Canadian family physician Médecin de famille canadien
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To help make diagnosis and treatment of scaphoid fracture more precise by review of published evidence. ⋯ Evidence found in the literature can be used to improve diagnostic accuracy for scaphoid fractures, to optimize treatment for these injuries, and to reduce unnecessary immobilization and disability for patients.
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To inform primary care physicians about current issues around generalized convulsive status epilepticus (GCSE) emphasizing definition, pathophysiology, treatment, and prognosis. ⋯ Intravenous lorazepam and phenytoin are currently the most effective drugs for initial management of GCSE. Timely administration of antiepileptic medication can prevent development of GCSE in some patients with known epilepsy. Main differential diagnosis is nonepileptic status.
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To determine family physicians' perceptions of how available respite care is and how easy it is to refer chronically ill older people to it, and to examine their opinions of respite care. ⋯ Family physicians need education in the value of respite services for their chronically ill older patients and their families. Physicians also need information on the respite services available and strategies for accessing them. Our findings suggest a need for greater attention to regional discrepancies in availability of services.