Background Ankle injuries are one of the most common presentations in the ED. Although fractures can be ruled out using the Ottawa Ankle Rules, the specificity is low, which means many patients may ...

One of the hallmarks of an emergency department (ED), compared with an urgent care, or a physician’s office, is that patients are seen by the clinicians in order of acuity, not arrival. When there are ...

Background Numerous strategies have been developed to rapidly rule-out acute coronary syndrome (ACS) using high-sensitivity troponin. We aimed to establish their performance in terms of emergency care ...

A fundamental principle of the conduct of medical research is ‘autonomy’. This is manifested in the idea of patients giving informed consent for participation in clinical trials. Autonomy also means ...

Background Thrombectomy is the primary treatment in the management of acute large vessel occlusions (LVO) strokes; however, many rural hospitals are not able to perform this procedure and must ...

Empathy is a reigning topic in healthcare because of its relationship to the aims of medical practice: improved health outcomes1 adherence to treatment recommendations, improved quality of care and ...

Objectives Emergency clinicians conduct code status conversations as part of shared decision-making regarding the management of patients with serious life-limiting illnesses. Given that varying ...

We have read with great interest the recently published study titled ‘Comparison of the Effects of Vapocoolant Spray and Topical Anaesthetic Cream (Lidocaine–Prilocaine) on Pain of Intravenous ...

Introduction There is a lack of indicators to guide quality improvement activities in virtual emergency medicine internationally. We developed quality indicators for use across a collaboration of four ...

Hospital and ED crowding is responsible for up to 15 000 unnecessary deaths annually in Canada due to delays, resource constraints and compromised care during high workloads.1 Despite efforts to ...

Nitazenes are potent synthetic opioids, never licensed for human use due to profound central nervous system and respiratory depression. Developed in the 1950s, they re-emerged in illicit drug supplies ...

Functional neurological disorder (FND) is a complex and heterogenous condition characterised by abnormal neurological symptoms that are linked to structural and functional alterations in widely ...