Canadian Journal of Emergency Medicine articles from September 2008

Canadian Journal of Emergency Medicine archives from September 2008

Alarmed: adverse events in low-risk chest pain patients receiving continuous ECG monitoring in the emergency department: a survey of Canadian emergency physicians.(EM Advances)(Survey)
September 1, 2008... ABSTRACT Objective: Current guidelines suggest that most patients who present to an emergency department (ED) with chest pain should be placed on a continuous electrocardiographic monitoring (CEM) device. We surveyed emergency physicians...

Errors, near misses and adverse events in the emergency department: What can patients tell us?(EM Advances)
September 1, 2008... ABSTRACT Objective: We sought to determine whether patients or their families could identify adverse events in the emergency department (ED), to characterize patient reports of errors and to compare patient reports to events recorded by...

A door-to-needle time of 30 minutes or less for myocardial infarction thrombolysis is possible in rural emergency departments.(EM Advances)(Clinical report)
September 1, 2008... ABSTRACT Objective: The Canadian Emergency Cardiac Care Coalition, the American Heart Association and similar groups have established a benchmark for the administration of thrombolytics in acute myocardial infarction (AMI) care as a...

An interventional study to improve the quality of analgesia in the emergency department.(EM Advances)(Report)
September 1, 2008... ABSTRACT Objective: We sought to document the adequacy of acute pain management in a high-volume urban emergency department and the impact of a structured intervention. Methods: We conducted a prospective, single-blind, pre- and...

A brief note about likelihood ratios.(Pedagogical Tools and Methods)
September 1, 2008... In this issue of the journal, Azzam and colleagues (1) review the validation study of a clinical prediction rule for termination of resuscitation in patients suffering an out-of-hospital cardiac arrest. (2) The clinical prediction rule is...

Canadian association of emergency physicians sepsis guidelines: the optimal management of severe sepsis in Canadian emergency departments.(CAEP Update)(Report)
September 1, 2008... ABSTRACT Introduction: Optimal management of severe sepsis in the ED has evolved rapidly. The purpose of these guidelines is to review key management principles for Canadian emergency physicians, utilizing an evidence-based grading system....

CAEP standards: ivory tower emergency medicine?/Normes de l'ACMU : la medecine d'urgence et sa tour d'ivoire?(Editorial)
September 1, 2008... The Canadian Association of Emergency Physicians (CAEP) sepsis guidelines by Green and colleagues (1) presents an excellent, user-friendly and evidence-based guideline for the management of sepsis in a tertiary care emergency environment....

Simulation training for emergency medicine residents: time to move forward/Formation par simulation pour les residents en medecine d'urgence : c'est le temps d'aller de l'avant.(Editorial)(Clinical report)
September 1, 2008... Introduction Unstable patients requiring a critical procedure may suffer unnecessary morbidity because of delays incurred or from a lack of technical ability while a resident is learning a new procedure. If teaching does not occur at that...

Terminating resuscitation for out-of-hospital cardiac arrest?
September 1, 2008... Clinical question Can a clinical prediction rule for the termination of basic life support resuscitation for out-of-hospital cardiac arrest (OHCA) identify those patients with little or no chance of survival? Article chosen ...

A motor vehicle collision and dark corners.(Diagnostic Challenge)(Case study)
September 1, 2008... Case history A 16-year-old girl was brought by amublance to the emergency department (ED) of a local hospital after she was involved in a rollover collision. She was the rear seat passenger in a car that had lost control on a corner while...

Pediatric myth: fever and petechiae.(Medical Mythology)(Clinical report)
September 1, 2008... ABSTRACT A child presenting with petechiae and fever is assumed to have meningococcemia or another form of bacterial sepsis and therefore to require antibiotics, blood cultures, cerebrospinal fluid analysis and hospital admission. A review...

Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia.(Case Report * Rapport de cas)
September 1, 2008... ABSTRACT A 21-year-old woman presented to the emergency department 1 day after a fall. On the day of presentation, she awoke with horizontal diplopia and posterior neck pain. Based on clinical findings, she was diagnosed with bilateral...

Central diabetes insipidus misdiagnosed as acute gastroenteritis in a pediatric patient.(Case Report * Rapport de cas)
September 1, 2008... ABSTRACT This case report describes an unusual presentation of nausea, vomiting and diarrhea, which was misdiagnosed as acute gastroenteritis in a 6-year-old girl. The patient later returned to the emergency department (ED) with severe...

Stitching Mr. Lasseter.(Humour and Humanity * Humour et humanite)(Poem)
September 1, 2008... Poetry in the names: suture, stitch, the needle driver has drive, the throw of a stitch, how it can be interrupted, or one long song pulling the edges ever closer until they nestle, and the unwound wound, once...

Emergency medicine residents: what issues matter to you?(Residents' Corner * Le coins des residents)
September 1, 2008... As Emergency Medicine (EM) residents, we love what we do. Sometimes, the life of an EM resident can get a little overwhelming. Wake up, work, eat, sleep, caffeine and then back to work. Repeat. The work aspects include emergency department...

Calendar/Calendrier.(Calendar)
September 1, 2008... CAEP | ACMU ROADSHOWS CME That Travels ** Register online for CAEP events at www.caep.ca ** Check the CAEP website regularly for new Roadshows The Musculoskeletal Roadshow Whistler BC (prior to St. Pauls' EM Conference...