If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
<br /> The of cial journal of the Society of Rural Physicians of Canada Le journal of ciel de la Société de la médecine rurale du Canada<br /> VOLUME 18, NO. 4, FALL 2013 VOLUME 18, Nº 4, AUTOMNE 2013<br /> IN THIS ISSUE DANS CE NUMÉRO<br /> Perinatal Surgical Outcomes in BC<br /> Procedural Sedation and Analgesia<br /> The Occasional Corneal Rust Ring Removal<br /> Indication & clinical use:<br /> ONBREZ* BREEZHALER* (indacaterol maleate) is a long-<br /> acting ß -agonist (LABA) indicated for long-term, once-daily,<br /> 2<br /> maintenance bronchodilator treatment of air ow obstruction<br /> in patients with chronic obstructive pulmonary disease<br /> (COPD), including chronic bronchitis and emphysema.<br /> r/PUJOEJDBUFEGPSUIFSFMJFGPGBDVUFEFUFSJPSBUJPOPG$01% <br /> for asthma, or for use in patients under 18 years of age<br /> Contrai<a title="CJRM; Volume 18, No.4, Fall 2013 page 1" href="http://viewer.zmags.com/publication/bd9fb76b?page=1"> The of cial journal of the Society of Rural Physi</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 2" href="http://viewer.zmags.com/publication/bd9fb76b?page=2"> Indication & clinical use: ONBREZ* BREEZHALER* (i</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 3" href="http://viewer.zmags.com/publication/bd9fb76b?page=3"> cma.ca/cjrm Scientific Editor Rédacteur scienti</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 4" href="http://viewer.zmags.com/publication/bd9fb76b?page=4"> Coloured umbrellas Oil on canvas, 14" × 18", by M</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 5" href="http://viewer.zmags.com/publication/bd9fb76b?page=5"> Editorial / Éditorial Working to the breadth o</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 6" href="http://viewer.zmags.com/publication/bd9fb76b?page=6"> Utiliser notre permis d'exercice dans toute son e</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 7" href="http://viewer.zmags.com/publication/bd9fb76b?page=7"> Editorial / Éditorial President's message. Gene</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 8" href="http://viewer.zmags.com/publication/bd9fb76b?page=8"> Message du président. Le généralisme est mort. Vi</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 9" href="http://viewer.zmags.com/publication/bd9fb76b?page=9"> Stefan Grzybowski, MD, CCFP, FCFP, MClSc Centre f</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 10" href="http://viewer.zmags.com/publication/bd9fb76b?page=10"> INTRODUCTION Rural maternity services</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 11" href="http://viewer.zmags.com/publication/bd9fb76b?page=11"> between appendectomies performed by GPESSs and sp</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 12" href="http://viewer.zmags.com/publication/bd9fb76b?page=12"> data were unavailable owing to privacy issues. </a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 13" href="http://viewer.zmags.com/publication/bd9fb76b?page=13"> comes, and shows signi cantly higher rates of ce</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 14" href="http://viewer.zmags.com/publication/bd9fb76b?page=14"> populations they served. This was the case both i</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 15" href="http://viewer.zmags.com/publication/bd9fb76b?page=15"> 10. Enhanced Skills Division. Letter to potential</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 16" href="http://viewer.zmags.com/publication/bd9fb76b?page=16"> Rovina Fiona Pinto, MD Schulich School of Medicin</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 17" href="http://viewer.zmags.com/publication/bd9fb76b?page=17"> Conclusion : Les médecins qui exercent dans les s</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 18" href="http://viewer.zmags.com/publication/bd9fb76b?page=18"> they rarely or never used ketamine, ketofol and e</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 19" href="http://viewer.zmags.com/publication/bd9fb76b?page=19"> to correctly identify adverse effects of midazola</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 20" href="http://viewer.zmags.com/publication/bd9fb76b?page=20"> could be because the benefits of ketofol over oth</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 21" href="http://viewer.zmags.com/publication/bd9fb76b?page=21"> tored carefully.15 This could make physicians in </a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 22" href="http://viewer.zmags.com/publication/bd9fb76b?page=22"> tively, many centres have a medication dispensing</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 23" href="http://viewer.zmags.com/publication/bd9fb76b?page=23"> Descriptive Article Article descriptif The chan</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 24" href="http://viewer.zmags.com/publication/bd9fb76b?page=24"> settings now have become. Both are resistant to m</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 25" href="http://viewer.zmags.com/publication/bd9fb76b?page=25"> patients at risk for community-associated methici</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 26" href="http://viewer.zmags.com/publication/bd9fb76b?page=26"> The Practitioner Le praticien The occasional cor</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 27" href="http://viewer.zmags.com/publication/bd9fb76b?page=27"> many patients. Ensure adequate lighting. If the</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 28" href="http://viewer.zmags.com/publication/bd9fb76b?page=28"> bur tangential to the cornea (i.e., in a hor</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 29" href="http://viewer.zmags.com/publication/bd9fb76b?page=29"> Charles Helm, MD, CCFP Tumbler Ridge, BC Corresp</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 30" href="http://viewer.zmags.com/publication/bd9fb76b?page=30"> Out Behind the Barn Dans le feu de l'action Wi</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 31" href="http://viewer.zmags.com/publication/bd9fb76b?page=31"> similar to that in older versions of Windows. It </a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 32" href="http://viewer.zmags.com/publication/bd9fb76b?page=32"> Danette Dawkin, MD Family Practice Residency Prog</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 33" href="http://viewer.zmags.com/publication/bd9fb76b?page=33"> The Practitioner Le praticien Country cardiogra</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 34" href="http://viewer.zmags.com/publication/bd9fb76b?page=34"> block or incomplete right bundle block; a variety</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 35" href="http://viewer.zmags.com/publication/bd9fb76b?page=35"> Career/ Classified Advertising The Canadian Jo</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 36" href="http://viewer.zmags.com/publication/bd9fb76b?page=36"> Family/General Physicians for Nelson, British Co</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 37" href="http://viewer.zmags.com/publication/bd9fb76b?page=37"> 151 Can J Rural Med 2013;18(4)</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 38" href="http://viewer.zmags.com/publication/bd9fb76b?page=38"> 152 LOOKING FOR A CHANGE? COME EXP</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 39" href="http://viewer.zmags.com/publication/bd9fb76b?page=39"> PRACTISE MEDICINE IN BRITISH COLUMBIA Enrich your</a> <a title="CJRM; Volume 18, No.4, Fall 2013 page 40" href="http://viewer.zmags.com/publication/bd9fb76b?page=40"> Indication & clinical use: SEEBRI* BREEZHALER* is</a>