Canadian Journal of Emergency Medicine articles from November 2008

Canadian Journal of Emergency Medicine archives from November 2008

Patient videos for the emergency department waiting room.(Letters / Correspondance)(Letter to the editor)
November 1, 2008... To the editor: At the Hamilton Civic Hospitals (now part of Hamilton Health Sciences in Hamilton, Ont.), the emergency department (ED) pioneered a video for the waiting room in the late 1980s. We too performed a survey of patients and came to...

Nurse practitioners in the emergency department.(Letters / Correspondance)(Letter to the editor)
November 1, 2008... To the editor: The recent article entitled "Introducing a nurse practitioner into an urban Canadian emergency department" by Steiner and colleagues (1) compares the care provided by a nurse practitioner (NP) with that of an emergency physician...

Patient adherence with emergency department referral to a cardiovascular evaluation and risk assessment clinic.(EM Advances)(Report)
November 1, 2008... ABSTRACT Objective: Patient adherence with emergency department (ED) referral has not been well studied in Canada, and there are no Canadian studies assessing patient follow-up for evaluation of cardiovascular disease. Our primary...

Is pretest probability assessment on emergency department patients with suspected venous thromboembolism documented before SimpliRED D-dimer testing?(EM Advances)
November 1, 2008... ABSTRACT Background: The SimpliRED D-dimer assay is commonly ordered by emergency physicians for suspected pulmonary embolus or deep venous thrombosis. A pretest probability (PTP) assessment is required for the results of this diagnostic...

A workshop to improve workflow efficiency in emergency medicine.(Faculty Development)(Clinical report)
November 1, 2008... ABSTRACT Objective: The emergency department (ED) environment requires physicians to focus on workflow efficiency (WFE) and manage ED throughput. We sought to determine whether an interactive workshop could be designed and favourably...

Self-reported experience and competence in core procedures among Canadian pediatric emergency medicine fellowship trainees.(Student Teaching and Evaluation)(Survey)
November 1, 2008... ABSTRACT Objective: We sought to determine the frequency with which fellows in accredited Canadian pediatric emergency medicine (PEM) fellowships perform specific procedures, the level of confidence fellows have in their abilities and...

Performance criteria for emergency medicine residents: a job analysis.(Student Teaching and Evaluation)(Clinical report)
November 1, 2008... ABSTRACT Objective: A major role of admission interviews is to assess a candidate's suitability for a residency program. Structured interviews have greater reliability and validity than do unstructured ones. The development of content for...

The outcome wheel: a potential tool for shared decision-making in ischemic stroke thrombolysis.(Pedagogical Tools and Methods)(Clinical report)
November 1, 2008... ABSTRACT A stroke can be a catastrophic experience. Patients are confronted with alarming symptoms and then a devastating diagnosis, after which they are expected to make an "informed decision" regarding intervention. Informed...

Lignes directrices de l'Association canadienne des medecins d'urgence sur le sepsis : la prise en charge optimale du sepsis grave dans les departements d'urgence canadiens.(Mise a jour de l'ACMU/CAEP Update)
November 1, 2008... RESUME Introduction: La prise en charge optimale du sepsis grave dans les departements d'urgence a connu une evolution rapide. Le but des presentes lignes directrices est de revoir pour le benefice des medecins d'urgence canadiens les...

Wide QRS complex tachycardia.(Diagnostic Challenge)
November 1, 2008... A45-year-old man presented to the emergency department complaining of palpitations. He had no history of chest pain, shortness of breath, presyncope, diaphoresis or calf pain. He had no known structural heart disease or risk factors for...

Esophageal bezoar.(Images)(Disease/Disorder overview)(Clinical report)
November 1, 2008... Following severe head trauma, an 18-year-old man was sedated using propofol and remifentanil and was put on mechanical ventilation. Enteral nutrition was initiated soon after admission via a nasogastric tube. On day 23, a major regurgitation...

Successful treatment of pediatric stroke with recombinant tissue plasminogen activator (rt-PA): a case report and review of the literature.(Case Report/Rapport de cas)(Report)
November 1, 2008... ABSTRACT Pediatric stroke is a rare disorder with a paucity of evidence-based treatment options, and can result in significant morbidity and mortality. In contrast to adult acute ischemic stroke, where the use of recombinant tissue...

Emergency ultrasound: a stethoscope extension?(Residents' Corner/Le Coins des residents)
November 1, 2008... Over the past 15 years, bedside ultrasound has become an essential tool in many Canadian emergency departments (EDs). In 1999, a group of dedicated ED sonographers through the Canadian Association of Emergency Physicians outlined their support...