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Roy Purssell, MD, FRCPC
A number of factors common in the elderly make them vulnerable to acute kidney injury and subsequent digoxin toxicity. Case An 85-year-old female presented to emergency after a syncopal episode. She complained of... Read More
Cases of agranulocytosis associated with the use of cocaine containing levamisole were identified in British Columbia in 2008 following an alert from Alberta.[1] From early 2008 to February 2011, 45 cases were reported... Read More
Impairment-related crashes are the leading criminal cause of death in Canada, accounting for approximately 1239 deaths, 73 120 injuries, and as much as $12.6 billion in financial and social costs annually.[1] ... Read More
There are well over 150 fatalities each year due to drinking and driving in British Columbia. Research based on coroners’ data indicate that there were 458 traffic fatalities in British Columbia in 2006 and that 168 (36... Read More
What would we do if we heard a patient say, “Dear, why don’t you have several stiff drinks, put on a pair of blinkers” (like horses wear), “and drive over and pick up Johnny at school?” I think we’d be taken aback.... Read More
We are missing the opportunity to get impaired drivers off the road and into alcohol treatment. Managing injured, intoxicated drivers is an issue of significant importance to emergency departments. Emergency phy... Read More