Canadian Journal of Emergency Medicine articles from May 2008

Canadian Journal of Emergency Medicine archives from May 2008

EM training.(Letters * Correspondance)(Letter to the editor)
May 1, 2008... To the editor: The useful survey presented by Bhimani and colleagues (1) may (or may not) have been confounded by question 6 regarding CCFP(EM) training. It may not distinguish those who have completed a third year of emergency medicine...

Procedural sedation.(Letters * Correspondance)(Letter to the editor)
May 1, 2008... To the editor: The article by Zed and colleagues (1) raises some interesting questions. Could it be that contrary to current belief, propofol does have analgesic/amnesic properties? It would be helpful to know which patients (and their...

Fluoroquinolones and arthropathy in children.(Letters * Correspondance)(Letter to the editor)
May 1, 2008... To the editor: The present study by Forsythe and Ernst (1) did not take into consideration the difference between the various quinolones as far as the occurrence of arthropathy is concerned. Among the quinolones, significant differences...

Substance-related problems in patients visiting an urban Canadian emergency department.(EM Advances)(Clinical report)
May 1, 2008... ABSTRACT Objective: For many patients with addiction and other substance problems, the emergency department (ED) is the sole provider of medical care. This study sought to determine the prevalence and characteristics of substance-related...

Is computerized tomography of trauma patients associated with a transfer delay to a regional trauma centre?(EM Advances)(Report)
May 1, 2008... ABSTRACT Objective: Many trauma patients undergo advanced diagnostic imaging before being transferred to a regional trauma centre, but this step can delay definitive care. This study compared the length-of-stay at the primary hospital...

Rural emergency department use by CTAS IV and V patients.(EM Advances)(Canadian Triage and Acuity Scale)(Clinical report)
May 1, 2008... ABSTRACT Objective: For a variety of reasons, many emergency department (ED) visits are classified as less- or nonurgent (Canadian Triage and Acuity Scale [CTAS] level IV and V). A recent survey in a tertiary care ED identified some of...

Do [beta]-blockers reduce short-term mortality following acute myocardial infarction? A systematic review and meta-analysis.(Review Article)(Report)
May 1, 2008... ABSTRACT Objective: Acute myocardial infarction (AMI) remains a major cause of death and [beta]-blockers are known to reduce long-term mortality in post-AMI patients. We sought to determine whether patients receiving [beta]-blockers...

Revisions to the Canadian Triage and Acuity Scale paediatric guidelines (PaedCTAS).(ED Administration)(Clinical report)
May 1, 2008... Keywords: triage, emergency department, CTAS, administration, pediatric ********** Background The need for effective triage of the increasing number of patients presenting for emergency care was recognized in the early 1990s. Dr....

Revision des lignes directrices de l'Echelle canadienne de triage et de gravite (ETG) applicable aux enfants.(Administration de la MU)(Canadian Emergency Department Triage and Acuity Scale (CTAS), emergency room care of children in Canada)
May 1, 2008... Contexte Au debut des annees 90, il est devenu evident qu'il fallait rendre le triage plus efficace en raison du nombre croissant de patients se presentant a l'urgence. Le Dr Robert Beveridge a dirige les travaux d'elaboration d'une...

Intravenous proton pump inhibitors prior to endoscopy in suspected upper gastrointestinal bleeding.
May 1, 2008... Clinical question Does the use of intravenous proton pump inhibitors (IV PPIs) reduce important adverse outcomes in patients who present to the ED with evidence of acute upper gastrointestinal bleeding? Article chosen Lau JY,...

Ramsay Hunt syndrome presenting as simple otitis externa.(Case Report * Rapport de cas)
May 1, 2008... ABSTRACT Ramsay Hunt syndrome is a rare complication of herpes zoster in which reactivation of latent varicella zoster virus infection occurs in the geniculate ganglion, causing otalgia, auricular vesicles and peripheral facial paralysis....

Ruptured abdominal aortic aneurysm masquerading as isolated hip pain: an unusual presentation.(Case Report * Rapport de cas)(Clinical report)
May 1, 2008... ABSTRACT The rupture of an abdominal aortic aneurysm (AAA) is a catastrophic event. Misdiagnosis by first-contact emergency physicians remains a serious concern. Varied and frequently nonspecific presentations lead to erroneous diagnostic...