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   Table of Contents - Current issue
Coverpage
October-December 2019
Volume 24 | Issue 4
Page Nos. 103-126

Online since Monday, September 23, 2019

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EDITORIALS / ÉDITORIAUX  

Is Northern Ontario School of Medicine there yet? p. 103
Peter Hutten-Czapski
DOI:10.4103/CJRM.CJRM_56_19  PMID:31552861
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L'ÉMNO y est-elle arrivée? p. 104
Peter Hutten-Czapski
DOI:10.4103/1203-7796.267577  PMID:31552862
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President's message. Access or continuity? p. 105
Margaret Tromp
DOI:10.4103/CJRM.CJRM_57_19  PMID:31552863
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Message du Président. Accès ou continuité? p. 106
Margaret Tromp
DOI:10.4103/1203-7796.267579  PMID:31552864
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LETTER TO EDITOR Top

Physician attendance during interhospital patient transfer p. 107
Beuy Joob, Viroj Wiwanitkit
DOI:10.4103/CJRM.CJRM_37_19  PMID:31552865
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Authors' Reply p. 108
David Wonnacott
DOI:10.4103/1203-7796.267575  PMID:31552866
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ORIGINAL ARTICLE / ARTICLE ORIGINAUX Top

Use of point-of-care ultrasound for the assessment of intravascular volume in five rural New Zealand hospitals p. 109
Garry Nixon, Katharina Blattner, Wendy Finnie, Ross Lawrenson, Ngaire Kerse
DOI:10.4103/CJRM.CJRM_26_18  PMID:31552867
Introduction: Measuring the diameter of the inferior vena cava (IVC) or the height of the jugular venous pressure (JVP) with point-of-care ultrasound (POCUS) is a practical alternative method for estimating a patient's intravascular volume in the rural setting. This study aims to determine whether or not POCUS of the IVC or JVP generates additional useful clinical information over and above routine physical examination in this context. Methods: Twenty generalist physicians, working in five New Zealand rural hospitals, recorded their estimation of a patient's intravascular volume based on physical examination and then again after performing POCUS of the IVC or JVP, using a visual scale from 1 to 11. Results: Data were available for 150 assessments. There was an only moderate agreement between the pre- and post-test findings (Spearman's correlation coefficient = 0.46). In 28% (42/150) of cases, the difference was four or more points on the scale, and therefore, had the potential to be clinically significant. Conclusion: In the rural context, POCUS provides new information that frequently alters the clinician's estimation of a patient's intravascular volume.
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PROGRAM DESCRIPTION Top

Project ECHO: Building capacity to manage complex conditions in rural, remote and underserved areas Highly accessed article p. 115
Andrea D Furlan, Kathleen A Pajer, William Gardner, Bryan MacLeod
DOI:10.4103/CJRM.CJRM_20_18  PMID:31552868
There is a need to bring specialized medical expertise to rural and remote areas. Project ECHO offers a method to move knowledge from specialists in academic centres using videoconference, case-base learning, and best-practices knowledge sharing. Ontario has implemented ECHO since 2014 and has demonstrated favourable outcomes among primary care clinicians.
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THE PRACTITIONER / LE PRACTITIEN Top

Country cardiograms case #66 p. 121
Charles William Helm
DOI:10.4103/CJRM.CJRM_13_19  PMID:31552869
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Country cardiograms case #66: Answer p. 122
Charles William Helm
DOI:10.4103/1203-7796.267571  PMID:31552870
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CASE STUDY Top

Catch of a lifetime – Erysipelothrix rhusiopathiae bacteraemia, septicaemia, endocarditis and osteomyelitis in a Newfoundland crab fisherman and butcher p. 123
Nathan Wilson, Christopher Patey, Dawn Howse
DOI:10.4103/CJRM.CJRM_8_18  PMID:31552871
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