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"Emergency Medicine" OR "Emergency Nursing" OR "Emergency Nurse"

Victoria S S Wong, Matthew Stevenson, Jared Mott, Kinshuk Sahaya
PURPOSE: The prevalence and characteristics of seizure and epilepsy research published in nonneurology journals are unknown. Characterizing this published research allows for insight into the relevance of seizures and epilepsy in other specialties and may increase opportunity for cross-specialty collaboration. METHODS: In this observational study, we reviewed the top five highly cited clinical journals within eleven specialties in the InCites Journal Citation Reports (JCR) database (2016)...
February 16, 2019: Epilepsy & Behavior: E&B
Anne M Libby, Kerryann B Broderick, Richard D Zane
No abstract text is available yet for this article.
February 19, 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Jessica Pflipsen, Cian McDermott, Eva Mary Doherty, Niamh Humphries
BACKGROUND: In recent years, attrition from Emergency Medicine (EM) training in Ireland has increased. Australian data illustrates that increasing numbers of Irish-trained doctors are embarking on EM training in Australia. This has implications for EM in Ireland, particularly for Emergency Departments already under strain. An adequate supply of qualified specialist EM doctors is essential to provide high-quality patient care. AIMS: The aim of this study is to gain insights into the reasons for attrition from EM training in Ireland...
February 18, 2019: Irish Journal of Medical Science
Elspeth Cumber, Paul Robert Greig
OBJECTIVES: To determine the feasibility and ease of using a pre-existing health and safety executive fatigue risk calculator to assess doctors' rotas. DESIGN: Observational. SETTING: A large tertiary-referral teaching hospital in the UK. PARTICIPANTS: 95 anonymised foundation years 1 and 2 rotas in General Medicine, General Surgery and Emergency Medicine covering a 4-month period. All rotas provided by rota coordinators were included and assessed...
February 15, 2019: BMJ Open
Tobias Hofmann, Thomas Hachenberg
BACKGROUND: During the last years healthcare personnel is more often faced with different degrees of violence and aggression while doing their jobs. However, systematic data with respect to offender profiles, reasons, frequency and types of violence in emergency medicine in Germany has not been systematically analyzed. AIM: The aim of this article is to overview the data of present German studies. RESULTS: Only a few German studies could be included...
February 2019: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Michael Schreiber, Clemens-Alexander Greim
The rising impact of perioperative sonography is mainly based on mobile high quality ultrasound systems. Relevant bleedings or functional limitations of the abdomen are easy to identify with sonography. The FAST-Concept can be the first access to continue proceedings in ultrasound examination of the abdomen. This paper demonstrates some important ultrasound examinations of the abdomen. The clinical main issues are traumatic and atraumatic bleedings of heart, liver and spleen with haemodynamic instability and functional limitations of abdominal organs like bile cystitis, gastrointestinal passage disability and obstructive uropathy...
February 2019: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Wolf Armbruster, Rüdiger Eichholz, Thomas Notheisen
Lung ultrasound is an underrated tool in preclinical emergency situations, intensive care units, ORs and emergency rooms. For certain clinical questions, there is a drastically higher sensitivity in comparison to chest X-ray examinations (sensitivity in pneumothorax diagnostics 86 vs. 28%, specificity 97 vs. 100%. A standardized examination improves the quality of the ultrasound examination and thus the diagnostic value. The article provides basic information on pulmonary ultrasound and aims to highlight the superiority of ultrasound over x-ray procedures for anesthesia, intensive care and emergency medicine in accordance to the international evidence-based recommendations for point of care ultrasound...
February 2019: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Dave W Lu, Andra L Blomkalns
The current state of physician burnout has become an increasingly popular topic of discussion and concern. Depending on how it is defined and measured by researchers, the prevalence of physician burnout ranges anywhere from 0 to 80%.1 Emergency medicine is often cited as the specialty with some of the highest reported levels of physician burnout.2 Regardless of what the "true" prevalence of physician burnout may be, most of these studies suggest the presence of a crisis. The detrimental impact of burnout on physicians is certainly of interest to physicians...
February 15, 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Jason Gandhi, Min Yea Lee, Gunjan Joshi, Sardar Ali Khan
CONTEXT: Surfer's myelopathy (SM) is an acute syndrome identified by nontraumatic paraparesis or paraplegia. Though traditionally tied to first-time surfers, the condition encompasses any activity involving hyperextension of the back such as gymnastics, yoga, and Pilates. METHODS: MEDLINE® and Google Scholar literature searches were gathered to identify relevant case reports for determining the etiology, pathogenesis, evaluation, and management of SM. RESULTS: While the rare nature of SM limits its full understanding, studies have pinpointed that hyperextension in the back leads to vasculature insufficiency secondary to dynamic compression of the artery of Adamkiewicz...
February 15, 2019: Journal of Spinal Cord Medicine
Scott Crawford, Igor Kushner, Radosveta Wells, Stormy Monks
Physicians spend a large portion of their time documenting patient encounters using electronic health records (EHRs). Meaningful Use guidelines have made EHR systems widespread, but they have not been shown to save time. This study compared the time required to complete an emergency department note in two different EHR systems for three separate video-recorded standardized simulated patient encounters. The total time needed to complete documentation, including the time to write and order the initial history, physical exam, and diagnostic studies, and the time to provide medical decision making and disposition, were recorded and compared by trainee across training levels...
2019: Perspectives in Health Information Management
Meera R Nariadhara, Hendry R Sawe, Michael S Runyon, Victor Mwafongo, Brittany L Murray
Background: Modified systemic inflammatory response syndrome (mSIRS) criteria for the pediatric population together with the provider gestalt have the potential to predict clinical outcomes. However, this has not been studied in low-income countries. We investigated the ability of mSIRS and provider gestalt to predict mortality and morbidity among children presenting to the ED of a tertiary level hospital in Tanzania. Methods: This prospective observational study enrolled a convenience sample of children under 5 years old, presenting to the Emergency Medicine Department of Muhimbili National Hospital from September 2015 to April 2016...
2019: Tropical Medicine and Health
Rina Maoz-Breuer, Oren Berkowitz, Rachel Nissanholtz-Gannot
BACKGROUND: A new role of Physician Assistant (PA) was introduced into Emergency Departments (ED) in Israel in 2016, as part of a larger effort to improve the quality of service in the EDs. When the new role was introduced, there was a fair amount of uncertainty about whether it would succeed, in light of ambivalence on the part of many ED nurses, and lack of clarity among ED directors about the necessity of a PA role, and about the extent to which PAs would be allowed to take on professionally meaningful tasks...
February 15, 2019: Israel Journal of Health Policy Research
Alexis Coulourides Kogan, Tony Rosen, Adria Navarro, Diana Homeier, Krithika Chennapan, Laura Mosqueda
BACKGROUND: Standardization in tools and documentation of child abuse and intimate partner violence have proven helpful in completely documenting injuries and suspected abuse among these populations. Similar tools do not yet exist for older adults and elder abuse. OBJECTIVE: To (1) use insights from experts to develop a tool to assist clinicians in appropriately and completely documenting physical findings in injured older adults for potential future forensic investigation of abuse or neglect and (2) to assess the feasibility of incorporating this tool into clinical practice...
February 13, 2019: Journal of General Internal Medicine
Ture Larsen, Randi Beier-Holgersen, Jette Meelby, Peter Dieckmann, Doris Østergaard
Objective: This systematic review examines the medical, psychological and educational literature for training in practising leadership of a team leader in emergencies. The objectives of this paper are (1) describe how literature addresses operational training in practising leadership for the emergency medical team-leader (2) enhance understanding of leadership training in the medical environment. Background: Worldwide, medical supervisors find it difficult to get students to rise to the occasion as leaders of emergency teams...
November 2018: Heliyon
Andrew Grock, Natasha Wheaton, Lynn Roppolo, Chris Gaafary
The Academic Life in Emergency Medicine (ALiEM) Approved Instructional Resources (AIR) Series was created in 2014 to address a lack of both curation of online educational content and a nationally available curriculum that meets individualized interactive instruction. Using an expert-based, crowdsourced approach, the AIR series identifies trustworthy, high-quality, educational blog and podcast content. Here, we summarize the content rated as high quality per our a priori criteria as evaluated by eight attending physicians...
December 5, 2018: Curēus
Bat-Zion Hose, Peter L T Hoonakker, Abigail R Wooldridge, Thomas B Brazelton Iii, Shannon M Dean, Ben Eithun, James C Fackler, Ayse P Gurses, Michelle M Kelly, Jonathan E Kohler, Nicolette M McGeorge, Joshua C Ross, Deborah A Rusy, Pascale Carayon
OBJECTIVE:  To describe physician perceptions of the potential goals, characteristics, and content of the electronic problem list (PL) in pediatric trauma. METHODS:  We conducted 12 semistructured interviews with physicians involved in the pediatric trauma care process, including residents, fellows, and attendings from four services: emergency medicine, surgery, anesthesia, and pediatric critical care. Using qualitative content analysis, we identified PL goals, characteristics, and patient-related information from these interviews and the hospital's PL etiquette document of guideline...
January 2019: Applied Clinical Informatics
Wells Weymouth, Lane Thaut, Nathan Olson
Introduction The use of telemedicine by deployed healthcare providers to improve patient care has been increasing in recent foreign conflicts and humanitarian missions. These efforts have mostly been limited to email consultation with long response lag times. The United States Military has developed several modalities of telemedicine for use in austere environments, ranging from video conferencing, email, and store-and-forward technology. As of now, these efforts have required large pieces of equipment and many technical support personnel and have a delayed response time...
November 30, 2018: Curēus
Kinjal N Sethuraman, Michelle D Lall Md, Susan H Watts, Kathleen J Clem
Despite the steady increase in female medical students and female faculty in the US, there has been little change in the distribution of women across the ranks of assistant, associate, and full professor over the past 30 years.1,2,3 Women are substantially less likely than men to be full professors even after accounting for age, experience, specialty, and measures of research and clinical productivity.4,5 From 2009 to 2017, the percentage of female faculty in emergency medicine dropped from 3% to 1.8%, while it stayed relatively stable for men (9% to 8...
February 12, 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Suzanne V Blackley, Jessica Huynh, Liqin Wang, Zfania Korach, Li Zhou
Objective: The study sought to review recent literature regarding use of speech recognition (SR) technology for clinical documentation and to understand the impact of SR on document accuracy, provider efficiency, institutional cost, and more. Materials and Methods: We searched 10 scientific and medical literature databases to find articles about clinician use of SR for documentation published between January 1, 1990, and October 15, 2018. We annotated included articles with their research topic(s), medical domain(s), and SR system(s) evaluated and analyzed the results...
February 11, 2019: Journal of the American Medical Informatics Association: JAMIA
Jaclyn M Stoffel, Regan A Baum, Adam J Dugan, Abby M Bailey
Purpose: The purpose of this survey-based research project is to identify factors, including prior training, institution demographics, and pharmacist prioritization of services that may impact variability in practice among emergency medicine (EM) pharmacists. Methods: An electronic survey was available for 6 weeks. Participants were contacted through professional membership directories. Survey questions addressed EM pharmacist training and institution demographics...
February 8, 2019: American Journal of Health-system Pharmacy: AJHP
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