Canadian Journal of Emergency Medicine articles from September 2007

Canadian Journal of Emergency Medicine archives from September 2007

Key indicators of overcrowding in Canadian emergency departments: a Delphi study.(Advances)(Survey)
September 1, 2007... ABSTRACT Objective: To identify the level of consensus among a group of Canadian emergency department (ED) experts on the importance of a set of indicators to document ED overcrowding. Methods: A 2-round Delphi survey was conducted...

Prevalence of pneumonia in children under 12 years of age who undergo abdominal radiography in the emergency department.(Pediatrics)(Clinical report)
September 1, 2007... ABSTRACT Objective: Pneumonia is a well-known cause of acute abdominal pain in children. However, the utility of chest radiography in this setting is controversial. We sought to determine the prevalence of pneumonia in children under 12...

Changing the process of care and practice in acute asthma in the emergency department: experience with an asthma care map in a regional hospital.(Advances)
September 1, 2007... ABSTRACT Introduction: Despite the frequency of acute asthma in the emergency department (ED) and the availability of guidelines, significant practice variation exists. Asthma care maps (ACMs) may standardize treatment. This study examined...

Brain strain.(Diagnostic Challenge)(Brief article)
September 1, 2007... Case history While walking outside with his wife, a 30-year-old male experienced a grand mal seizure lasting 40-60 seconds. The patient was disoriented when paramedics arrived on the scene and the post-ictal confusion lasted 20-30 minutes....

Physical exam myths: listening for carotid artery bruits in stroke patients.(Medical Mythology)
September 1, 2007... ABSTRACT When a patient presents to the emergency department with a neurologic deficit and a cerebrovascular event is included in the differential diagnosis, the classic recommendation is to examine the carotid artery and assess for the...

Ultrasound-guided central venous access: a homemade phantom for simulation.(Tips from the Trenches)
September 1, 2007... Key words: Ultrasound, phantom, vascular access, ultrasound-guided Introduction Various medical specialty organizations and the Agency for Healthcare Research and Quality (AHRQ) (1) have advocated using ultrasonography to guide central...

A morning at the Angkor Hospital for Children.(International EM * La MU a l'etranger)
September 1, 2007... An uncomfortable drizzle soaked through my only set of good clothes. It was a cool monsoon morning in Cambodia and I was holding on tightly to the back of a moto-taxi. I was late for my appointment at the Angkor Hospital for Children (AHC). The...

Emergency department overcrowding: peering through the holes in the safety net.(Commentary / Controversies * Commentaire et controverses)
September 1, 2007... Key words: overcrowding, emergency department I know it when I see it. --Supreme Court Justice Potter Stewart describing the difficulty of defining "hard-core pornography" in the case of Jacobellis v. Ohio (1964) In this issue...

Botfly myiasis: a case report.(Case Report * Observation de cas)
September 1, 2007... ABSTRACT Cutaneous infestation by the human botfly, Dermatobia hominis, results in furuncular myiasis. This condition is endemic to the forested areas of Mexico, Central and South America. However, because of widespread travel, furuncular...

Type I Monteggia lesion and associated fracture of the distal radius and ulna metaphysis in a child.(Case Report * Observation de cas)(Clinical report)
September 1, 2007... ABSTRACT We report a rare case of a type I Monteggia lesion with an associated fracture of the distal radius and ulna metaphysis in a child. We discuss the mechanism of injury and the importance of thorough clinical examination in...

Jeff.(Humour and Humanity * Humour et humanite)(emergency medical care)
September 1, 2007... I was working a typical evening shift with the usual collection of sore throats, headaches and belly pains. I came upon a 19-year-old young man, "Jeff." He had a minor hand laceration. Nothing out of the ordinary; the mundane. I did my usual...

Calendar * Calendrier.(Conference news)(Calendar)
September 1, 2007... CAEP 2007 Roadshows "Bringing CAEP CME to You!" ** Register on-line for CAEP events at www.caep.ca ** The New CAEP Musculoskeletal Roadshow CME in the SUN 2008 Dominican Republic January 26-February 2 Ottawa, Ont. (prior to CAEP...

Answer.(Diagnostic Challenge)(hypoparathyroidism)
September 1, 2007... The correct diagnosis is hypoparathyroidism (a). The CT scan of the head demonstrates diffuse intracranial calcifications, and on laboratory investigation the patient was found to be severely hypocalcemic (serum calcium was 1.33 mmol/L;...