Early diagnosis of nonconvulsive status epilepticus due to lithium intoxication using 6-channel electroencephalography
Nonconvulsive status epilepticus is a severe complication of lithium intoxication that requires prompt diagnosis and treatment. While conventional electroencephalography (EEG) remains the gold standard for diagnosis for nonconvulsive status epilepticus, its implementation in emergency settings can be challenging and time-consuming. We present a case in which simplified EEG with six electrodes enabled rapid detection and monitoring of nonconvulsive status epilepticus in lithium intoxication in the emergency setting.
Evaluating the safety of procedural sedation in emergency department settings among the pediatric population: a systematic review and meta-analysis of randomized controlled trials
Our meta-analysis aimed to evaluate the safety of procedural sedation and analgesia in pediatric emergency department (ED) settings by investigating the incidence of cardiac, respiratory, gastrointestinal, and neurological adverse events associated with different sedation medications.
The role of partial resuscitative endovascular balloon occlusion of the aorta in pre-hospital trauma
This is a call to action for all leaders in Emergency Medicine: men and women
Correction: Barriers and facilitators to the implementation of rapid HIV testing in Canadian Emergency Departments: a mixed methods study
An overview of vasopressors for post-intubation hypotension in critically ill adult patients: the lay of the land
What's luck got to do with it? Taking an institutional approach to gender inequity in academic EM leadership
High-sensitivity troponin assays have the potential to create important improvements in patient care
Safety and accuracy of the computer interpretation of normal ECGs at triage
ECGs performed at ED triage are mandatorily assessed by an emergency physician contributing to task interruptions, decreased quality of care and increased error risk. Recent literature suggests that a triage ECG interpreted as normal by the ECG machine software correlates with benign interpretation from attending cardiologists. Ambiguity persists regarding the safety of the normal computerized ECG interpretation and whether real-time physician review is needed.
Effect of bougie use on first-attempt success in tracheal intubations: a systematic review and meta-analysis
Machine learning outperforms the Canadian Triage and Acuity Scale (CTAS) in predicting need for early critical care
This study investigates the potential to improve emergency department (ED) triage using machine learning models by comparing their predictive performance with the Canadian Triage Acuity Scale (CTAS) in identifying the need for critical care within 12 h of ED arrival.
Safety and efficiency of implementation of high-sensitivity troponin T in the assessment of emergency department patients with cardiac chest pain
For emergency department (ED) patients with cardiac chest pain, introduction of high-sensitivity troponin (hsTnT) pathways has been associated with reductions in length of stay of less than 1 h.
Canadian POCUS Snapshot 2024: a picture of limited resources and untapped potential
Risk factors for acute appendicitis among adult patients with indeterminate ultrasound
Abdominal ultrasound is used for diagnosing appendicitis in patients with right lower quadrant abdominal pain. Between 45 and 82% of radiology performed ultrasounds are indeterminate for appendicitis and computed tomography is required for diagnostic confirmation. Our study aims to determine predictors to rule out appendicitis when ultrasound is indeterminate.
Enhancing staff confidence to initiate buprenorphine-naloxone for opioid use disorder in an Ontario ED
Continuous naloxone infusion for the treatment of guanfacine toxicity in a 2-year-old male
