CJEM Articles: Robert Drummond

Displaying 1-4 of 4 results

  • A case of Clostridium septicum spontaneous gas gangrene
    March 2007 9 2
    Joe Dylewski, John Rowen, Robert Drummond

    Severe skin and soft tissue infections (SSTIs) are often life-threatening emergencies that require a rapid diagnosis. Gas gangrene is one of the most fulminant types of SSTI and is usually caused by Clostridium perfringens' contamination of an open wound.

    Although gas gangrene is usually associated with fecally contaminated wounds, "spontaneous" cases occur and are most commonly caused by Clostridium (C.) septicum. We report a case of spontaneous gas gangrene caused by C. septicum that only became manifest while the patient was being monitored in the emergency department. We also review the diagnosis and treatment aspects of this entity.

  • On a wing and a prayer: medical emergencies on board commercial aircraft
    July 2002 4 4
    Alan J. Drummond, Robert Drummond

    Medical emergencies sometimes arise in the isolated and confined environment of a commercial aircraft. Because a physician passenger may be on board in 40% to 90% of all commercial flights, it follows that this physician may be asked to render assistance to an acutely ill passenger. Although data suggest that the incidence of such emergencies is low, the potential for serious events necessitates a degree of familiarity with the nature of emergencies in the air and with the options available to the travelling physician.

  • Delayed salicylate toxicity following enteric-coated acetylsalicylic acid overdose: a case report and review of the literature
    January 2001 3 1
    Julie St-Cyr, Nadine Kadri, Robert Drummond

    Salicylates are widely available and potentially lethal. Clinical and laboratory findings associated with enteric-coated acetylsalicylic acid (ECASA) ingestion may be delayed more than 24 hours. When dealing with patients who have a history of significant ingestion, emergency physicians should consider initiating therapy regardless of initial salicylate levels. Prolonged observation may be necessary in cases of suspected ECASA overdose.

  • The Alternative Funding Agreement for emergency services in Ontario: a new compensation method for rural emergency departments
    October 2000 2 4
    Alan J. Drummond, Robert Drummond