Canadian Journal of Emergency Medicine articles from November 2004

Canadian Journal of Emergency Medicine archives from November 2004

CAEP 2004-2005 CME events.(Calendar)
November 1, 2004... Register online for CAEP events: www.caep.ca AIME: Airway Interventions & Management Education Winnipeg Nov. 12 & 13 Halifax Feb. 23 Toronto ...

Other CME programs.(Calendar)
November 1, 2004... A Practical Day in EM Toronto Nov. 27 Contact: U of T; 888 512-8173, ce.med@utoronto.ca A Practical Course in EM Montreal Dec. 2-3 Contact:...

Answer.(Diagnostic Challenge/Defi diagnostique)
November 1, 2004... The correct answer is D: acute confusional migraine (ACM). The patient was discharged the next day. One month later EEG was performed under normal circumstances, and a neurologist diagnosed migraine headaches. Migraines are the most common...

Finding balance.(Humour and Humanity/Humour et Humanite)
November 1, 2004... When I finished my Internship in the late '80s, I worked a mix of family practice and emergency department (ED) shifts in medium-sized centres across Canada. I soon worked exclusively in the ED, enjoying the intensity and challenge. As...

Go to bed, sleepy head.(Diagnostic Challenge/Defi diagnostique)
November 1, 2004... A 4-yr-old boy was brought to the emergency department (ED) by his parents, with a decreased level of consciousness and "strange" behaviour. His teacher had found him crying on a snowbank at school after being "kicked in the face" by another...

Pyloric stenosis.(Medical Mythology/Mythes medicaux)
November 1, 2004... Myth: the classic electrolyte abnormalities of metabolic alkalosis, hypochloremia and hypokalemia are a common finding in children with pyloric stenosis. Introduction In 1717, Blair first described pyloric stenosis based on autopsy...

Do femoral nerve blocks improve acute pain control in adults with isolated hip fractures?(Critically Appraised Topics)
November 1, 2004... Articles chosen 1. Fletcher AK, Rigby AS, Heyes FL. Three-in-one femoral nerve block as analgesia for fractured neck of femur in the emergency department: a randomized, controlled trial. Ann Emerg Med 2003;41(2):227-33. 2. Haddad FS,...

The removal of coins from the upper esophageal tract of children by emergency physicians: a pilot study.(Pediatric EM/Pediatrie d'urgence)
November 1, 2004... ABSTRACT Objective: There are few reports in the medical literature describing removal of a coin from the upper esophageal tract of a child by an emergency physician. However, given the nature of their training and practice, emergency...

Mandating automated external defibrillators in schools: fire, ready, aim!(Commentary/Commentaire)
November 1, 2004... SEE ALSO PEDIATRIC EM SECTION, PAGE 428. In this issue of the Canadian Journal of Emergency Medicine, Drs. Valani, Mikrogianakis, and Goldman present a very nice review of cardiac concussion, also known as commotio cordis. (1) Their review...

Cardiac concussion (commotio cordis).(Pediatric EM/Pediatrie d'urgence)
November 1, 2004... ABSTRACT Blunt chest trauma in pediatric patients can result in various injuries to the myocardium. Cardiac concussion (commotio cordis) is seen in patients in whom the precordium has been struck with relatively little force at a...

Revisions to the Canadian Emergency Department Triage and Acuity Scale implementation guidelines.(ED Administration/L'administration de la MU)
November 1, 2004... Introduction There has been widespread implementation of the Canadian Emergency Department Triage and Acuity Scale (CTAS) across Canada since it was introduced in 1999. (1,2) This consensus document, developed by the CTAS National Working...

Laryngoscopic views during rapid sequence intubation in the emergency department.(EM Advances/Innovations en MU)
November 1, 2004... ABSTRACT Objectives: Our objective was to document and compare the views obtained at laryngoscopy during emergency department (ED) rapid sequence intubation (RSI) by anesthetists and emergency physicians of varying seniority and...

Focused abdominal ultrasound for blunt trauma in an emergency department without advanced imaging or on-site surgical capability.(EM Advances/Innovations en MU)
November 1, 2004... ABSTRACT Objectives: To determine whether focused abdominal sonogram for trauma (FAST) in a rural hospital provides information that prompts immediate transfer to a tertiary care facility for patients with blunt abdominal trauma who would...

Lack of consensus on corneal abrasion management: results of a national survey.(EM Advances/Innovations en MU)
November 1, 2004... ABSTRACT Objectives: Our objective was to determine the practice patterns of Canadian emergency physicians with respect to the management of traumatic corneal abrasions. Methods: After developing our instrument and pilot testing it on...

Pediatric wrist buckle fractures: should we just splint and go?(Pediatric EM/Pediatrie d'urgence)
November 1, 2004... ABSTRACT Objectives: The objective of this study was to evaluate the utility of circumferential casting in the emergency department (ED), orthopedic follow-up visits, and radiographic follow-up in the management of children with wrist...

ED overcrowding.(Letters/Courrier)(Letter to the Editor)
November 1, 2004... To the Editor: Overcrowding is a major international problem that compromises clinical and educational activities in the emergency department. I have spent some interesting time over the last few days. I have visited 9 accident & emergency...

ESI and CTAS.(Letters/Courrier)(Letter to the Editor)
November 1, 2004... To the Editor: We read with interest Grafstein's commentary (1) on Worster and colleagues' article, (2) "Assessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial" in CJEM's July 2004...