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An Exploration of the Interplay Between Well-being and Quality and Safety Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-29 Carmen Hrymak, Rodrick Lim, Sachin Trivedi, Al’ai Alvarez, Eve Purdy, Sheena Belisle, Jennifer Thull-Freedman, Murdoch Leeies, Eddy Lang, Lucas B. Chartier
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Off-road vehicle crashes: dangers of alcohol and drug impairment Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-28 Nelofar Kureshi, David B. Clarke, Lorelei Audas, Kirk Magee, Bassam Nassar, Herbert Chan, Yue Yuan, Shannon Erdelyi, Jeffrey R. Brubacher
Background Impaired driving is a public health issue, yet little is known concerning the prevalence of substance use in drivers involved in off-road vehicle crashes. The goal of the present study was to describe the demographics and prevalence of alcohol and drug use in drivers of off-road vehicle crashes. Methods In this observational substudy, we collected clinical and toxicological data on all moderately
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Current use of simulation for EPA assessment in emergency medicine Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-19 Nidhi Sahi, Susan Humphrey-Murto, Erin E. Brennan, Michael O’Brien, Andrew K. Hall
Objective Approximately five years ago, the Royal College emergency medicine programs in Canada implemented a competency-based paradigm and introduced the use of Entrustable Professional Activities (EPAs) for assessment of units of professional activity to assess trainees. Many competency-based medical education (CBME) based curricula, involve assessing for entrustment through observations of EPAs
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Comparison of peer-assisted learning with expert-led learning in medical school ultrasound education: a systematic review and meta-analysis Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-16
Abstract Introduction Teaching point-of-care ultrasonography (PoCUS) to medical students is resource intensive. Peer-assisted learning, where the teacher can be a medical student, may be a feasible alternative to expert-led learning. The objective of this systematic review and meta-analysis was to compare the PoCUS performance assessments of medical students receiving peer-assisted vs expert-led learning
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Does non-invasive airway management lead to better outcomes in comatose patients with suspected acute poisoning? Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-13 Jessica T. Kent, Emily Austin
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Impact of virtual care on planned rechecks in a pediatric emergency department: a quality improvement project Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-12 Katie Gardner, Katrina F. Hurley
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Perceptions of gender equity in emergency medicine in Canada Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-12 Gillian Sheppard, Emma McIlveen-Brown, Queen Jacques, Nicole Barry, Judy Morris, Yanqing Yi, Taylor Bischoff, Chau Pham, Isabella Menchetti, Rodrick Lim, Alim Pardhan, Miriam Mann, Alyson Byrne, Katrina F. Hurley, Ayesha Zia, Teresa M. Chan
Introduction Women-identifying emergency physicians face gender-based discrimination throughout their careers. The purpose of this study was to explore emergency physician’s perceptions and experiences of gender equity in emergency medicine. Methods We conducted a secondary analysis of data from a previously conducted survey of Canadian emergency physicians on barriers to gender equity in emergency
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Assessing the frequency and types of errors involved in the use of a modified intravenous N-acetylcysteine protocol for acetaminophen overdose Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-10 J. Ali, M. Thompson, Connie Mackenzie
Background Acetaminophen overdose is a leading cause of acute liver failure in developing countries. N-acetylcysteine (NAC) is a highly effective antidote for acetaminophen hepatotoxicity, typically initiated in the emergency department. Due to a known high rate of errors with the standard three-bag IV NAC protocol, in 2019, the Ontario Poison Center changed to a modified 3% IV NAC one-bag protocol
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Virtual urgent care is here to stay: driving toward safe, equitable, and sustainable integration within emergency medicine Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-09 S. Mehta, K. Gardner, J. Hall, D. Rosenfield, S. Tse, K. Ho, K. Grant, D. J. Bradbury-Squires, E. Lang, L. Chartier
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We need better preparedness and emergency responses to heat waves Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-08 Yohei Okada, Fintan Hughes, Marcus Eng Hock Ong
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Suction-Assisted Airway Catheter Insertion for airway management in severe epistaxis: a case report Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-02-01 Patricia L. G. Marks, Adam R. Parks
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BRASH syndrome progressing rapidly to cardiogenic shock: a case with confirmed excessive amlodipine concentration Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-01-26 Pim-Chuan Lai, Te-I. Weng, Jiun-Hao Yu
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A case of myiasis botfly infestation diagnosed through a virtual emergency department Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-01-16 Sheliza Halani, Adrienne Chan, Sarah Kilbertus
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Renal point-of-care ultrasound performed by ED staff with limited training and 30-day outcomes in patients with renal colic Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-01-14 W. F. Lee, S. J. Goh, Berlin Lee, S. J. Juan, Marxengel Asinas-Tan, B. L. Lim
Background and aim Emergency Department (ED) renal point-of-care ultrasound (PoCUS) in renal colic by accredited specialists has good prognostic value. This may not be generalizable to under-resourced EDs. We investigated PoCUS in renal colic in our ED with lesser training. Methods We performed a single-centre health records review of adult ED patients with renal colic and PoCUS. Patients were managed
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Repeatability, reproducibility, and diagnostic accuracy of a commercial large language model (ChatGPT) to perform emergency department triage using the Canadian triage and acuity scale Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-01-11
Abstract Purpose The release of the ChatGPT prototype to the public in November 2022 drastically reduced the barrier to using artificial intelligence by allowing easy access to a large language model with only a simple web interface. One situation where ChatGPT could be useful is in triaging patients arriving to the emergency department. This study aimed to address the research problem: “can emergency
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Public access defibrillation is a failed strategy Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-01-09 Steven C. Brooks
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Pre-hospital mortality among pediatric trauma patients in Nova Scotia Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-01-08 Renee H. Kinden, Andrea Sadoway, Mete Erdogan, Nelofar Kureshi, Michelle Johnson, Robert S. Green, Jason G. Emsley
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Use of rational subgrouping to understand variation and opportunity for improvement in time to ultrasound Can. J. Emerg. Med. (IF 2.4) Pub Date : 2024-01-03 Keon Ma, Jennifer Thull-Freedman
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Heatstroke presentations to urban hospitals during BC’s extreme heat event: lessons for the future Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-12-28 Kira Gossack-Keenan, David Seonguk Yeom, Josephine Kanu, Jeffrey P. Hau, Rhonda J. Rosychuk, Dylan Clark, Rajan Bola, Caris Tze, Chris Niosco, Hayley Emery, Phillip Yeung, Corinne M. Hohl
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Rates of pediatric emergency department visits vary according to neighborhood marginalization in Ottawa, Canada Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-12-20 Habeeb AlSaeed, Ewa Sucha, Maala Bhatt, Nicholas Mitsakakis, Natalie Bresee, Melanie Bechard
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A pickup for a case of hiccups: point-of-care ultrasonography detects a liver abscess in a 74-year-old gentleman Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-12-15 Lynette Yan Ee Chung, Yun Ying Ho, Sze Joo Juan
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Completeness and accuracy of digital charting vs paper charting in simulated pediatric cardiac arrest: a randomized controlled trial Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-12-15 Alexandra St-Onge-St-Hilaire, Adam Cheng, Jennifer Davidson, Brandi Wan, Yiqun Lin
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Dream one, do one, teach one: a mental practice script for bougie assisted cricothyrotomy Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-12-09 Jamie Riggs, Melissa McGowan, Christopher Hicks
Mental practice is an effective method for skill acquisition in medicine. We describe the integration of interview-derived sensory cues with a list of procedural steps into a cohesive script to facilitate mental practice for a High Acuity, Low-Occurrence procedure, the bougie-assisted cricothyrotomy. Data collection occurred through interviews with emergency physicians. Interview transcripts were analyzed
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Just the facts: brachial plexus blocks for upper extremity injuries in the emergency department Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-12-07 Daniel Mirsch, Tomislav Jelic, Michael I. Prats, Andrea Dreyfuss, Evan Yates, Tobias Kummer, Bob Stenberg, Katherine Vlasica, Arun Nagdev
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Parents’ perspective on pediatric emergency department visits for low-acuity conditions before and during the COVID-19 pandemic: a cross-sectional bicentric study Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-30 Karol Samman, Cathie-Kim Le, Brett Burstein, Salma Rehimini, Anthony Grenier, Claudia Bertrand-Bureau, Myriam Mallet, David Simonyan, Simon Berthelot
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Implementing digital emergency medicine: a call to action Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-25 Kiran L. Grant, Jackie Tsang, Kendall Ho
As digital technologies continue to impact medicine, emergency medicine providers have an opportunity to work together to harness these technologies and shape their implementation within our healthcare system. COVID-19 and the rapid scaling of virtual care provide an example of how profoundly emergency medicine can be affected by digital technology, both positively and negatively. This example also
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Saving emergency medicine part two: better together. Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-28 Paul Atkinson,Riyad B Abu-Laban,Eddy Lang
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Hypotension and respiratory events related to electrical cardioversion for atrial fibrillation or atrial flutter in the emergency department Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-25 Sharon Liu, Ian Stiell, Debra Eagles, Bjug Borgundvaag, Keerat Grewal
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POCUS literature primer: key papers on POCUS in cardiac arrest and shock Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-23 Daniel J. Kim, Paul Atkinson, Gillian Sheppard, Jordan Chenkin, Rajiv Thavanathan, David Lewis, Colin R. Bell, Tomislav Jelic, Elizabeth Lalande, Ian M. Buchanan, Claire L. Heslop, Talia Burwash-Brennan, Frank Myslik, Paul Olszynski
Objective The objective of this study is to identify the top five most influential papers published on the use of point-of-care ultrasound (POCUS) in cardiac arrest and the top five most influential papers on the use of POCUS in shock in adult patients. Methods An expert panel of 14 members was recruited from the Canadian Association of Emergency Physicians (CAEP) Emergency Ultrasound Committee and
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The CJEM Debate Series. #ExtendedTraining: Would extended family medicine training programs be a win for emergency medicine? Or another barrier in training emergency physicians? Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-22 Samuel Campbell,Ryan Henneberry,Robin Clouston,Paul Atkinson
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Noncompaction cardiomyopathy with Associated Pulmonary Embolism, Dextrocardia, and Poland Syndrome: A Rare Case Report Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-17 Ariella Gartenberg, Christine Cassidy
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Regional variation in accessibility of automated external defibrillators in British Columbia Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-17 Zhang Hao Li, Matthieu Heidet, Joban Bal, Sophia Ly, Tyler Yan, Frank Scheuermeyer, Mary Stambulic, Jon Deakin, Santabhanu Chakrabarti, Andrew MacPherson, Jim Christenson, Brian Grunau
Objectives Bystander-applied Automated External Defibrillators (AED) improve outcomes for out-of-hospital cardiac arrest. AED placement is often driven by private enterprise or non-for-profit agencies, which may result in inequitable access. We sought to compare AED availability between four regions in British Columbia (BC). Methods We identified AEDs (confirmed to be operational) and emergency medical
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The ten commandments of point-of-care ultrasound (POCUS). Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-16 Paul Atkinson
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A disaster medicine course for Canadian medical students: first implementation of a large-scale mass-casualty simulation Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-10 Kyle W. Eastwood, Adam Harris, John B. P. Armstrong
Mass-casualty incidents have a significant global impact. Despite calls for improved disaster-preparedness training, most medical curriculums do not include formal disaster-medicine education. In 2021, the Medical Council of Canada introduced new disaster-medicine learning objectives. This article presents a mass-casualty-incident course for 3rd-year Canadian medical students. The course includes lectures
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Evaluating the impact of pre-hospital trauma team activation criteria Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-08 Kevin Durr, Michael Ho, Mathieu Lebreton, Derek Goltz, Marie-Joe Nemnom, Jeffrey Perry
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Alternatives to the transfer of long-term care patients to emergency departments: a new kind of house call? Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-11-01 Kathryn Crowder,Eddy Lang
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Evaluation of physicians’ current practices and awareness regarding the treatment of acute uncomplicated diverticulitis: results of a provincial survey Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-10-20 Raphaëlle Brière, Axel Benhamed, Marcel Émond, Pierre-Gilles Blanchard, Sébastien Drolet
Objective International guidelines now recommend nonantibiotic treatment of uncomplicated diverticulitis. We assessed physicians' current management strategies for uncomplicated diverticulitis, their awareness of the updated recommendations, and barriers to practice change. Methods A 21-question web-based survey conducted between 09/2022 and 11/2022 was sent to participants through their respective
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Community healthcare appointments as an alternative to emergency department assessment: an exploration of family acceptability and preferences Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-10-18 Steve Leung, Erica McDonald, Amy Watson, Quynh Doan, Neil Desai
Purpose Pediatric emergency departments are overcrowded, in part due to many non-emergent visits. We aimed to assess the proportion of parents interested in leaving the pediatric emergency department (ED) prior to physician assessment if they could be offered a scheduled community healthcare appointment. We explored differences in care children received in the ED stratified by interest in a community
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Prevalence and predictors of elder abuse among older adults attending emergency departments: a prospective cohort study Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-10-18 Samuel Gagnon, Alexandra Nadeau, Katherine Tanguay, Patrick M. Archambault, Audrey-Anne Brousseau, Pierre-Hugues Carmichael, Marcel Emond, Jean-Francois Deshaies, Axel Benhamed, Pierre-Gilles Blanchard, Fabrice I. Mowbray, Eric Mercier
Introduction Elder abuse is associated with impaired physical and psychological health. It is, however, rarely identified in emergency departments (EDs). The objective was to determine the prevalence and the predictors of elder abuse among older adults visiting EDs. Methods This prospective cohort study was conducted in eight Canadian EDs between May and August 2021. Patients were eligible if they
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Who are the trauma team leaders across Canada? A national survey evaluating the profession in adult and pediatric level one trauma centres Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-10-18 Isabella Menchetti, Madison Muzzo, Christian Malo, Alun Ackery, Joe Nemeth, Jagadish Rao, Paul T. Engels, Kelly Vogt, Tarek Razek, Andrew Beckett, Luis da Luz
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Nitrous oxide use in Canadian pediatric emergency departments: a survey of physician’s knowledge, attitudes, and practices Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-10-19 Rini Jain, Summer Hudson, Martin H. Osmond, Evelyne D. Trottier, Naveen Poonai, Samina Ali
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Letter to the Editor: Impact of alternative pathways from 911 calls on ED overcrowding. Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-10-07 Michael A Austin
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Should emergency departments be prescribing buprenorphine/naloxone? Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-10-01 Chirag Bhat,Max Zworth,Hans Rosenberg
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Twenty-six years of machine learning for ECG: and we are not there yet. Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-10-01 John W Pickering,Laura Joyce,Martin Than
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Case report: unmasked Brugada pattern in a post-arrest patient after ketamine induction for intubation in the emergency department Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-26 Rod Vafaei, Markus B. Sikkel, Jacob Wilkins
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SHoC-IVC: Does assessment of the inferior vena cava by point-of-care ultrasound independently predict fluid status in spontaneously breathing patients with undifferentiated hypotension? Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-27 Robert Dunfield, Peter Ross, Daniel Dutton, Kavish Chandra, David Lewis, Frank Scheuermeyer, Jacqueline Fraser, Patrick Boreskie, Chau Pham, Sultan Ali, Hein Lamprecht, Melanie Stander, Cameron Keyes, Ryan Henneberry, Paul Atkinson
Background Accurately determining the fluid status of a patient during resuscitation in the emergency department (ED) helps guide appropriate fluid administration in the setting of undifferentiated hypotension. Our goal was to determine the diagnostic utility of point-of-care ultrasound (PoCUS) for inferior vena cava (IVC) size and collapsibility in predicting a volume overload fluid status in spontaneously
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Impact of a high sensitivity troponin accelerated diagnostic protocol on the safety and emergency department length of stay of chest pain in an academic tertiary hospital: a quality improvement study Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-27 Dana Phillips, Dominick Shelton, Aikta Verma, Samantha Liu, Vincent Yeung, Ivy Cheng
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Cognitive load theory in action: e-learning modules improve performance in simulation-based education. A pilot study Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-26 Gilmar Gutierrez, Isis Olivia Lunsky, Shyan Van Heer, Adam Szulewski, Timothy Chaplin
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Does 4-factor prothrombin concentrate (4F-PCC) reduce 24 h blood product consumption in trauma patients at risk of massive transfusion? Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-26 Hailey Newton,Doran Drew,Jeffrey J Perry
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Predictors of mortality among older major trauma patients Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-24 Krishan Yadav, Jacinthe Lampron, Richard Nadj, Rikesh Raichura, Sonshire Figueira, Marie-Joe Nemnom, Monica Taljaard, Marcel Émond, Axel Benhamed, Debra Eagles
Background Older trauma patients have a higher mortality yet are more likely to be under-triaged compared to younger patients. Studies have suggested that current trauma team activation criteria are suboptimal for older patients. Objectives The objective was to describe trauma care delivered, patient outcomes, and to identify variables independently associated with mortality. Methods We performed a
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Just the facts: whole bowel irrigation Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-22 Nancy G. Murphy, Kevin M. Durr, Caitlin Wolfe
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Clinical adaptations for advanced career emergency physicians: an approach to support practice transition. Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-22 Riyad B Abu-Laban,Nicholas G W Rose,David Migneault,Erin Fukushima,Kerry E Walker,Jill McEwen
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Just the facts: transgender and gender diverse identities in emergency medicine. Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-18 Murdoch Leeies,Ellie Caslake,Carys Massarella
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The hospital care and outcomes of long-term care patients treated by paramedics during an emergency call: exploring the potential impact of ‘treat-and-refer’ pathways and community paramedicine Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-15 Shannon Leduc, George Wells, Venkatesh Thiruganasambandamoorthy, Zach Cantor, Peter Kelly, Micah Rietschlin, Christian Vaillancourt
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Rapid HIV testing in emergency departments: a paradigm shift. Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-15 Mazen El-Baba,Jessica Kent,Isaac I Bogoch,Kyle Vose,Jennifer Hulme,Megan Landes
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Efficacy of hand-held metal detectors in the detection and localization of ingested metallic foreign bodies in children. Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-14 Jayanand Mekwan,Kavish Chandra,Paul Atkinson
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Emergency medicine resident perceptions of simulation-based training and assessment in competence by design Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-04 Lorne L. Costello, Dennis D. Cho, Ryan C. Daniel, Joana Dida, Jodie Pritchard, Kaif Pardhan
Objectives With the launch of competence by design (CBD) in emergency medicine (EM) in Canada, there are growing recommendations on the use of simulation for the training and assessment of residents. Many of these recommendations have been suggested by educational leaders and often exclude the resident stakeholder. This study sought to explore their experiences and perceptions of simulation in CBD
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Pain management in adult patients with sickle cell disease in the emergency department: how does current practice compare with existing standards of care? Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-03 Markus Gulilat, Lanre Tunji-Ajayi, Serena Thompson, Marie-Pascale Poku, Ruth Appiah-Boateng, Nia Navarro, Hasan Sheikh, Jennifer Hulme, Jennifer Bryan
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Ocular point-of-care ultrasound in the detection of early endophthalmitis Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-03 Christopher Tsoutsoulas, Joshua Ling, Frank Myslik
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Machine learning for the diagnosis of acute coronary syndrome using a 12-lead ECG: a systematic review Can. J. Emerg. Med. (IF 2.4) Pub Date : 2023-09-04 Max Zworth, Hashim Kareemi, Suzanne Boroumand, Lindsey Sikora, Ian Stiell, Krishan Yadav