Grant D Innes, Frank X Scheuermeyer, Andrew D McRae, Joel M H Teichman, Daniel J Lane
OBJECTIVE: In emergency department patients with ureteral colic, the prognostic value of hydronephrosis is unclear. Our goal was to determine whether hydronephrosis can differentiate low-risk patients appropriate for trial of spontaneous passage from those with clinically important stones likely to experience passage failure. METHODS: We used administrative data and structured chart review to evaluate a consecutive cohort of patients with ureteral stones who had a CT at nine Canadian hospitals in two cities...
July 25, 2021: CJEM
Hashim Kareemi, Hans Rosenberg, Krishan Yadav
No abstract text is available yet for this article.
July 19, 2021: CJEM
Connor M O'Rielly, James E Andruchow, Andrew D McRae
BACKGROUND: The history, ECG, age, risk factor (HEAR) score has been proposed to identify patients at sufficiently low risk of acute coronary syndrome that they may not require troponin testing. The objective of this study was to externally validate a low HEAR score to identify emergency department (ED) patients with chest pain at very low risk of 30-day major adverse cardiac events (MACE). METHODS: This was a secondary analysis of a prospective cohort of patients requiring troponin testing to rule out myocardial infarction (MI) in a large urban ED...
July 17, 2021: CJEM
Fareen Zaver, Nicole Battaglioli, Christian C Rose, Tim Montrief, Al'ai Alvarez, Michelle Lin
Limited professional development training exists for chief residents. The available training uses in-person lectures and workshops at annual national conferences. The COVID-19 pandemic prevented most in-person gatherings in 2020, including pivotal onboarding and training events for new chief residents. However, for the last five years, Academic Life in Emergency Medicine's Chief Resident Incubator conducted year-long remote training programs, creating virtual communities of practice for chief residents in emergency medicine (EM)...
July 15, 2021: CJEM
Justin Fernandes, Frank X Scheuermeyer, Apu T Chakraborty, William G Honer, David Barbic
INTRODUCTION: Suicide is the 9th leading cause of death in Canada, and a common reason for patients to present to Canadian emergency departments (ED). Little knowledge exists around Canadian emergency physicians (EPs) attitudes toward and understanding of individuals with suicidal ideation. METHODS: We developed a web-based survey on suicide knowledge, which was pilot tested by two EPs and one psychiatrist for clarity and content. The survey was distributed via email to attending physician members of the Canadian Association of Emergency Physicians...
July 1, 2021: CJEM
Chantal Forristal, Julie J Kim
Continuing professional development activities often involve interactive learning modalities, such as simulation. The COVID-19 pandemic limited many in-hospital activities, at a time when practicing high stress procedural scenarios and testing rapidly evolving processes was coveted. Thus, an interactive virtual case curriculum was conceptualized, piloted, and implemented to provide ongoing professional development for emergency medicine (EM) physicians. Each interactive virtual case consisted of: (1) an online scenario delivered in survey format with multiple pathways dependent on participant responses; (2) a facilitated 1-h online debrief 1 week later; and (3) a summary document detailing key learning points distributed to all EM physicians, regardless of participation...
June 30, 2021: CJEM
Kelly Eggink
No abstract text is available yet for this article.
June 29, 2021: CJEM
Michael Gottlieb, Amy E Marks, Nathan Hecht, Paul Atkinson
No abstract text is available yet for this article.
June 29, 2021: CJEM
Eric Revue, Xavier Eyer, Anthony Chauvin
No abstract text is available yet for this article.
June 28, 2021: CJEM
Antoine Laguë, Valérie Boucher, Pil Joo, Krishan Yadav, Charles Morasse, Marcel Émond
OBJECTIVES: Current guidelines suggest assessing non-infectious causes and careful observation before giving antibiotics to delirious patients with asymptomatic bacteriuria. Our study aims to describe the current practice of Canadian physicians regarding the investigation and treatment of asymptomatic bacteriuria in delirious older patients (aged ≥ 65 years). METHODS: Our team of medical experts designed and reviewed a cross-sectional online survey. Study participants were physicians who conduct their clinical practice in Canada and care for older patients with delirium in their current practice...
June 28, 2021: CJEM
Adam Watchorn, Jason Curran, Zoe Evans, Vanessa Wong
OBJECTIVES: Computed Tomography (CT) scans help diagnose and triage life-threatening and time-sensitive emergency conditions, but most rural hospitals in British Columbia do not have access to a local CT scanner. We investigate how many transfers from a rural British Columbia hospital were for CT scans and describe the time delays to emergent CT imaging. METHODS: This was a prospective cohort study, over a 1-year period, on all patients requiring a transfer from the Golden and District Hospital, located 247 km from the closest CT scanner...
June 22, 2021: CJEM
George Mastoras, Sara H Gray
No abstract text is available yet for this article.
June 21, 2021: CJEM
Kiran Grant, Shaun Mehta, Alun Ackery
No abstract text is available yet for this article.
June 19, 2021: CJEM
Zainab Najarali
No abstract text is available yet for this article.
June 19, 2021: CJEM
Esli Osmanlliu, Matthew Slimovitch, Olivier Drouin, Nathalie Lucas, Jocelyn Gravel, Nathalie Gaucher
BACKGROUND: The management of children with an asthma exacerbation includes timely systemic corticosteroids and frequent short-acting beta-agonist therapy. In selected patients, inhaled short-acting beta-agonist administration by parents may promote comfort, constitute an educational opportunity for the family, and safely reduce provider workload. Our objective was to evaluate parental satisfaction and perceived safety of this new approach. METHOD: This was a cross-sectional study, conducted in a tertiary pediatric ED...
June 1, 2021: CJEM
Brett H Shaw, Eddie Chang, Michael Betzner, Jamin Mulvey
No abstract text is available yet for this article.
May 26, 2021: CJEM
Marie Pier Desjardins, Nathalie Gaucher, Jocelyn Gravel, Denis Lebel, Serge Gouin
OBJECTIVE: The efficacy of oral sweet solutions to decrease pain in infants during painful procedures remains uncertain. This study aimed to compare the efficacy of an oral sucrose solution versus placebo in reducing pain during bladder catheterization in infants in the Emergency Department (ED). METHODS: A randomized, double-blind clinical trial was conducted in a pediatric university-affiliated hospital ED. Infants 1-3 months old were recruited and randomly allocated to receive 2 ml of sucrose or placebo, 2 min before bladder catheterization...
May 26, 2021: CJEM
Avik Nath, Cheryl Hunchak, Sheila Smith, Jason Fedwick, Erich Hanel, Peter Rogers
No abstract text is available yet for this article.
May 22, 2021: CJEM
Duoduo Wu, Tina Yu Ting Shen, Blanche Xiao Hong Lim, Dawn Ka-Ann Lim, Chris Hong Long Lim
No abstract text is available yet for this article.
May 22, 2021: CJEM
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