Author Archives: MJEM ONLINE

Report of a case with cardiac X syndrome diagnosed by echocardiography

KARAM E, KHODEIR P, ABOU NADER G. Report of a case with cardiac X syndrome diagnosed by echocardiography. Med Emergency, MJEM 2019; 27 DOI 10.26738/MJEM.2017/MJEM27.2019/EK.CRE.260918 Key words: cardiac syndrome X, coronary microvascular disease, stress echocardiogram, coronary flow reserve

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Corticosteroids significantly reduced sequelae in patients with Bell’s palsy (idiopathic facial paralysis)

SOURCE Madhok VB, Gagyor I, Daly F et al. (2016) Corticosteroids for bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst Rev 18:CD001942. CONTEXT Bell’s palsy is a relatively common presentation to emergency departments (incidence of 25/100 000/year). Though the prognosis is generally good, adverse sequelae can have a serious social impact for patients. Theuse of corticosteroids in the treatment of ...

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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

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Bystander chest compression-only cardiopulmonary resuscitation increased survival of non-asphyxial out-of hospital cardiac arrest patients

SOURCE Zhan L, Yang LJ, Huang Y, et al (2017) Continuous chest compression versus interrupted chest compression for cardiopulmonary resuscitation of non-asphyxial out-of-hospital cardiac arrest. Cochrane Database Syst Rev 27;3:CD010134. CONTEXT Non-asphyxial out-of-hospital cardiac arrest (OHCA) is a significant cause of death worldwide. Cardiopulmonary resuscitation (CPR) is a well-established treatment for cardiac arrest and must be rapidly initiated by rescuers (bystanders ...

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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 ...

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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.

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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 ...

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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, ...

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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 ...

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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

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