Canadian Journal of Emergency Medicine articles from September 2006

Canadian Journal of Emergency Medicine archives from September 2006

Clarification--"pretreatment" in RSI.(Letter to the editor)
September 1, 2006... To the Editor: In the July issue of CJEM, Drs. Zed, Harrison and Kuzak (1) expressed disappointment with our opinion (2) that pre-treatment for rapid sequence intubation (RSI) is contraindicated. We would like to clarify that our correspondence...

AMI after epinephrine.(Letters/Courrier)(Letter to the editor)
September 1, 2006... To the Editor: From the point of view of a seasoned veteran with little academic training but a lot of experience working in the trenches I would like to comment on the case of myocardial infarction after epinephrine that was reported in the...

Erratum.(Letters/Courrier)(Correction notice)
September 1, 2006... There was an error in the Diagnostic Challenge (1) in the July issue of CJEM. In the last paragraph of the Commentary the article stated: "Interestingly, there have been no reports of SIPE [swimming-induced pulmonary edema] in Olympic swimmers,...

Emergency department use by CTAS Levels IV and V patients.(Advances)(Canadian Emergency Department Triage and Acuity Scale )
September 1, 2006... ABSTRACT Introduction: Many emergency department (ED) visits are non-urgent. Postulated reasons for these visits include lack of access to family physicians, convenience and 24/7 access, perceived need for investigations or treatment not...

Effect of the SARS outbreak on visits to a community hospital emergency department.(Advances)(severe acute respiratory syndrome )
September 1, 2006... ABSTRACT Objectives: To examine the effect of severe acute respiratory syndrome (SARS) on visits to a community hospital emergency department (ED) during the early stage of the Toronto outbreak in 2003 and for the same period in 2004. We...

Systematic review of randomized controlled trials of therapeutic hypothermia as a neuroprotectant in post cardiac arrest patients.(State of the Art)(Clinical report)
September 1, 2006... ABSTRACT Objective: Several randomized controlled trials have suggested that mild induced hypothermia may improve neurologic outcome in comatose cardiac arrest survivors. This systematic review of randomized controlled trials was designed...

Hyperglycemia in acutely ill emergency patients--cause or effect?(State of the Art)(Clinical report)
September 1, 2006... ABSTRACT Objectives: To clarify the benefits, risks and timing of glucose control and intensive insulin therapy in several groups, specifically the neurologic, cardiac and septic populations of patients, commonly seen in the emergency...

Acute ischemic upper limb in a young man: an emergency presentation.(Diagnostic Challenge)(Brief article)
September 1, 2006... Case history A 25-year-old male computer programmer presented to the emergency department because he had been unable to fully extend his right elbow for 10 days. Several days before this his family doctor diagnosed elbow tendinitis and...

Etomidate for rapid sequence intubation in the emergency department: is adrenal suppression a concern?(Controversies)
September 1, 2006... Introduction Etomidate has become one of the most commonly used induction agents in the United States during emergency department (ED) endotracheal intubation. (1-3) While etomidate may be popular, concerns have been raised about possible...

You need tube, me give one amp of etomidate and SUX.(Controversies)
September 1, 2006... It is axiomatic that resuscitation begins with airway stabilization. Recognition of the need to intubate may seem straightforward compared with the task of selecting which agent(s) to give, and at what dose, at a time when seconds count. Each...

Posterior sternoclavicular joint dislocation: case report and discussion.(Case Report/Observations de cas)
September 1, 2006... ABSTRACT The sternoclavicular joint is the most frequently mobilized non-axial, major joint, but is the least frequently dislocated. Most sternoclavicular dislocations are anterior. When posterior sternoclavicular joint dislocations do...

Bowel perforation after single-dose activated charcoal.(Case Report/Observations de cas)(Clinical report)
September 1, 2006... ABSTRACT Patients presenting to the emergency department (ED) after medication overdose are often given activated charcoal initially for gastrointestinal decontamination. Complications of charcoal are rare, but do occur. The following case...

Lamotrigine as a possible cause of QRS prolongation in a patient with known seizure disorder.(Case Report/Observations de cas)(Clinical report)
September 1, 2006... ABSTRACT Lamotrigine and felbamate are 2 newer anticonvulsant medications used to control refractory partial and generalized seizures. Although several cases of lamotrigine toxicity secondary to acute intentional or unintentional overdose...

Primary amebic meningoencephalitis: a silent killer.(Case Report/Observations de cas)(Clinical report)
September 1, 2006... ABSTRACT One week after swimming in a man-made lake, a 9-year-old boy presented to the emergency department with headache, vomiting and lethargy. He had neck pain upon flexion and was unable to stand or walk. Cerebrospinal fluid...

Answer: Alfred Washington's arm.(Diagnostic Challenge)
September 1, 2006... The answer is: d) cervical rib with brachial artery thrombosis. Results of the chest x-ray provided our clue (Fig. 1). A Doppler ultrasound study of the right upper limb revealed no flow in the brachial artery distal from the junction of the...

CAEP 2006-07 roadshows.(Canadian Association of Emergency Physicians)(Table)(Brief article)(Calendar)
September 1, 2006... AIME: Airway Interventions & Management Education Quebec City [prior to CCFP FM Forum] Nov. 1 & 2 Edmonton, Alta. Nov. 18 & 19 London, Ont. Nov. 28 & 29...

Special CAEP events in 2007.(Canadian Association of Emergency Physicians)(Table)(Brief article)(Calendar)
September 1, 2006... CME in the SUN 2007 Club Med, Punta Cana Dominican Republic Jan. 27-Feb. 3 CME in the SNOW 2007 Banff Park Lodge Banff, Alta. Feb. 19-22 CAEP 2007 ED: The...

Other CME programs.(Calendar/Calendrier)(Calendar)
September 1, 2006... St. Paul's EM Conference--The Essentials! Westin Resort & Spa Whistler, BC Sept. 14-17 Contact: UBC Division of CPD & KT; 604 822-7301, info@cpdkt.ubc.ca, www.cpdkt.ubc.ca American College of...