1,665 results match your criteria CJEM: Canadian Journal of Emergency Medicine JCMU: Journal Canadien de la Medicine D'urgence[Journal]


Potential benefits of incentive spirometry following a rib fracture: a propensity score analysis.

CJEM 2019 Feb 12:1-4. Epub 2019 Feb 12.

*Axe Santé des Populations et Pratiques optimales en santé,Centre de recherche du CHU de Québec - Université Laval,QC.

CLINICIAN'S CAPSULEWhat is known about the topic?Literature regarding the impact of incentive spirometry on patients with rib fractures is unclear; there are no recommendations for its use in the emergency department (ED).What did this study ask?The objective of this study was to assess the impact of incentive spirometry on delayed complications in patients with rib fractures in the ED.What did this study find?Unsupervised incentive spirometry use does not have a protective effect against delayed pulmonary complications after a rib fracture. Read More

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http://dx.doi.org/10.1017/cem.2018.492DOI Listing
February 2019

Inhaled methoxyflurane for the reduction of acute anterior shoulder dislocation in the emergency department.

CJEM 2019 Feb 11:1-5. Epub 2019 Feb 11.

*Department of Emergency Medicine,University Hospital Galway,Galway,Ireland.

CLINICIAN'S CAPSULEWhat is known about the topic?Methoxyflurane is an inhalation analgesic with minimal sedative properties.What did this study ask?What is the success rate of methoxyflurane for acute anterior shoulder dislocation reduction and its impact on emergency department (ED) patient flow, as compared with propofol?What did this study find?Successful reduction was achieved in 80% of patients administered methoxyflurane; recovery time and ED length of stay was shorter, as compared with propofol sedation.Why does this study matter to clinicians?Methoxyflurane can be used for acute anterior shoulder dislocation reduction prior to considering deep sedation and may improve ED patient flow. Read More

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http://dx.doi.org/10.1017/cem.2018.493DOI Listing
February 2019

Paramedics providing palliative care at home: A mixed-methods exploration of patient and family satisfaction and paramedic comfort and confidence.

CJEM 2019 Feb 11:1-10. Epub 2019 Feb 11.

¶Pallium Canada,Ottawa, ON.

CLINICIAN'S CAPSULEWhat is known about the topic?A novel program was implemented to enhance the care provided by paramedics to patients with palliative goals of care.What did this study ask?This study asked about patient experience with the program and the comfort and confidence of paramedics to deliver this care.What did this study find?Patients praised the compassion of paramedics and staying home, and paramedics strongly agreed palliative care should be in their practice. Read More

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http://dx.doi.org/10.1017/cem.2018.497DOI Listing
February 2019

Active management of atrial fibrillation or flutter in emergency department patients with renal impairment is associated with a higher risk of adverse events and treatment failure.

CJEM 2019 Feb 6:1-9. Epub 2019 Feb 6.

§Department of Emergency Medicine,Rockyview Hospital and the University of Calgary,Calgary,AB.

CLINICIAN'S CAPSULEWhat is known about the topic?The influence of renal impairment upon emergency department-based outcomes in patients with atrial fibrillation or flutter (AFF) is unknown.What did this study ask?What was the impact of renal impairment upon adverse events (AE) and rate and rhythm control (RRC) attempts in emergency department (ED) AFF patients?What did this study find?When ED AFF patients with renal impairment are administered RRC, they have more than 10% excess AE risk.Why does this study matter to clinicians?Emergency physicians should be cautious about attempting RRC in ED AFF patients with renal impairment. Read More

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http://dx.doi.org/10.1017/cem.2018.475DOI Listing
February 2019
1 Read

Palliative and end-of-life care education in Canadian emergency medicine residency programs: A national cross-sectional survey.

CJEM 2019 Jan 30:1-7. Epub 2019 Jan 30.

‡University of British Columbia,Vancouver, BC.

ABSTRACTCLINICIAN'S CAPSULEWhat is known about the topic?Palliative medicine is increasingly encountered in an emergency medicine setting, and emergency medicine residents desire further training in this field.What did this study ask?How many postgraduate emergency medicine programs in Canada have an existing palliative medicine curriculum?What did this study find?A minority (38.5%) of emergency medicine programs report having a formal palliative medicine curriculum, and the contents are variable. Read More

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http://dx.doi.org/10.1017/cem.2018.470DOI Listing
January 2019

Does the addition of dextrose to IV crystalloid therapy provide clinical benefit in acute dehydration? A systematic review and meta-analysis.

CJEM 2019 Jan 30:1-8. Epub 2019 Jan 30.

†Department of Emergency Medicine,Indiana University School of Medicine,Indianapolis, IN.

CLINICIAN'S CAPSULEWhat is known about the topic?Intravenous dextrose halts endogenous ketone production and is commonly recommended in dehydrated patients unable to tolerate oral intake.What did this study ask?Is there evidence that the addition of dextrose to intravenous fluids provides a clinically meaningful benefit in dehydrated patients?What did this study find?Intravenous dextrose has not been shown to provide any important benefit to patients in this setting, but further research is needed.Why does this study matter to clinicians?In dehydrated patients, clinicians should not feel obligated towards dextrose containing solutions, which may be more expensive and less readily available. Read More

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http://dx.doi.org/10.1017/cem.2018.500DOI Listing
January 2019

Trauma recidivism in a Canadian province: a 14-year registry review.

CJEM 2019 Jan 30:1-4. Epub 2019 Jan 30.

*Trauma Nova Scotia,Department of Health and Wellness,Halifax,NS.

CLINICIAN'S CAPSULEWhat is known about the topic?Trauma recidivism rates range from 1% to 44%, yet the rate of major trauma recidivism is unknown at a provincial level.What did this study ask?What is the rate of major trauma recidivism in Nova Scotia, and what factors are associated with recidivism and mortality?What did this study find?Major trauma recidivism was infrequent; however, the adjusted odds of mortality were over three times greater for recidivists.Why does this study matter to clinicians?Screening and brief intervention in cases of major trauma involving violence or substance abuse may help reduce rates of recidivism. Read More

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http://dx.doi.org/10.1017/cem.2018.496DOI Listing
January 2019

The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysis.

CJEM 2019 Jan 30:1-12. Epub 2019 Jan 30.

†Department of Emergency Medicine,Good Samaritan Hospital Medical Center,West Islip, NY.

CLINICIAN'S CAPSULEWhat is known about the topic?The rapid ultrasound for shock and hypotension (RUSH) exam has been suggested to help diagnose the etiology of undifferentiated shock.What did this study ask?What does the literature say regarding the diagnostic accuracy of the RUSH exam for shock etiology by subtype?What did this study find?The RUSH exam is better able to "rule in" than "rule out" most shock subtypes.Why does this study matter to clinicians?Diagnostic accuracy for shock evaluation can be improved with use of an ultrasound protocol, but additional clinical information should still be used. Read More

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http://dx.doi.org/10.1017/cem.2018.498DOI Listing
January 2019

Peak performance: Simulation and the nature of expertise in emergency medicine.

CJEM 2019 Jan;21(1):9-10

*St. Michael's Hospital,Toronto, ON.

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http://dx.doi.org/10.1017/cem.2018.490DOI Listing
January 2019

Using single sex-specific high-sensitivity cardiac troponin cut-off values for ruling out myocardial infarction - Are we there yet?

CJEM 2019 Jan;21(1):7-8

*Department of Emergency Medicine,University of Ottawa,Ottawa, ON.

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http://dx.doi.org/10.1017/cem.2018.488DOI Listing
January 2019

Indigenous health research in emergency medicine.

CJEM 2019 Jan;21(1):5-6

‡Cumming School of Medicine,University of Calgary,Calgary, AB.

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http://dx.doi.org/10.1017/cem.2018.487DOI Listing
January 2019

How do I rule out aortic dissection?

CJEM 2019 Jan;21(1):34-36

Dalhousie University,Saint John Regional Hospital,Saint John, NB.

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http://dx.doi.org/10.1017/cem.2018.484DOI Listing
January 2019
1 Read

Broken promise.

Authors:
Brian Deady

CJEM 2019 Jan 25:1-2. Epub 2019 Jan 25.

*Clinical Associate Professor,Department of Emergency Medicine,University of British Columbia; andEmergency Department,Royal Columbian Hospital,New Westminster,BC.

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http://dx.doi.org/10.1017/cem.2018.480DOI Listing
January 2019

A lung ultrasound score for early triage of elderly patients with acute dyspnea.

CJEM 2019 Jan 25:1-7. Epub 2019 Jan 25.

*Department of Emergency Medicine and Intensive Care,Timone University Hospital,Marseille,France.

CLINICIAN'S CAPSULEWhat is known about the topic?A lung ultrasound has good accuracy in finding the cause of acute dyspnea.What did this study ask?Can a simple lung ultrasound score, done early, detect dyspneic patients who will require intensive care?What did this study find?A modified lung ultrasound (MLUS) has very good accuracy in predicting intensive care unit admission and/or death.Why does this study matter to clinicians?Dyspneic patients with a high MLUS should be monitored and treated early. Read More

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http://dx.doi.org/10.1017/cem.2018.483DOI Listing
January 2019

Age modifiers for triage scores of older patients would not be helpful for emergency care.

CJEM 2019 Jan 17. Epub 2019 Jan 17.

*Seaforth Community Hospital,Seaforth, ON.

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http://dx.doi.org/10.1017/cem.2018.495DOI Listing
January 2019
1 Read

Is an IOTA of evidence enough?

CJEM 2019 Jan 17:1-3. Epub 2019 Jan 17.

*Emergency Medicine Residency Program,Faculty of Medicine,McGill University,Montreal,QC.

Clinical questionDo patients with acute illness admitted to the hospital and treated with liberal oxygen therapy compared with those treated with conservative oxygen therapy have differences in mortality and morbidity?Article chosenChu DK, Kim LH, Young PJ, et al. Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis. Lancet 2018;391(10131):1693-705. Read More

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http://dx.doi.org/10.1017/cem.2018.482DOI Listing
January 2019
1 Read

The empathy deficit in health care.

Authors:
Alicia Cundall

CJEM 2019 Jan 17. Epub 2019 Jan 17.

CCFP-EM Resident,Western University.

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http://dx.doi.org/10.1017/cem.2018.477DOI Listing
January 2019
1 Read

FOAMed and social media - innovation or disruption?

CJEM 2018 Nov;20(6):818-820

*Department of Emergency Medicine,University of Ottawa,Ottawa,ON.

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http://dx.doi.org/10.1017/cem.2018.471DOI Listing
November 2018
8 Reads

Delirium in older emergency department patients.

Authors:
Debra Eagles

CJEM 2018 Nov;20(6):811-812

*Department of Emergency Medicine, University of Ottawa,Ottawa,ON.

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http://dx.doi.org/10.1017/cem.2018.468DOI Listing
November 2018
3 Reads

ST-segment elevation myocardial infarction (STEMI) bypass: The importance of paramedics in an integrated STEMI system of care.

Authors:
Alix J E Carter

CJEM 2018 Nov;20(6):813-815

*Department of Emergency Medicine,Division of EMS,Dalhousie University,Halifax,NS.

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http://dx.doi.org/10.1017/cem.2018.467DOI Listing
November 2018
1 Read

You don't need a mentor; you need a board of directors.

CJEM 2018 Nov;20(6):816-817

*Professor of Emergency Medicine,Assistant Dean of Health Professions Education Research,McMaster University.Correspondence to: David Braley Health Sciences Centre,Room 5003,1280 Main St W. Hamilton,ON L8S 4K1; Twitter:

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http://dx.doi.org/10.1017/cem.2018.465DOI Listing
November 2018
1 Read

CJEM Debate Series#PhysicianProductivity - Measuring and understanding causes of variability in emergency physician performance are essential to improve emergency department efficiency.

CJEM 2018 Nov;20(6):821-825

§Department of Emergency Medicine,Dalhousie University (Halifax, NS),Saint John Regional Hospital,Saint John,NB.

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http://dx.doi.org/10.1017/cem.2018.459DOI Listing
November 2018
1 Read

Safety and clinically important events in PCP-initiated STEMI bypass in Ottawa.

CJEM 2018 Nov;20(6):865-873

*Department of Emergency Medicine,University of Ottawa,Ottawa,ON.

CLINICIAN'S CAPSULE What is known about the topic? Transport of STEMI patients directly to the cath lab (STEMI bypass) by advanced care paramedics (ACPs) is common practice. The safety of this practice with primary care paramedics (PCPs) is unknown. What did this study ask? What is the prevalence and breakdown of events during PCP STEMI bypass? What did this study find? Clinically important events are common in STEMI bypass patients. Read More

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http://dx.doi.org/10.1017/cem.2018.452DOI Listing
November 2018
1 Read

Introduction.

Authors:
Ian G Stiell

CJEM 2018 Oct;20(S2):S1

Editor-in-Chief,Canadian Journal of Emergency Medicine.

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http://dx.doi.org/10.1017/cem.2018.458DOI Listing
October 2018
1 Read

Outcomes and emergency medical services resource utilization among patients with syncope arriving to the emergency department by ambulance.

CJEM 2018 Nov 21:1-6. Epub 2018 Nov 21.

†Ottawa Hospital Research Institute,Ottawa, ON.

CLINICIAN'S CAPSULEWhat is known about the topic?A majority of syncope patients are transported to the emergency department by emergency medical services (EMS), yet only a small proportion are admitted or suffer serious adverse events (SAE).What did this study ask?What proportion of EMS syncope patient transports are at low risk (i.e. Read More

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http://dx.doi.org/10.1017/cem.2018.464DOI Listing
November 2018
9 Reads

New Canadian guideline provides evidence-based approach to non-occupational HIV prophylaxis.

CJEM 2019 Jan 20;21(1):21-25. Epub 2018 Nov 20.

‡BC Centre for Excellence in HIV/AIDS,Vancouver, BC.

The incidence of HIV infections in Canada has increased yearly since 2014. New cases of HIV have resulted almost exclusively from non-occupational exposures, including sexual contact and needle sharing. Appropriate HIV post-exposure prophylaxis is under-prescribed to patients who present to the emergency department after a high-risk exposure. Read More

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http://dx.doi.org/10.1017/cem.2018.462DOI Listing
January 2019
8 Reads

The promotion dilemma for clinician teachers.

Authors:
Rick Penciner

CJEM 2019 Jan 13;21(1):18-20. Epub 2018 Nov 13.

*Division of Emergency Medicine,Department of Family & Community Medicine,University of Toronto,Toronto, ON.

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http://dx.doi.org/10.1017/cem.2018.460DOI Listing
January 2019
1 Read

Implementing electronic medical records in Canadian emergency departments.

CJEM 2019 Jan 9;21(1):15-17. Epub 2018 Nov 9.

*Division of Pediatric Emergency Medicine,Hospital for Sick Children,University of Toronto,Toronto, ON.

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http://dx.doi.org/10.1017/cem.2018.454DOI Listing
January 2019
1 Read

"Nous sommes forts" Un poème sur la résilience en médecine d'urgence.

CJEM 2019 Jan 9;21(1):149. Epub 2018 Nov 9.

**Département de médecine d'urgence,Université de Montréal,Montréal, QC.

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http://dx.doi.org/10.1017/cem.2018.451DOI Listing
January 2019
1 Read

Emergency overcrowding and access block: A smaller problem than we think.

CJEM 2018 Nov 8:1-9. Epub 2018 Nov 8.

§§§Department of Emergency Medicine,Winnipeg Regional Health Authority,University of Manitoba,Winnipeg,MB.

CLINICIAN'S CAPSULE What is known about the topic? Emergency access block is the number one emergency department (ED) safety concern; many believe it cannot be solved without increased hospital capacity. What did this study ask? The objective was to measure emergency access blocks (problem) as a fraction of inpatient capacity (potential solution). What did this study find? Delays to care space averaged 46,000 hours per ED per year - large, but only 1% of inpatient capacity. Read More

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https://www.cambridge.org/core/product/identifier/S148180351
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http://dx.doi.org/10.1017/cem.2018.446DOI Listing
November 2018
13 Reads

Cognitive load theory as a framework for simulation-based, ultrasound-guided internal jugular catheterization training: Once is not enough.

CJEM 2019 Jan 8;21(1):141-148. Epub 2018 Nov 8.

‡Department of School of Computing,Queen's University,Kingston, ON.

CLINICIAN'S CAPSULEWhat is known about the topic?Cognitive load theory can be used to guide simulation-based training for procedural skills.What did this study ask?How can cognitive load theory be used to overcome the challenges of learning ultrasound-guided internal jugular catheterization?What did this study find?All trainees approached or exceeded expert benchmarks, with evidence of retention over time.Why does this study matter to clinicians?This curriculum may better prepare trainees for performing this important procedure in the clinical setting. Read More

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http://dx.doi.org/10.1017/cem.2018.456DOI Listing
January 2019
1 Read

Managing the opioid epidemic: back to the basics with resuscitation.

CJEM 2018 Nov 8:1-2. Epub 2018 Nov 8.

†Department of Emergency Medicine,Dalhousie University,Halifax,NS.

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http://dx.doi.org/10.1017/cem.2018.453DOI Listing
November 2018
2 Reads

Blood on board: The development of a prehospital blood transfusion program in a Canadian helicopter emergency medical service.

CJEM 2018 Nov 8:1-9. Epub 2018 Nov 8.

*Shock Trauma Air Rescue Society,Calgary,AB.

CLINICIAN'S CAPSULE What is known about the topic? Emerging evidence regarding prehospital blood transfusions for patients in hemorrhagic shock is positive. What did this study ask? Describe the implementation and stewardship of a prehospital blood transfusion program, as well as basic demographics and blood traceability. What did this study find? We provided blood transfusion to 274 mainly male trauma patients, and just 1. Read More

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http://dx.doi.org/10.1017/cem.2018.457DOI Listing
November 2018
1 Read

WWGD (What would Gwyneth do?).

Authors:
Deepa Soni

CJEM 2018 Nov 10;20(6). Epub 2018 Oct 10.

Staff Physician, Emergency Department,Credit Valley Hospital,Trillium Health Partners,2200 Eglinton Avenue West,Mississauga,ON L5M

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http://dx.doi.org/10.1017/cem.2018.433DOI Listing
November 2018
1 Read

Effects of a reminder to initiate oral anticoagulation in patients with atrial fibrillation/atrial flutter discharged from the emergency department: REMINDER study.

CJEM 2018 Nov 8;20(6):841-849. Epub 2018 Oct 8.

*Libin Cardiovascular Institute of Alberta,Department of Cardiac Sciences,University of Calgary,Calgary,AB.

CLINICIAN'S CAPSULE What is known about the topic? Oral anticoagulation (OAC) reduces stroke risk in patients with atrial fibrillation or flutter; however, initiation rates in patients discharged from the ED are low. What did this study ask? Can a simple quality improvement intervention increase the initiation of appropriate OAC in the ED? What did this study find? The rate of OAC initiation was increased by 8.5%. Read More

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https://www.cambridge.org/core/product/identifier/S148180351
Publisher Site
http://dx.doi.org/10.1017/cem.2018.415DOI Listing
November 2018
6 Reads

Analysis of eye-tracking behaviours in a pediatric trauma simulation.

CJEM 2019 Jan 8;21(1):138-140. Epub 2018 Oct 8.

*University of Calgary Cumming School of Medicine,Calgary, AB.

ABSTRACTEye-tracking devices are able to capture eye movements, which are further characterized by fixations. The application of eye tracking in a trauma setting has not been explored. Visual fixation can be utilized as a surrogate measure of attention during the management of a trauma patient. Read More

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https://www.cambridge.org/core/product/identifier/S148180351
Publisher Site
http://dx.doi.org/10.1017/cem.2018.450DOI Listing
January 2019
10 Reads

Methotrexate for the treatment of unruptured tubal ectopic pregnancy.

CJEM 2018 Oct 8:1-4. Epub 2018 Oct 8.

*Schwartz/Reisman Emergency Medicine Institute,Toronto,ON.

CLINICIAN'S CAPSULE What is known about the topic? Methotrexate is widely accepted as first-line treatment of non-ruptured ectopic pregnancy and may be considered for women with a suspected ectopic pregnancy. What did this study ask? What are the outcomes of pregnant women with suspected ectopic pregnancy who received methotrexate as first-line treatment? What did this study find? Of patients treated with methotrexate, 18% went on to require surgical management, with 11.2% having ruptured on surgical evaluation. Read More

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https://www.cambridge.org/core/product/identifier/S148180351
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http://dx.doi.org/10.1017/cem.2018.440DOI Listing
October 2018
6 Reads

The effect of an infographic promotion on research dissemination and readership: A randomized controlled trial.

CJEM 2018 Nov 5;20(6):826-833. Epub 2018 Oct 5.

*Department of Emergency Medicine,University of Saskatchewan,Saskatoon,SK.

CLINICIAN'S CAPSULE What is known about the topic? Infographics are graphical illustrations of complex ideas that are broadly shared on social media platforms. What did this study ask? What is the effect of a social media strategy using infographics on the readership and dissemination of research articles? What did this study find? Infographic articles were associated with increased Altmetric scores and abstract views, but not full-text views. Why does this study matter to clinicians? The promotion of articles with infographics may increase awareness and dissemination of research findings among clinicians. Read More

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https://www.cambridge.org/core/product/identifier/S148180351
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http://dx.doi.org/10.1017/cem.2018.436DOI Listing
November 2018
2 Reads

Comparison of PECARN, CATCH, and CHALICE clinical decision rules for pediatric head injury in the emergency department.

CJEM 2019 Jan 2;21(1):120-124. Epub 2018 Oct 2.

†Department of Emergency Medicine,Saint John Regional Hospital,St. John, NB.

Clinical questionWhat is the diagnostic accuracy of the PECARN, CATCH, and CHALICE clinical decision rules for pediatric head injury, and are the clinical decision rules valid when applied to a novel data set?Article chosenBabl FE, Borland ML, Phillips N, et al. Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study. Lancet (London, England) 2017;389(10087):2393-402. Read More

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http://dx.doi.org/10.1017/cem.2018.444DOI Listing
January 2019
1 Read

Evaluation of emergency department ultrasound machines for the presence of occult blood.

CJEM 2018 Oct 2:1-4. Epub 2018 Oct 2.

*Department of Emergency Medicine,College of Medicine,University of Saskatchewan,Saskatoon,SK.

CLINICIAN'S CAPSULE What is known about the topic? Bedside ultrasound is a frequently used tool in the emergency department (ED), with no standard cleaning protocols in place. What did this study ask? Is there visible and occult contamination of the ED ultrasound machine after daily use and in trauma? What did this study find? This study found that the ultrasound machine tested positive for occult blood contamination on 10% of daily tests and on 43% of assessments after use in trauma. Why does this study matter to clinicians? Standard cleaning practices should be implemented to reduce contamination rates. Read More

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http://dx.doi.org/10.1017/cem.2018.447DOI Listing
October 2018
2 Reads

Retrospective evaluation of a clinical decision support tool for effective computed tomography angiography utilization in urgent brain imaging of suspected TIA/minor stroke in the emergency department.

CJEM 2018 Oct 2:1-9. Epub 2018 Oct 2.

§Departments of Neurosciences (Stroke Rapid Assessment Clinic),Island Health Authority,Victoria,BC.

CLINICIAN'S CAPSULE What is known about the topic? Canadian guidelines recommend that suspected transient ischemic attack (TIA) patients receive brain imaging in the emergency department; yet, high requisition rates for non-cerebrovascular patients exist. What did this study ask? What is the hypothetical impact that a clinical decision support tool (CDST) would have on computed tomography angiography (CTA) requisitions for suspected TIA patients. What did this study find? CDST use would have resulted in more TIA patients receiving CTA, while imaging fewer non-cerebrovascular patients. Read More

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http://dx.doi.org/10.1017/cem.2018.449DOI Listing
October 2018
1 Read

Sex-specific, high-sensitivity cardiac troponin T cut-off concentrations for ruling out acute myocardial infarction with a single measurement.

CJEM 2019 Jan 28;21(1):26-33. Epub 2018 Sep 28.

**Department of Pathology and Molecular Medicine,McMaster University,Hamilton, ON.

CLINICIAN'S CAPSULEWhat is known about the topic?Sex-specific, high-sensitivity cardiac troponin T (hs-cTnT) cut-offs increase the specificity of a myocardial infarction (MI) diagnosis.What did this study ask?Do sex-specific, hs-cTnT rule-out cut-offs enable ruling out MI in more patients while maintaining sensitivity?What did this study find?Sex-specific, hs-cTnT cut-offs ruled out MI in more patients than universal cut-offs; however, differences between sex-specific and universal cut-offs are small.Why does this study matter to clinicians?Sex-specific, rule-out, hs-cTnT cut-offs may enable more patients to be ruled out after a single hs-cTnT measurement. Read More

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http://dx.doi.org/10.1017/cem.2018.435DOI Listing
January 2019
10 Reads

The practicalities and barriers of using TEG6s in code red traumas: an observational study in one London major trauma centre.

CJEM 2018 Sep 20:1-4. Epub 2018 Sep 20.

*St George's Hospital,Blackshaw Road,London,the United Kingdom.

CLINICIAN'S CAPSULE What is known about the topic? Thromboelastography (TEG) can identify trauma-induced coagulopathy and guide blood product management. What did this study ask? What currently limits the utilization of TEG in one major trauma centre, and can it be used practically? What did this study find? TEG can be successfully run during a major trauma, but a lack of knowledge relating to interpretation hinders its impact on blood component management. Why does this study matter to clinicians? Prior to introducing point-of-care tests, e. Read More

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http://dx.doi.org/10.1017/cem.2018.426DOI Listing
September 2018
1 Read

A new era in stroke care.

Authors:
Devin R Harris

CJEM 2018 Sep;20(5):656-657

Department of Emergency,University of British Columbia,Vancouver,BC.

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http://dx.doi.org/10.1017/cem.2018.448DOI Listing
September 2018
1 Read

Should you adjust your D-dimer?

Authors:
Kerstin de Wit

CJEM 2018 Sep;20(5):660-661

*Department of Medicine,McMaster University,Hamilton,ON.

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http://dx.doi.org/10.1017/cem.2018.442DOI Listing
September 2018
1 Read