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   Table of Contents - Current issue
Coverpage
January-March 2019
Volume 24 | Issue 1
Page Nos. 3-28

Online since Monday, December 24, 2018

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EDITORIALS / ÉDITORIAUX  

All new and improved
Nouveau et amélioré
p. 3
Peter Hutten-Czapski
DOI:10.4103/CJRM.CJRM_5_18  PMID:30638189
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President's message. R-E-S-P-E-C-T
R-E-S-P-E-C-T
p. 5
Margaret Tromp
DOI:10.4103/CJRM.CJRM_6_18  PMID:30638190
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ORIGINAL ARTICLES / ARTICLES ORIGINAUX Top

Fishhook injury in Eastern Newfoundland: Retrospective review p. 7
Christopher Patey, Thomas Heeley, Kris Aubrey-Bassler
DOI:10.4103/CJRM.CJRM_2_18  PMID:30638191
Abstract Introduction: The Canadian island of Newfoundland has a long history of fishing; however, no study to date has developed a regional profile of fishhook injuries on its east coast. Methods: To this end, we conducted a retrospective review of fishhook injuries at all Newfoundland East coast emergency departments from 2013 to 2015. Patient presentations were reviewed for the date of arrival, sex of the patient, location of fishhook injury, tetanus immunisation status, anaesthetic utilisation, diagnostic imaging, antibiotic management and technique of removal. Results: Information was retrieved for 165 patients. Most injuries occurred to the hand (80.6%), and out of five documented techniques, “advance and cut” was the most common extraction method (55.5%). There was a high percentage of prophylactic oral antibiotics prescribed (57%) and X-ray imaging (20%) utilised. Consultation was required for 4.2% of the fishhook injuries including consultation to a local fire department service. Conclusions: On the east coast of Newfoundland, fishhook injuries are addressed inconsistently, with potentially suboptimal methods for removal, coupled with unnecessary imaging and antibiotics. We believe that there is a role for education and other initiatives to improve the care delivered.
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CPRural p. 13
Zoe Evans, Bruce Mcknight
DOI:10.4103/CJRM.CJRM_13_18  PMID:30638192
Introduction: The purpose of our study was to determine if regular cardiopulmonary resuscitation (CPR) practise improved the quality of nurses' chest compressions in a rural hospital. Methods: The study was a prospective interventional trial measuring the effectiveness of brief, monthly CPR practice for rural nurses. The quality of nurses' chest compressions was measured before and after monthly practise with an interactive feedback device at the Golden and District Hospital, a rural facility in BC. Results: All three components of high-quality CPR (depth, recoil and rate) improved significantly. Conclusion: Monthly practise of chest compressions with an interactive feedback device improved the quality and confidence of nurses' CPR skills. These results suggest that a higher frequency of CPR practice (than the minimum annual recertification) would improve both the quality and retention of CPR skills, specifically for low-volume rural hospitals.
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THE PRACTITIONER / LE PRATICIEN Top

The occasional nasal fracture p. 18
Mary Ollier, Sarah Ollier, Sarah M Giles
DOI:10.4103/CJRM.CJRM_7_18  PMID:30638193
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Country cardiograms case 65 p. 23
Charles Helm, Matthew Embree
DOI:10.4103/CJRM.CJRM_4_18  PMID:30638194
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Country cardiograms case 65: Answer p. 25
Charles Helm, Matthew Embree
DOI:10.4103/1203-7796.248418  PMID:30638195
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CAREERS/CLASSIFIED Top

Rural Medicine Careers / Classified p. 27

DOI:10.4103/1203-7796.248450  PMID:30638196
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