Collaboration with established SoMe websites using podcasts and infographics was associated with increased Altmetric scores and abstract views but not full-text article views.

Objectives: To power the METRIQ (Medical Education Translational Resources: Impact and Quality) Study adequately, we aimed to recruit > 200 medical students, residents, and attendings to complete a 90-to 120-minute survey by leveraging a virtual community of practice (vCoP).Methods: Participants were recruited using personal (conference campaign and e-mails) and online (a study website and social media campaign utilizing Twitter, Facebook, blogs, podcasts, an infographic, and a YouTube video) techniques that leveraged relationships within a virtual community or practice. Participants received weekly survey reminders for 4 weeks and at the end of the rating period. Survey completion rates were calculated.Results: A total of 380 potential participants completed an intake form (139 medical students, 120 residents, 121 attendings), 330 consented to participate, and 309 (81.3% of interested and 93.9% of consenting participants) completed the full survey (121, 88, and 100, respectively). The required sample size was achieved. Conclusions:The METRIQ Study utilized a multimodal recruitment campaign that targeted a vCoP. It recruited large numbers of participants with high completion rates. Response rates could not be calculated given the uncertainty surrounding the number of individuals invited to participate. P ower calculations for the METRIQ (Medical Education Translational Resources: Impact and Quality) Study 1 indicated that we would require > 200 medical students, residents, and attending physicians to complete

Objective: For a variety of reasons, many emergency department (ED) visits are classified as less-or nonurgent (Canadian Triage and Acuity Scale [CTAS] level IV and V). A recent survey in a tertiary care ED identified some of these reasons. The purpose of our study was to determine if these same reasons applied to patients presenting with problems triaged at a similar level at a lowvolume rural ED. Methods: A 9-question survey tool was administered to 141 CTAS level IV and V patients who attended the South Huron Hospital ED, in Exeter, Ontario, over a 2-week period in December 2006. Results: Of the 141 eligible patients, 137 (97.2%) completed the study. One hundred and twentytwo patients (89.1%) reported having a family physician (FP) and 53 (38.7%) had already seen an FP before presenting to the ED. Just over one-half of all patients (51.1%) had their problem for more than 48 hours, and 42 (30.7%) stated that they were referred to the ED for care. Fifty-three (38.7%) of the respondents felt they needed treatment as soon as possible. Many patients reported coming to the ED because: 1) their FP office was closed (21.9%); 2) they could not get a timely appointment (16.8%); or 3) the walk-in clinic was closed (24.8%). Only 6 patients (4.4%) specifically stated that they came to the ED because they had no FP. One-third of patients attended the ED because they believed it offered specialized services. Conclusion: In this rural setting, most less-or nonurgent ED patients had an FP yet they went to the ED because they did not have access to primary care, because they perceived their problem to be urgent or because they were referred for or sought specific services. RÉSUMÉ Objectif : Pour de nombreuses raisons, bon nombre des patients se présentant à l'urgence sont classés dans les catégories « moins urgent » ou « non urgent » correspondant respectivement aux niveaux IV et V de l'Échelle canadienne de triage et de gravité (ÉTG). Un récent sondage réalisé à l'urgence d'un centre hospitalier de soins de troisième ligne a mis en lumière certaines raisons. L'objectif de notre étude était de déterminer si les mêmes raisons s'appliqueraient au triage à un niveau semblable chez les patients se présentant à l'urgence dans un centre hospitalier à faible achalandage en milieu rural.

Objective: The Broselow Pediatric Emergency Tape (Armstrong Medical Industries, Inc., Lincolnshire, IL) (BT) is a wellestablished length-based tool for estimation of body weight for children during resuscitation. In view of pandemic childhood obesity, the BT may no longer accurately estimate weight. We therefore studied the BT in children from Ontario in a large recent patient cohort. Methods: Actual height and weight were obtained from an urban and a rural setting. Children were prospectively recruited between April 2007 and July 2008 from the emergency department and outpatient clinics at the London Health Science Centre. Rural children from junior kindergarten to grade 4 were also recruited in the spring of 2008 from the Avon Maitland District School Board. Data for preschool children were obtained from three daycare centres and the electronic medical record from the Maitland Valley Medical Centre. The predicted weight from the BT was compared to the actual weight using Spearman rank correlation; agreement and percent error (PE) were also calculated. Results: A total of 6,361 children (46.2% female) were included in the study. The median age was 3.9 years (interquartile range [IQR] 1.56-7.67 years), weight was 17.2 kg (IQR 11.6-25.4 kg), and height was 103.5 cm (IQR 82-124.4 cm). Although the BT weight estimate correlated with the actual weight (r 5 0.95577, p , 0.0001), the BT underestimated the actual weight by 1.62 kg (7.1% 6 16.9% SD, 95% CI 226.0-40.2). The BT had an $ 10% PE 43.7% of the time. Conclusions: Although the BT remains an effective method for estimating pediatric weight, it was not accurate and tended to underestimate the weight of Ontario children. Until more accurate measurement tools for emergency departments are developed, physicians should be aware of this discrepancy. RÉ SUMÉObjectif: L'é chelle de Broselow (Broselow Tape [ Bien que les poids estimé s à l'aide de l'é chelle de Broselow aient é té corré lé s avec les poids ré els (r 5 0,95577, p , 0,0001), l'é chelle de Broselow a sous-estimé le poids ré el de 1,62 kg (7,1 % 6 16,9 % é cart-type, IC à 95 %: 26,0 à 40,2). L'é chelle de Broselow avait un $ 10 % PE 43,7 % du temps. Conclusions: Bien que l'é chelle de Broselow reste une mé thode efficace d'estimation du poids en pé diatrie, elle ne s'est pas montré e exacte et tend à sous-estimer le poids des enfants en Ontario. Tant que l'on n'aura pas dé veloppé d'outil de mesure plus pré cis pour les services d'urgence, les mé decins doivent ê tre conscients de cette divergence.

The World Health Organization declared an influenza H1N1 global pandemic in June 2009, which resulted in a great deal of research. However, no studies have been published on incidence, characteristics and impact in rural emergency departments (EDs). Methods: Data were gathered from two rural EDs located in Southwestern Ontario. A retrospective chart review was performed on all visits to the hospitals' EDs with ICD-10 codes relating to influenza-like illnesses (ILI). The chart review periods were