CJEM最新文献

{"title":"Intra-arterial tenecteplase for acute stroke after successful endovascular therapy: the ANGEL-TNK randomized clinical trial.","authors":"Kaitlin Endres, Emma Ferguson","doi":"10.1007/s43678-026-01179-2","DOIUrl":"10.1007/s43678-026-01179-2","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"806-807"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201278","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}

{"title":"Just the facts: Can we \"fix\" emergency department crowding? Lessons from EM:POWER.","authors":"Paul Atkinson, Alecs Chochinov, Ivy Cheng, David Petrie","doi":"10.1007/s43678-026-01180-9","DOIUrl":"10.1007/s43678-026-01180-9","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"798-801"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177223","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}

{"title":"High concern, low priority: do emergency physicians think like the general public about climate change?","authors":"Simon Berthelot, Judicaël Adadja","doi":"10.1007/s43678-026-01260-w","DOIUrl":"https://doi.org/10.1007/s43678-026-01260-w","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"28 9","pages":"787-788"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932188","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}

{"title":"The joke is on us... or is it?","authors":"Paul Atkinson, Alecs Chochinov, Ivy Cheng, David Petrie","doi":"10.1007/s43678-026-01182-7","DOIUrl":"10.1007/s43678-026-01182-7","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"875-876"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950338","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}

{"title":"Rethinking interhospital transit: why safe transfers require standardization and better cross-region coordination, not just speed.","authors":"Paul Miller, Ryan P Strum, Ian M Buchanan, Shawn Mondoux","doi":"10.1007/s43678-026-01263-7","DOIUrl":"https://doi.org/10.1007/s43678-026-01263-7","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"28 9","pages":"789-790"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932193","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}

{"title":"Case report: testicular compartment syndrome, a rare presentation of a hydrocele, diagnosed with point of care ultrasound (PoCUS).","authors":"Rawan Omair D Alshehri, Rebecca J Power, Nick R Paterson, Christopher P Cox","doi":"10.1007/s43678-026-01199-y","DOIUrl":"10.1007/s43678-026-01199-y","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"877-880"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297963","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}

{"title":"Beyond bed block-an alternative view.","authors":"Howard J Ovens, Ming K Li, Fraser MacKay, Shelley L McLeod","doi":"10.1007/s43678-026-01238-8","DOIUrl":"10.1007/s43678-026-01238-8","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"883"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427426","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}

{"title":"Electrocardiogram competency of Canadian emergency medicine residents: curriculum gaps and opportunities for improvement.","authors":"Emanuel Mastrangelo, Mazen El-Baba, Catherine Patocka, Jesse T T McLaren","doi":"10.1007/s43678-026-01194-3","DOIUrl":"10.1007/s43678-026-01194-3","url":null,"abstract":"<p><strong>Objective: </strong>Electrocardiogram (ECG) interpretation is crucial for emergencies, alongside point-of-care ultrasound (PoCUS). A prior survey of Emergency Medicine program directors identified \"must know\" ECG diagnoses. But whether ECG interpretation is adequately promoted by the Royal College, included in structured curriculum, and learned by residents is unknown. We sought to identify curriculum gaps and opportunities for improvement.</p><p><strong>Methods: </strong>Using constructive alignment framework, we conducted a multi-modal evaluation of Canadian Emergency Medicine residency program ECG education. For intended learning outcomes, we reviewed the college's Entrustable Professional Activities, comparing ECG with PoCUS. For teaching and learning activities, we administered a national cross-sectional survey of program directors. For assessment, we surveyed residents on self-reported efficacy in interpreting \"must know\" ECG diagnoses.</p><p><strong>Results: </strong>There is no Royal College Entrustable Professional Activities for ECGs, and only 1 milestone compared with 9 for PoCUS. A majority (60%) of program directors reported no structured ECG curriculum, and most (57.4%) residents reported < 1 h of ECG self-study per month. There were 60% of program directors and 92% of residents who agreed they would benefit from structured teaching. Self-reported efficacy increased through residency, from 60% for PGY-2 to 90% for PGY-5. But there were gaps with low efficacy (e.g., for bifascicular block, failure to capture, Brugada pattern, and myocardial infarction in the presence of bundle branch block). PGY-5 residents reported autonomy for ventricular tachycardia, hyperkalemia, and acute myocardial infarction, despite known limitations from the literature of Emergency physicians.</p><p><strong>Conclusion: </strong>ECG curriculum gaps include lower emphasis from Royal College Entrustable Professional Activities compared with PoCUS, limited structured ECG curriculum, and little self-study. While self-reported efficacy increases through residency, there are perceived gaps for many \"must know\" diagnoses, and unperceived gaps with confidence that exceeds known practice variation. The majority of survey responses agree they would benefit from structured training.</p>","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"808-816"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297947","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}

{"title":"Ketamine: from anesthesia to pediatric suicidal crisis.","authors":"Lindsay A Maguire, Manish K Jha, Martin Than","doi":"10.1007/s43678-026-01261-9","DOIUrl":"https://doi.org/10.1007/s43678-026-01261-9","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"28 9","pages":"791-792"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932134","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}

{"title":"Just the facts: what emergency physicians should know about catheter ablations for atrial fibrillation.","authors":"Lorne L Costello, Sheldon M Singh","doi":"10.1007/s43678-026-01258-4","DOIUrl":"https://doi.org/10.1007/s43678-026-01258-4","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868292","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}