006...

Myth: glucagon is an effective first-line therapy for esophageal foreign body impaction.(Medical Mythology)(Clinical report)
March 1, 2009... Introduction Esophageal foreign body impactions (EFBIs) are relatively rare in emergency medicine; patients rarely have them more than once. Indications for watchful waiting include a patent airway and the ability to clear secretions....

Penetrating spinal cord injuries with retained canal fragments.(Images)
March 1, 2009... Case 1: A previously healthy 15-year-old boy was brought by paramedics to the emergency department (ED) after suffering multiple penetrating gunshot wounds (GSWs) to the lower extremities and a single entry to the left suprascapular region....

Treatment of severe accidental hypothermia with intermittent hemodialysis.(Case Report/Rapport de cas)(Report)
March 1, 2009... Introduction Accidental hypothermia is an unintentional decline in core body temperature to below 35[degrees]C, and is divided into categories of mild (32-35[degrees]C), moderate (28-32[degrees]C) and severe ( There is still variability...

Acute postpartum pulmonary edema in a 23-year-old woman 5 days after cesarean delivery.(Case Report/Rapport de cas)(Report)
March 1, 2009... Introduction Pulmonary edema of cardiac origin is a common medical condition that can range in severity from chronic, to subclinical, to acute, with accompanying severe respiratory compromise. Resuscitation is the foremost priority,...

The medicine man.(Humour and Humanity/Humour et humanite)(Editorial)
March 1, 2009... The loud knock at the door woke me from a deep sleep. It wasn't easy for me to get out of my warm sleeping bag that cold night to answer. It was December 1991, and I was living in a town called Diyana in northern Iraq, working with a medical...

Fear and loathing in Ottawa: the Royal College Fellowship Examination.(Residents' Corner/Le coin des residents)
March 1, 2009... Three thousand one hundred seventy-nine: that's how many pages are found in Rosen's Emergency Medicine: Concepts and Clinical Practice, and that's what I have to learn in the dying months of my final year of training. I look longingly at the...

Calendar/Calendrier.(Calendar)
March 1, 2009... ** Register online for CAEP events at www.caep.ca ** Check the CAEP website regularly for new Roadshows The Musculoskeletal Roadshow Halifax NS (prior to 17th Annual Rural & Remote Medicine Conference) ...