Canadian Journal of Emergency Medicine articles from November 2006

Canadian Journal of Emergency Medicine archives from November 2006

AMI after low-dose IV epinephrine for anaphylaxis.(Letters/Courrier)(Letter to the editor)
November 1, 2006... To the editor: The letters (1,2) in September's issue of CJEM responding to our Case Report on the use of IV epinephrine in anaphylaxis (3) raise interesting questions. We agree that a 10-hour onset delay seems long, but penicillin remains a...

Erratum.(Letters/Courrier)
November 1, 2006... In the Pediatrics Original Research article published in the July 2006 issue of CJEM, the Competing Interests statement was incomplete. There were no competing interests declared by the author. Reference (1.) Taylor BW. Demography of...

The junkyard dogs find their teeth: addressing the crisis of admitted patients in Canadian emergency departments.(Editorial)
November 1, 2006... In the Fall of 2005, after years of effort by emergency physicians at Vancouver General Hospital (VGH) to address the crisis of admitted patients in our ED, the Senior Medical Director at VGH introduced the topic at a medical staff meeting by...

Intravenous dexamethasone to prevent the recurrence of benign headache after discharge from the emergency department: a randomized, double-blind, placebo-controlled clinical trial.(Advances)
November 1, 2006... ABSTRACT Objective: To evaluate whether the addition of intravenous (IV) dexamethasone to standard emergency department (ED) benign headache therapy would reduce the incidence of headache recurrence at 48-72 hours. Methods: This...

Diagnostic performance and potential clinical impact of advanced care paramedic interpretation of ST-segment elevation myocardial infarction in the field.(Advances)
November 1, 2006... ABSTRACT Objectives: Most studies of pre-hospital management of ST-elevation myocardial infarction (STEMI) have involved physicians accompanying the ambulance crew, or electrocardiogram (ECG) transmission to a physician at the base...

Adequacy of antidote stocking in British Columbia hospitals: the 2005 antidote stocking study.(Advances)(Clinical report)
November 1, 2006... ABSTRACT Background: Inadequate hospital stocking and the unavailability of essential antidotes is a worldwide problem with potentially disastrous repercussions for poisoned patients. Research indicates minimal progress has been made in...

Data collection on patients in emergency departments in Canada.(Advances)
November 1, 2006... ABSTRACT Objective: Relatively little is known about the ability of Canadian emergency departments (EDs) and the federal, provincial and territorial governments to quantify ED activity. The objectives of this study were to determine the...

Pediatric appendicitis: pathophysiology and appropriate use of diagnostic imaging.(State of the Art)(Clinical report)
November 1, 2006... ABSTRACT Evaluating children for appendicitis can be extremely difficult, and various strategies have been developed to improve the precision of preoperative diagnosis. Among these, ultrasound and computed tomography (CT) are now widely...

Myth: interpretation of a single ammonia level in patients with chronic liver disease can confirm or rule out hepatic encephalopathy.(Medical Mythology)(Clinical report)
November 1, 2006... Introduction Although the exact pathophysiology of hepatic encephalopathy (HE) is not fully understood, for more than a century ammonia has been thought to play a critical role. (1) However, the interpretation and utility of ammonia levels...

Where is the ET tube?(Diagnostic Challenge)
November 1, 2006... Case history A 79-year-old man developed acute onset of tongue and neck swelling while camping. Diphenhydramine was administered at the scene, and he was taken by car to the emergency department (ED) at a tertiary care hospital. His...

Penetrating chest trauma secondary to a composite hockey stick injury.(Case Report)(Clinical report)
November 1, 2006... ABSTRACT Hockey is enjoyed by millions of people around the world and is a sport in which aggression is encouraged and injuries are common. Although body-checking is the most common cause of injury in hockey today, hockey sticks are...

Calendar/Calendrier.(Calendar)
November 1, 2006... CAEP 2000-07 Roadshows AIME: Airway Interventions & Management Education London, Ont. Nov. 28 & 29 Halifax, NS [prior to Dalhousie EM Refresher] Feb. 20 & 21 Kamloops, BC (Sun Peaks) Mar. 9 & 10 Toronto, Ont. [prior to North York EM...

Answer.(Diagnostic Challenge)
November 1, 2006... The most appropriate next step in the management of this patient is to attempt video laryngoscopy again (i.e., answer D). Despite what the end-tidal C[O.sub.2] detector indicated, the endotracheal (ET) tube was above the vocal cords. When...