CJEMPub Date : 2025-06-01Epub Date: 2025-04-18DOI: 10.1007/s43678-025-00899-1
Dylan Collins, Matthew Douglas-Vail
{"title":"Social emergency medicine: delivering equity-oriented health care in Canada.","authors":"Dylan Collins, Matthew Douglas-Vail","doi":"10.1007/s43678-025-00899-1","DOIUrl":"10.1007/s43678-025-00899-1","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"423-425"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01DOI: 10.1007/s43678-024-00725-0
Juan Mohadeb, Luke Brueton-Campbell, Kris Doucet, Anna Reed, Devon Mitchell, Tamara McColl, Carys Massarella, Blair Bigham, Nadia Primiani, Robert Primavesi, Michael Kruse, Rusty Souleymanov, Ben Klassen, Adam Brandt, Colleen Dawson, Luca Gheorghica, Noé Prefontaine, Jess Crawford, Seth Kamabu, Jordn-Micheal McCarthy, Carmen Hrymak, Murdoch Leeies
{"title":"Correction: Development and evaluation of a clinical simulation-based educational innovation on sexual orientation and gender identity in emergency medicine.","authors":"Juan Mohadeb, Luke Brueton-Campbell, Kris Doucet, Anna Reed, Devon Mitchell, Tamara McColl, Carys Massarella, Blair Bigham, Nadia Primiani, Robert Primavesi, Michael Kruse, Rusty Souleymanov, Ben Klassen, Adam Brandt, Colleen Dawson, Luca Gheorghica, Noé Prefontaine, Jess Crawford, Seth Kamabu, Jordn-Micheal McCarthy, Carmen Hrymak, Murdoch Leeies","doi":"10.1007/s43678-024-00725-0","DOIUrl":"10.1007/s43678-024-00725-0","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"501"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01DOI: 10.1007/s43678-025-00926-1
Paul Atkinson, Eddy Lang, Ian Stiell
{"title":"CONSORT 2025: raising the bar for transparency in randomized trials.","authors":"Paul Atkinson, Eddy Lang, Ian Stiell","doi":"10.1007/s43678-025-00926-1","DOIUrl":"https://doi.org/10.1007/s43678-025-00926-1","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"27 6","pages":"418"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01Epub Date: 2025-03-07DOI: 10.1007/s43678-025-00880-y
Taofiq Olusegun Oyedokun, Revathi Nair, James Stempien, Kyle Moulton, Prosanta Mondal, Sachin V Trivedi
{"title":"Reducing emergency department return visits for ultrasound imaging: a quality improvement initiative.","authors":"Taofiq Olusegun Oyedokun, Revathi Nair, James Stempien, Kyle Moulton, Prosanta Mondal, Sachin V Trivedi","doi":"10.1007/s43678-025-00880-y","DOIUrl":"10.1007/s43678-025-00880-y","url":null,"abstract":"<p><strong>Background: </strong>The shortage of after-hours ultrasound (US) imaging in the ED puts considerable strain on the patient and the already scant resources in the ED. Implementing an alternate clinical pathway that guides ED physicians to utilize the US imaging centers in the community for non-emergent scans may help alleviate some of these stressors. We aimed to reduce the number of patients returning to the ED for US by 50% within 6 months of implementation.</p><p><strong>Methods: </strong>After performing a root cause analysis and creating a process map, a multidisciplinary team designed an alternate clinical pathway utilizing community radiology centers to perform Next Day US. Following the implementation of a new clinical pathway in January 2022, we performed an analysis of electronic health record data to assess the differences in the usage of next day US in the ED pre- (2019-21) and post-implementation (2022) of the new clinical pathway.</p><p><strong>Results: </strong>The study screened for ED next day US usage in 123,386 patients who visited Saskatoon EDs between January and June 2019-2022. Post-implementation of the pathway in January 2022, there was a 48% decrease in the percentage of patients returning to the ED the next day for US. Run charts displayed non-random signal of change evidenced by a shift. There was no difference in the patient's length of stay (LOS) before and after pathway implementation.</p><p><strong>Conclusions: </strong>Successful implementation of a new imaging pathway led to a significant decrease in the number of patients returning to the ED the next day for ultrasound.</p>","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"444-450"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01Epub Date: 2025-02-20DOI: 10.1007/s43678-024-00855-5
Brydon Blacklaws, John Pawlovich, Lauren Currie, Anurag Singh
{"title":"Keeping the door open: virtual coverage of rural emergency departments-what works and what doesn't.","authors":"Brydon Blacklaws, John Pawlovich, Lauren Currie, Anurag Singh","doi":"10.1007/s43678-024-00855-5","DOIUrl":"10.1007/s43678-024-00855-5","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"419-422"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01Epub Date: 2025-03-10DOI: 10.1007/s43678-025-00892-8
Mikayla Fan, Tyler Black, Jeffrey N Bone, Quynh Doan
{"title":"Seasonality and school day-based trends in mental-health-related pediatric emergency department visits during COVID-19 in British Columbia.","authors":"Mikayla Fan, Tyler Black, Jeffrey N Bone, Quynh Doan","doi":"10.1007/s43678-025-00892-8","DOIUrl":"10.1007/s43678-025-00892-8","url":null,"abstract":"<p><strong>Objectives: </strong>The association between mental health related pediatric emergency department (ED) visits and school attendance during the COVID-19 pandemic remains unclear. We aimed to determine the change in rate of mental health-related pediatric ED visits related to type of school day (i.e., school closure days, school days, winter/summer break days) during the pandemic. We also aimed to compare the number of presentations per week during pandemic school periods to expected values based on pre-pandemic trends.</p><p><strong>Methods: </strong>We included all pediatric ED visits by children aged 2-17 years between January 1st, 2014, and December 31st, 2022, at a single quaternary pediatric center. We calculated the rate (number of mental health pediatric ED visits by 100,000 children) in British Columbia per day on each type of school day, as well as the rate of visits per week during each school period of the pandemic in comparison to the expected values.</p><p><strong>Results: </strong>There was a 36% decrease in presentation rates on non-school days relative to school days in both pre-pandemic and pandemic periods. During the two periods of school closure due to pandemic protocols, mental health visits were substantially lower compared to school days during the pandemic. There were fewer mental health pediatric ED visits for three of the four pandemic school years when compared to pre-pandemic trends.</p><p><strong>Conclusions: </strong>Mental health-related pediatric ED visits were consistently higher on school days than non-school days, including COVID-19 school closure days. In comparison to expected rates based on pre-pandemic trends, mental health-related pediatric ED visits decreased in three of the four school years during the pandemic. Our findings suggest an increased need for mental health support in the ED on school days. They also suggest that EDs should be prepared for mental health demands alongside surges and pandemics.</p>","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"460-464"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01Epub Date: 2025-03-20DOI: 10.1007/s43678-025-00910-9
Eric Mercier, Kerstin de Wit
{"title":"Assessing for elder abuse after a low-level fall, we need to do better.","authors":"Eric Mercier, Kerstin de Wit","doi":"10.1007/s43678-025-00910-9","DOIUrl":"10.1007/s43678-025-00910-9","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"499"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01Epub Date: 2025-04-17DOI: 10.1007/s43678-025-00901-w
Erin Brennan, Kyla Caners, Christopher Bennett Heyd, Aimee Kernick, Emma McIlveen-Brown, Alim Pardhan, Chau Pham, Éliane Raymond-Dufresne, Gillian Sheppard, Hannah Shoichet, Kelly Van Diepen
{"title":"CAEP position statement on pregnancy and parental leave: executive summary.","authors":"Erin Brennan, Kyla Caners, Christopher Bennett Heyd, Aimee Kernick, Emma McIlveen-Brown, Alim Pardhan, Chau Pham, Éliane Raymond-Dufresne, Gillian Sheppard, Hannah Shoichet, Kelly Van Diepen","doi":"10.1007/s43678-025-00901-w","DOIUrl":"10.1007/s43678-025-00901-w","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"426-430"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01Epub Date: 2025-03-18DOI: 10.1007/s43678-025-00867-9
Steven Sanders, Matthew Lipinski, Jonathan Hooper
{"title":"Just the facts: diagnosis and management of heat stroke.","authors":"Steven Sanders, Matthew Lipinski, Jonathan Hooper","doi":"10.1007/s43678-025-00867-9","DOIUrl":"10.1007/s43678-025-00867-9","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"431-434"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CJEMPub Date : 2025-06-01DOI: 10.1007/s43678-025-00955-w
{"title":"Global research highlights.","authors":"","doi":"10.1007/s43678-025-00955-w","DOIUrl":"10.1007/s43678-025-00955-w","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"494-498"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}