Author Archives: MJEM ONLINE

Point-of-care peripheral venous blood gas in the elderly demographic in the emergency department; a pilot study

Pouryahya P, Luo J, Graudins A, Meyer A McR. Point-of-care peripheral venous blood gas in the elderly demographic in the emergency department; a pilot study. Med Emergency, MJEM 2019; 27 DOI 10.26738/MJEM.2017/MJEM27.2019/PP.OAE.270618 Keywords: elderly, emergency department, point of care testing, re-presentation, venous blood gas

Read More »

The analgesic effect of nonsteroidal anti-inflammatory drug (NSAIDs) in chronic low back pain is minimal

SOURCE Wendy TM Enthoven et al. (2016) Non-steroidal anti-inflammatory drugs for chronic low back pain, Cochrane Database Syst Rev 2016 10;2:CD01208. CONTEXT Nonsteroidal anti-inflammatory drug (NSAIDs) are commonly used as a second-line therapy after paracetamol in chronic low back pain. CLINICAL QUESTION What is the analgesic effect of NSAIDs in common chronic low back pain? BOTTOM LINE Six studies showed a significantly ...

Read More »

Acute Superficial Femoral Artery Thrombosis Diagnosed by Bedside Ultrasound

EL TAWIL CH, JREIGE R, SEBBANE M. Acute Superficial Femoral Artery Thrombosis Diagnosed by Bedside Ultrasound. Med Emergency, MJEM 2019; 27 DOI 10.26738/MJEM.2017/mjem27.2019/CT.CRE.060618 Keywords: arterial thrombosis, bedside ultrasound, peripheral artery disease.

Read More »

Inefficacy of paracetamol in acute and chronic low back pain

SOURCE Bruno T Saragiotto, et al. (2016) Paracetamol for Low Back Pain. Cochrane Database Syst Rev 7;6:CD012230. CONTEXT Paracetamol is the first-line treatment for patients with low back pain and recommended in many guidelines. However, these recommendations are not based on the results of studies that include patients with low back pain. CLINICAL QUESTION What is the antalgic effect of paracetamol ...

Read More »

Beta-agonists and anticholinergics decrease the hospitalization rate for adults with severe asthma

SOURCE Kirkland SW, et al. (2017) Combined inhaled beta-agonist and anticholinergic agents for emergency management in adults with asthma.Cochrane Database Sys Rev 11;1:CD001284. CONTEXT Between 7% and 22% of adults presenting to anemergency department for an acute asthma attack are hospitalized. The initial treatment most commonly used in the emergency management is nebulized beta agonists and short acting anticholinergic agents. However, ...

Read More »

Combined inhaled anticholinergic and beta-agonist use reduce hospital admissions of children with acute asthma

SOURCE Griffiths B, Ducharme FM. (2013) Combined inhaled anticholinergics and short-acting beta2-agonists for initial treatment of acute asthma in children.Cochrane Database Syst Rev21;8:CD000060. CONTEXT In an asthma attack, breathing difficulties occur as a result of airway narrowing secondary to inflammation, smooth muscle spasm and mucus secretion. Guidelines recommend the use of inhaled short-acting beta2-agonist (SABA) as the initial treatment for ...

Read More »

Spontaneous perforation of the pharynx: a case report

Pouryahya  P, McR Meyer A, Gan Ch. Spontaneous perforation of the pharynx: A case report. Med Emergency, MJEM 2019; 27 DOI 10.26738/MJEM.2017/mjem27.2019/PP.CRE.010318 Keywords: aero-digestive, aero-digestive tract, Boerhaave’s syndrome, pharynx, pharynx perforation, perforation, spontaneous perforation, spontaneous pharynx perforation

Read More »

Evaluation des pratiques professionnelles suite à l’actualisation du protocole de prise en charge des syndromes coronariens avec sus-décalage du segment ST adapté à un département rural

OBERLIN M, DELORME L, VUILLERMOZ F, FOLLY-ADJON J, DEBREUX TH, CHARPENTIER S. Professional practices evaluation after the update of ST- elevation myocardial infarction protocol suitable to a rural department. Med Emergency, MJEM 2018; 26:14-8.  DOI 10.26738/MJEM.2017/mjem26.2018/MO.OAF.011117Mots clés : évaluation des pratiques professionnelles, syndrome coronarien avec sus décalage du segment ST, Service d’aide médicale urgente Key words: emergency department, professional practices ...

Read More »

Utility of PoCUS in diagnosis of aortic dissection – Point of Care Ultrasound (PoCUS) saves lives; a case report

POURYAHYA P, MEYER A MCR, LEE HM. Point of Care Ultrasound (PoCUS) saves lives; a case report. Utility of PoCUS in diagnosis of aortic dissection. Med Emergency, MJEM 2018; 26:32-5. DOI 10.26738/MJEM.2017/mjem26.2018/PP.CRE.270917 Key words: aortic dissection, emergency department, PoCUS, point of care ultrasound  Full article 

Read More »

Un syndrome douloureux lombo-abdominal atypique

BEROUD S, DOUPLAT M, REYNAUD Q, LEGA JC. Atypical abdominal and lumbar pain syndrome. Med Emergency, MJEM 2018; 26:44-6. DOI 10.26738/MJEM.2017/mjem26.2018/SB.CRF.060917Mots clés : colique néphrétique, douleur abdominale, embolie pulmonaire, lithiase urinaire Key words: abdominal pain, pulmonary embolism, renal colic, urolithiasis Full article 

Read More »