CJEM最新文献

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Adding YEARS to optimize emergency department pulmonary embolism diagnostic workup. 增加年限,优化急诊科肺栓塞诊断工作。
IF 2.4
CJEM Pub Date : 2025-02-01 DOI: 10.1007/s43678-025-00858-w
Abel Wakai, Lauren Westafer
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引用次数: 0
Andexanet for factor Xa inhibitor-associated acute intracerebral hemorrhage. 安德沙奈治疗Xa因子抑制剂相关性急性脑出血。
IF 2.4
CJEM Pub Date : 2025-02-01 Epub Date: 2025-01-06 DOI: 10.1007/s43678-024-00845-7
Cameron Leafloor, Robert Green, Sameer Sharif
{"title":"Andexanet for factor Xa inhibitor-associated acute intracerebral hemorrhage.","authors":"Cameron Leafloor, Robert Green, Sameer Sharif","doi":"10.1007/s43678-024-00845-7","DOIUrl":"10.1007/s43678-024-00845-7","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"104-106"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934033","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}
引用次数: 0
Wake up!: a novel, cadaver-based approach to training emergency physicians in awake intubation. 醒醒吧!一种新颖的,基于尸体的方法来培训急诊医生在清醒插管。
IF 2.4
CJEM Pub Date : 2025-02-01 Epub Date: 2025-01-04 DOI: 10.1007/s43678-024-00831-z
Adam Parks, J Adam Law, George Kovacs
{"title":"Wake up!: a novel, cadaver-based approach to training emergency physicians in awake intubation.","authors":"Adam Parks, J Adam Law, George Kovacs","doi":"10.1007/s43678-024-00831-z","DOIUrl":"10.1007/s43678-024-00831-z","url":null,"abstract":"<p><p>Despite awake tracheal intubation being considered the safest method of intubation for patients with predicted difficult airways, there is limited evidence and poor availability of training interventions to assist emergency medicine physicians achieve competency in this technique. Here, we describe a novel, cadaver-based course for emergency medicine physicians to acquire skills in awake tracheal intubation. A convenience sample of 15 emergency medicine physicians from across Canada participated in the pilot course. Questionnaire data regarding the course's usefulness and participants' confidence in awake tracheal intubation were collected. All 15 participants completed the course, and questionnaire data showed that participants found the course useful and practice-changing. Three physicians reported successfully performing awake tracheal intubation in the emergency department during the 3-6-month follow-up period. Expansion of similar courses could help emergency medicine physicians acquire the skills necessary to safely perform awake tracheal intubation. Future studies should focus on optimizing training protocols, with a focus on practical methods to improve long-term skill retention.</p>","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"107-110"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928672","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}
引用次数: 0
Emergency department ophthalmoscopy: physician confidence and clinical practices. 急诊科验光:医师信心与临床实践。
IF 2.4
CJEM Pub Date : 2025-02-01 Epub Date: 2025-01-04 DOI: 10.1007/s43678-024-00843-9
C Ukagwu, J Teichman, M Ben-Yakov, I Dubinsky, A Théogène, R A Sharma
{"title":"Emergency department ophthalmoscopy: physician confidence and clinical practices.","authors":"C Ukagwu, J Teichman, M Ben-Yakov, I Dubinsky, A Théogène, R A Sharma","doi":"10.1007/s43678-024-00843-9","DOIUrl":"10.1007/s43678-024-00843-9","url":null,"abstract":"<p><strong>Objectives: </strong>Fundoscopy is crucial in the emergency department to identify or rule out serious ocular and neurological conditions. Despite its clinical importance, fundoscopy is often omitted due to the technical challenges associated with traditional direct ophthalmoscopy, particularly for non-ophthalmologists. This study examines emergency physicians' practices, confidence levels, and training related to various modalities of fundoscopy including traditional direct ophthalmoscopes, binocular indirect ophthalmoscopes, panoptic ophthalmoscopes, slit lamp fundoscopy and fundus cameras; and explores the potential role of alternative modalities, such as fundus cameras, in Canadian emergency departments.</p><p><strong>Methods: </strong>A cross-sectional survey was distributed to approximately 1000 emergency physician members of the Canadian Association of Emergency Physicians between March 4 and April 10, 2024. The survey, developed with ophthalmology and emergency medicine experts, included Likert scales and multiple-choice questions addressing confidence, practices, training, and experience with various fundoscopy modalities. Demographic data and responses were analyzed using descriptive statistics. Surveys were anonymous and available in English and French.</p><p><strong>Results: </strong>Seventy-four emergency physicians participated (mean experience 17.8 years), representing all Canadian provinces and territories. Most reported experience with traditional direct ophthalmoscopes (97.3%), slit lamp fundoscopy (82.2%) and panoptic ophthalmoscopes (58.9%). Only 1.4% had used binocular indirect ophthalmoscopes. No participant had experience with fundus cameras. Confidence in identifying fundus findings was low across all modalities, with only 13.7% reporting confidence using traditional ophthalmoscopes. Fundoscopy was performed frequently or always by 57.5% of the respondents, yet only 6.8% routinely used pupil dilation. Only 35.6% of the respondents felt their training in fundoscopy was adequate.</p><p><strong>Conclusion: </strong>Emergency physicians in Canada report low confidence in fundoscopy despite its critical role in identifying vision- or life-threatening conditions. Traditional modalities are widely used but remain challenging for non-ophthalmologists. Fundus cameras, which offer ease of use and higher diagnostic accuracy, are underutilized.</p>","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"117-122"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928600","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}
引用次数: 0
Just the facts: angioedema in the emergency department. 事实是:急诊科的血管性水肿。
IF 2.4
CJEM Pub Date : 2025-01-20 DOI: 10.1007/s43678-024-00834-w
Derek Lanoue, Hien Reeves, Moshe Ben-Shoshan, Hans Rosenberg, Ariel Hendin
{"title":"Just the facts: angioedema in the emergency department.","authors":"Derek Lanoue, Hien Reeves, Moshe Ben-Shoshan, Hans Rosenberg, Ariel Hendin","doi":"10.1007/s43678-024-00834-w","DOIUrl":"https://doi.org/10.1007/s43678-024-00834-w","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018236","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}
引用次数: 0
Just the facts: considerations and management of fever in the returning traveler. 事实是:对返程旅客发烧的注意事项和处理。
IF 2.4
CJEM Pub Date : 2025-01-03 DOI: 10.1007/s43678-024-00833-x
John C Lam, Samuel Bourassa-Blanchette, Stuart J Netherton
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引用次数: 0
Just the facts: evaluation and management of hemophilia. 实事求是:血友病的评估与管理。
IF 2.4
CJEM Pub Date : 2025-01-01 Epub Date: 2024-09-30 DOI: 10.1007/s43678-024-00780-7
Brit Long, Roy Khalife, Hans Rosenberg
{"title":"Just the facts: evaluation and management of hemophilia.","authors":"Brit Long, Roy Khalife, Hans Rosenberg","doi":"10.1007/s43678-024-00780-7","DOIUrl":"10.1007/s43678-024-00780-7","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"7-10"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334374","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}
引用次数: 0
A new approach to follow-up of survivors of sexual assault in the emergency department? 在急诊科跟进性侵犯幸存者的新方法?
IF 2.4
CJEM Pub Date : 2025-01-01 DOI: 10.1007/s43678-024-00846-6
Eric Revue, Anthony Chauvin, Hillary Minka
{"title":"A new approach to follow-up of survivors of sexual assault in the emergency department?","authors":"Eric Revue, Anthony Chauvin, Hillary Minka","doi":"10.1007/s43678-024-00846-6","DOIUrl":"https://doi.org/10.1007/s43678-024-00846-6","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"27 1","pages":"3-4"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018239","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}
引用次数: 0
Letter to the Editor: The current state of emergency medicine is a long-term threat to EM residency training. 致编辑的信:急诊医学的现状是对急诊住院医师培训的长期威胁。
IF 2.4
CJEM Pub Date : 2025-01-01 Epub Date: 2024-10-21 DOI: 10.1007/s43678-024-00813-1
Aaron Johnston, Avik Nath, Sheila Smith, Peter Rogers
{"title":"Letter to the Editor: The current state of emergency medicine is a long-term threat to EM residency training.","authors":"Aaron Johnston, Avik Nath, Sheila Smith, Peter Rogers","doi":"10.1007/s43678-024-00813-1","DOIUrl":"10.1007/s43678-024-00813-1","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"74-75"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483180","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}
引用次数: 0
Busier emergency departments: same triage systems-can AI solve the "next-to-be-seen" problem? 更繁忙的急诊科:同样的分类系统——人工智能能解决“下一个被看”的问题吗?
IF 2.4
CJEM Pub Date : 2025-01-01 DOI: 10.1007/s43678-024-00847-5
Jessalyn K Holodinsky, Lisa Sabir, Andrew D McRae, Suzanne M Mason
{"title":"Busier emergency departments: same triage systems-can AI solve the \"next-to-be-seen\" problem?","authors":"Jessalyn K Holodinsky, Lisa Sabir, Andrew D McRae, Suzanne M Mason","doi":"10.1007/s43678-024-00847-5","DOIUrl":"https://doi.org/10.1007/s43678-024-00847-5","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"27 1","pages":"5-6"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018160","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}
引用次数: 0
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