The Emergency Services Advisory Committee (ESAC) wishes to make all physicians who practise emergency medicine in British Columbia aware of recommendations from a recent (13 May 2014 [revised 30 June 2014]) BC Coroners Service Preventable Death Bulletin:*
Follow the BC Drug and Poison Information Centre (DPIC) protocol for the treatment of a methadone overdose:
• Asymptomatic patients with suspected [methadone] overdose and children ingesting any amount should be monitored for at least 10 hours.
• Symptomatic patients should be monitored until all symptoms resolve; observe for resedation for at least 6 hours and, concludes the Coroner,* up to 10 hours after the last dose of naloxone.
• Call the DPIC when a patient with poison and overdose presents at the ED (24 hours: 604 682-5050 or 1 800 567-8911).
*The full bulletin, including the DPIC protocol for the treatment of a methadone overdose, is posted on the Section of Emergency Medicine website (www.sem-bc.com), the UBC Department of Emergency Medicine website (www.emergency.med.ubc.ca), and the BCMJ website (click here for the full bulletin).
—Jim Christenson, MD
Head, UBC Department of Emergency Medicine
—David A. Haughton, MD
Chair, Doctors of BC Section of Emergency Medicine
—Roy Purssell, MD
Director of BC Poison Control
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org