1,872 results match your criteria Canadian Journal Of Emergency Medicine[Journal]


Just the Facts: What drugs are safe and effective for COVID-19?

CJEM 2020 May 22:1-10. Epub 2020 May 22.

Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States, 60612 Email:

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http://dx.doi.org/10.1017/cem.2020.403DOI Listing

Opioid prescription practices for patients discharged from the emergency department with acute musculoskeletal fractures.

CJEM 2020 May 21:1-8. Epub 2020 May 21.

Ottawa Hospital Research Institute, Ottawa, ON.

Background: Opioid related mortality rate has increased 200% over the past decade. Studies show variable emergency department (ED) opioid prescription practices and a correlation with increased long-term use. ED physicians may be contributing to this problem. Read More

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http://dx.doi.org/10.1017/cem.2020.50DOI Listing

Regional anesthesia in Canadian emergency departments: Emergency physician practices, perspectives, and barriers to use.

CJEM 2020 May 21:1-5. Epub 2020 May 21.

University Health Network, Department of Emergency Medicine, Toronto, ON, Canada.

Objectives: Regional anesthesia has many applications in the emergency department (ED). It has been shown to reduce general anesthetic dose, requirement for post-procedural opioids, and recovery time. We sought to characterize the use of regional anesthesia by Canadian emergency physicians, including practices, perspectives and barriers to use in the ED. Read More

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http://dx.doi.org/10.1017/cem.2020.51DOI Listing

Hazard Control for Communicable Disease Transport at Ornge.

CJEM 2020 May 21:1-6. Epub 2020 May 21.

Ornge.

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http://dx.doi.org/10.1017/cem.2020.399DOI Listing

CAEP Position Statement - Hospital disaster preparedness.

CJEM 2020 May 19:1-4. Epub 2020 May 19.

Department of Emergency Management, The Ottawa Hospital, Regional Paramedic Program for Eastern Ontario, Ottawa, ON.

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http://dx.doi.org/10.1017/cem.2020.38DOI Listing

Don't forget our dual public health crises.

CJEM 2020 May 15:1-2. Epub 2020 May 15.

From the British Columbia Centre for Disease Control, Vancouver, BC, Canada; School of Population and Public Health, University of British Columbia, Vancouver, BC.

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http://dx.doi.org/10.1017/cem.2020.369DOI Listing

Regional needs assessment for emergency physician audit and feedback.

CJEM 2020 May 13:1-7. Epub 2020 May 13.

Division of Emergency Medicine, Department of Medicine at McMaster University, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.

Objectives: Audit and feedback is widely used to improve physician performance. Many data metrics are being provided to physicians, yet most of these are driven by the regulatory environment. We sought to conduct a needs assessment of audit and feedback metrics that were most useful to clinicians within our health care region. Read More

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http://dx.doi.org/10.1017/cem.2020.348DOI Listing

Just the Facts: how to teach emergency department flow management.

CJEM 2020 May 13:1-4. Epub 2020 May 13.

RCPSC Emergency Medicine Training Program, McMaster University, Hamilton, ON.

Even before starting your evening shift you know it's going to be busy. Ambulances are lined up in front of the hospital, and the charge nurse already seems stressed out. The senior Emergency Medicine (EM) resident is standing in the physician office, ready to start her shift as well. Read More

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http://dx.doi.org/10.1017/cem.2020.32DOI Listing

Building the plane as you fly: Simulation during the COVID-19 pandemic.

CJEM 2020 May 13:1-5. Epub 2020 May 13.

Associate Professor, Department of Emergency Medicine, Queen's University, Kingston, ON, CAN; Clinician Educator, Royal College of Physicians and Surgeons of Canada, Ottawa, ON, CAN;

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http://dx.doi.org/10.1017/cem.2020.398DOI Listing

Just the Facts: What are the roles of oxygen escalation and non-invasive ventilation in COVID-19?

CJEM 2020 May 13:1-9. Epub 2020 May 13.

Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States, 60612 Email:

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http://dx.doi.org/10.1017/cem.2020.396DOI Listing

Just the Facts: Management of cyclopeptide mushroom ingestion.

CJEM 2020 May 12:1-4. Epub 2020 May 12.

Department of Emergency Medicine, McGill University, Montréal, QC.

A 54-year-old woman prepares dinner around 8:00 pm that includes mushrooms that she picked from her yard. The next morning, around 8:00 am, the woman (patient), her daughter, and son-in-law all develop abdominal cramps, violent vomiting, and diarrhea. They present to the emergency department and are admitted for dehydration and intractable vomiting with a presumed diagnosis of food poisoning. Read More

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http://dx.doi.org/10.1017/cem.2020.350DOI Listing

Acquired methemoglobinemia presenting to the pediatric emergency department: a clinical challenge.

CJEM 2020 May 12:1-5. Epub 2020 May 12.

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

Objectives: Acquired methemoglobinemia (MetHb) is an uncommon presentation of cyanosis in the pediatric emergency department (ED), making its diagnosis and management a clinical challenge. Through this case series we hope to improve clinician ability to recognize the potential for MetHb in pediatric ED patients and to avoid overlooking this important cause of cyanosis.

Methods: This was a case series using a health records review, investigating patients diagnosed with MetHb at our pediatric ED during 2007-2018. Read More

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http://dx.doi.org/10.1017/cem.2020.33DOI Listing

Does intranasal naloxone administration increase the risk of 2019 coronavirus disease transmission?

CJEM 2020 May 12:1-2. Epub 2020 May 12.

Sunnybrook Centre for Prehospital Medicine, Sunnybrook Health Sciences Centre, Toronto, ON.

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http://dx.doi.org/10.1017/cem.2020.395DOI Listing

Just the Facts: Diagnosis and management of rhabdomyolysis.

CJEM 2020 May 11:1-4. Epub 2020 May 11.

Emergency Physician, North York General Hospital, Trillium Health Partners-Credit Valley Hospital, Lecturer, University of Toronto, Canada.

A 32-year-old male presents with diffuse myalgias, weakness, and dark urine for 1 day. The patient states he recently started a new exercise program. He is hemodynamically stable, and his physical examination reveals diffuse muscle tenderness. Read More

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http://dx.doi.org/10.1017/cem.2020.37DOI Listing

An environmental scan of emergency medicine research support, training, and infrastructure across Canada.

CJEM 2020 May 11:1-9. Epub 2020 May 11.

University of Ottawa, Department of Emergency Medicine, Ottawa, ON; Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, ON.

Objective: Our study objective was to describe the Canadian emergency medicine (EM) research community landscape prior to the initiation of a nationwide network.

Methods: A two-phase electronic survey was sent to 17 Canadian medical schools. The Phase 1 Environmental Scan was administered to department chairs/hospital EM chiefs, to identify EM physicians conducting clinical or educational research. Read More

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http://dx.doi.org/10.1017/cem.2020.18DOI Listing

Improving end-of-life care in the emergency department: Development of a standardized approach to an imminently dying patient.

CJEM 2020 May 11:1-3. Epub 2020 May 11.

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

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http://dx.doi.org/10.1017/cem.2020.355DOI Listing

Traumatic pneumothorax mapping using computed tomography to assess optimal area to scan with POCUS.

CJEM 2020 May 11:1-4. Epub 2020 May 11.

Department of Emergency Medicine, Health Science North Research Institute, Northern Ontario School of Medicine, Sudbury, ON.

Introduction: It is traditionally taught that the location to place an ultrasound probe to detect a pneumothorax with point-of-care ultrasound (POCUS) is the anterior chest, given the theory that air will collect at the least dependent area in the supine patient. There is a wide variety of scanning protocols with varying accuracy and completeness. We sought to assess the optimal area to scan for diagnosing pneumothorax by mapping the location of traumatic pneumothorax on computed tomography (CT). Read More

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http://dx.doi.org/10.1017/cem.2020.21DOI Listing

Pragmatic evaluation of a midstream urine collection technique for infants in the emergency department.

CJEM 2020 May 8:1-8. Epub 2020 May 8.

Division of Emergency Medicine, CHEO, Ottawa, ON.

Objectives: Our objective was to examine the performance characteristics of a bladder stimulation technique for urine collection among infants presenting to the emergency department (ED).

Methods: This prospective cohort study enrolled a convenience sample of infants aged ≤ 90 days requiring urine testing in the ED. Infants were excluded if critically ill, moderately to severely dehydrated, or having significant feeding issues. Read More

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http://dx.doi.org/10.1017/cem.2020.31DOI Listing

Just the Facts: Hypertension in the emergency department.

CJEM 2020 May 7:1-3. Epub 2020 May 7.

Emory University School of Medicine, Department of Emergency Medicine, Atlanta, GA.

A 65-year-old female smoker complains of dizziness and mild headache. While at the local pharmacy buying acetaminophen, she decides to check her blood pressure to see if it could be "causing her symptoms." Her initial measurement is 220/96 mm Hg. Read More

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http://dx.doi.org/10.1017/cem.2020.22DOI Listing

CAEP Position Statement - Sick notes for minor illness.

CJEM 2020 May 7:1-2. Epub 2020 May 7.

Department of Family and Community Medicine.

Employer- and school-mandated verification of minor illness leads patients to use healthcare resources solely to obtain a "sick note." This puts unnecessary strain on the patient and the emergency department (ED), and threatens to spread communicable diseases in our community. Read More

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http://dx.doi.org/10.1017/cem.2020.53DOI Listing

Role for Isolated Emergency Medicine Physicians During a Pandemic.

CJEM 2020 May 5:1-4. Epub 2020 May 5.

Division of Paediatric Emergency Medicine, Department of Paediatrics, Hospital for Sick Children & University of Toronto, Toronto, ON.

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http://dx.doi.org/10.1017/cem.2020.390DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218178PMC

Just the facts: Diagnosing growth plate fractures in the emergency department.

CJEM 2020 Apr 28:1-4. Epub 2020 Apr 28.

Sick Kids Hospital, Toronto, ON.

A 12-year-old male injured his ankle while playing hockey (Figure 1). His dad reports that he was checked into the boards. His ankle is swollen, but does not appear deformed. Read More

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http://dx.doi.org/10.1017/cem.2020.23DOI Listing

Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in a time of crisis.

CJEM 2020 Apr 24:1-4. Epub 2020 Apr 24.

Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, ON.

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http://dx.doi.org/10.1017/cem.2020.380DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211801PMC

Just the Facts: Protected code blue - Cardiopulmonary resuscitation in the emergency department during the coronavirus disease 2019 pandemic.

CJEM 2020 Apr 24:1-4. Epub 2020 Apr 24.

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

Emergency medical services (EMS) is called for a 65-year-old man with a 1-week history of cough, fever, and mild shortness of breath now reporting chest pain. Vitals on scene were HR 110, BP 135/90, SpO2 88% on room air. EMS arrives at the emergency department (ED). Read More

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http://dx.doi.org/10.1017/cem.2020.379DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218184PMC

Using volunteers to improve the experience of older patients in the emergency department.

CJEM 2020 Apr 21:1-5. Epub 2020 Apr 21.

Schwartz/Reisman Emergency Medicine Institute, Sinai Health System, Toronto, ON.

Objectives: The Maximizing Aging Using Volunteer Engagement in the Emergency Department (MAUVE + ED) program connects specially trained volunteers with older patients whose personal and social needs are not always met within the busy ED environment. The objective of this study was to describe the development and implementation of the MAUVE + ED program.

Methods: Volunteers were trained to identify and approach older patients at risk for adverse outcomes, including poor patient experience, and invite such patients to participate in the program. Read More

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http://dx.doi.org/10.1017/cem.2020.9DOI Listing

The evolution of emergency medicine internationally.

CJEM 2020 Apr 21:1-2. Epub 2020 Apr 21.

Department of Emergency Medicine, University of British Columbia, Diamond Health Care Centre, Vancouver, BC.

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http://dx.doi.org/10.1017/cem.2020.27DOI Listing

For stable Weber B ankle fractures, is three weeks of casting or orthosis application non-inferior to six weeks of cast immobilization?

CJEM 2020 Apr 20:1-3. Epub 2020 Apr 20.

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

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http://dx.doi.org/10.1017/cem.2020.36DOI Listing

Just the Facts: Point-of-care ultrasound in the management of shoulder dislocations.

CJEM 2020 Apr 20:1-4. Epub 2020 Apr 20.

Department of Emergency Medicine, Dalhousie University, Saint John Regional Hospital, Saint John, NB.

A 59-year-old man presents with left shoulder pain after falling while playing with his dog at the park. He drove himself to the emergency department (ED). He reports 5/10 pain and has reduced range of motion of the shoulder. Read More

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http://dx.doi.org/10.1017/cem.2020.14DOI Listing

COVID-19: What paramedics need to know!

CJEM 2020 Apr 15:1-5. Epub 2020 Apr 15.

Sunnybrook Center for Prehospital Medicine, Sunnybrook Health Sciences Center, Toronto, ON.

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http://dx.doi.org/10.1017/cem.2020.367DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205552PMC

Just the Facts: Recommendations on point-of-care ultrasound use and machine infection control during the coronavirus disease 2019 pandemic.

CJEM 2020 Apr 9:1-5. Epub 2020 Apr 9.

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

The World Health Organization declared the novel coronavirus disease 2019 (COVID-19) to be a pandemic on March 11, 2020, and, currently, there are over 10,000 confirmed cases in Canada, with this number expected to grow exponentially. There has been widespread interest in the use of point-of-care ultrasound (POCUS) in the management of patients with suspected COVID-19. The CAEP Emergency Ultrasound Committee has developed recommendations on the use of POCUS in these patients, with an emphasis on machine infection control measures. Read More

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http://dx.doi.org/10.1017/cem.2020.364DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188692PMC

Social emergency medicine: A way forward for training.

CJEM 2020 Apr 8:1-4. Epub 2020 Apr 8.

Department of Emergency Medicine, North York General Hospital, University of Toronto, Toronto, ON.

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http://dx.doi.org/10.1017/cem.2020.8DOI Listing

Authentic emergency department leadership during a pandemic.

CJEM 2020 Apr 6:1-4. Epub 2020 Apr 6.

Division of Emergency Medicine, Department of Medicine, University of Toronto; Li Ka Shing Knowledge Institute; Department of Emergency Medicine, St. Michael's Hospital, Toronto, ON.

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http://dx.doi.org/10.1017/cem.2020.360DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218179PMC

Just the Facts: Protecting frontline clinicians during the COVID-19 pandemic.

CJEM 2020 Apr 2:1-5. Epub 2020 Apr 2.

Department of Emergency Medicine, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON.

There is no patient emergency more important than protecting health care workers during a pandemic. Read More

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http://dx.doi.org/10.1017/cem.2020.359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156546PMC

Age is just a number - and so is frailty: Strategies to inform resource allocation during the COVID-19 pandemic.

CJEM 2020 Apr 1:1-3. Epub 2020 Apr 1.

Don Melady, Schwartz-Reisman Emergency Medicine Institute, Department of Family and Community Medicine, University of Toronto, Toronto, ON.

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http://dx.doi.org/10.1017/cem.2020.358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160160PMC

Outcome of applying the European Society of Cardiology (ESC) 0/1-hour algorithm in patients with suspected myocardial infarction.

CJEM 2020 Mar 31:1-2. Epub 2020 Mar 31.

Faculté de médecine, Département de médicine familiale et de médicine d'urgence, Université Laval, Québec, QC.

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http://dx.doi.org/10.1017/cem.2020.17DOI Listing

Just the Facts: Airway management during the coronavirus disease 2019 (COVID-19) pandemic.

CJEM 2020 Mar 30:1-5. Epub 2020 Mar 30.

Department of Emergency Medicine, Dalhousie University, Saint John Regional Hospital, NB.

A previously healthy 42-year-old male developed a fever and cough shortly after returning to Canada from overseas. Initially, he had mild upper respiratory tract infection symptoms and a cough. He was aware of the coronavirus disease-2019 (COVID-19) and the advisory to self-isolate and did so; however, he developed increasing respiratory distress over several days and called 911. Read More

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http://dx.doi.org/10.1017/cem.2020.353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203167PMC

Ethical considerations in the allocation of critical care resources when capacity is overwhelmed.

CJEM 2020 Mar 30:1-6. Epub 2020 Mar 30.

Francis Bakewell MD, MHSc, FRCPC, Emergency Physician - The Ottawa Hospital | Director of the Medicine, Ethics, and Humanities Program - Faculty of Medicine, University of Ottawa.

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http://dx.doi.org/10.1017/cem.2020.354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156547PMC

Effectiveness of hospital avoidance interventions among elderly patients: A systematic review.

CJEM 2020 Mar 27:1-10. Epub 2020 Mar 27.

Community Health Sciences.

Objective: Older patients with complex care needs and limited personal and social resources are heavy users of emergency department (ED) services and are often admitted when they present to the ED. Updated information is needed regarding the most effective strategies to appropriately avoid ED presentation and hospital admission among older patients.

Methods: This systematic review aimed to identify interventions that have demonstrated effectiveness in decreasing ED use and hospital admissions in older patients. Read More

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http://dx.doi.org/10.1017/cem.2020.4DOI Listing

Reducing unnecessary testing in the emergency department: The case for INR and aPTT.

CJEM 2020 Mar 26:1-8. Epub 2020 Mar 26.

Schulich School of Medicine and Dentistry, Department of Medicine, Division of Emergency Medicine, Western University, London, ON.

Objective: Routine coagulation testing is rarely indicated in the emergency department. Our goal is to determine the combined effects of uncoupling routine coagulation testing (i.e. Read More

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http://dx.doi.org/10.1017/cem.2019.493DOI Listing