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Foëx Bernard A - - 2014
This subjective review is based on a presentation made at the College of Emergency Medicine Scientific Conference in September 2013. My theme was that there are certain features of the critically ill which cause understandable anxiety, namely hypoxia, haemorrhage and hypotension. So, I have selected papers relevant to the management ...
Laursen Christian B - - 2014
The first Danish Society for Emergency Medicine (DASEM) recommendations for the use of clinical ultrasound in emergency departments has been made. The recommendations describes what DASEM believes as being current best practice for training, certification, maintenance of acquired competencies, quality assurance, collaboration and research in the field of clinical US ...
Gonzalo Jed D JD 1Assistant Professor of Medicine and Public Health Sciences, Assistant Dean for Health Systems Education, Pennsylvania State University College of Medicine, Hershey, - - 2014
/st>To evaluate the impact of a new electronic handoff tool for emergency department to medicine ward patient transfers over a 1-year period. /st>Prospective mixed-methods analysis of data submitted by medicine residents following admitting shifts before and after eSignout implementation. /st>University-based, tertiary-care hospital. /st>Internal medicine resident physicians admitting patients from the ...
Craig Simon S Emergency Department, Monash Medical Centre, Melbourne, Victoria, Australia; Southern Clinical School, Monash University, Melbourne, Victoria, - - 2014
To describe current practice of EDUS by ACEM Trainees and Fellows; to describe potential barriers to US use in the Australasian setting; to determine compliance with current college guidelines regarding US credentialing. Data were collected by a cross-sectional online survey. Respondents were Trainees and Fellows of the ACEM. Outcome measures ...
Radecki Ryan P RP Department of Emergency Medicine, the University of Texas Health Science Center-Houston, Houston, TX. Electronic address: - - 2014
The Annals November 2013 Journal Club issue marked one of the first collaborations with Academic Life in Emergency Medicine, a medical education blog, in an effort to promote a worldwide, transparent, online effort to perform critical appraisals of journal articles. The Global Emergency Medicine Journal Club was hosted on the ...
Arneill M M F1 Trainee in the Department of Urology, Craigavon Area Hospital, Portadown, BT63 - - 2014
The septic obstructed kidney is a urological emergency and, as such, prompt diagnosis and management are critical in achieving good outcomes. This article highlights the presenting features, radiological investigation and surgical management of this condition, and compares the two methods of surgical decompression.
Buchanan Matthew S MS The Department of Emergency Medicine, Denver Health Medical Center, Denver, CO; The University of Colorado School of Medicine, Aurora, - - 2014
The objective was to survey practicing emergency physicians (EPs) across the United States regarding the frequency of using ultrasound (US) guidance in central venous catheter (CVC) placement and, secondarily, to determine factors associated with the use or barriers to the use of US guidance. This was a cross-sectional survey mailed ...
Moellman Joseph J JJ The Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, - - 2014
Despite its relatively common occurrence and life-threatening potential, the management of angioedema in the emergency department (ED) is lacking in terms of a structured approach. It is paramount to distinguish the different etiologies of angioedema from one another and more specifically differentiate histaminergic-mediated angioedema from bradykinin-mediated angioedema, especially in lieu ...
Jacquet Gabrielle A GA Department of Emergency Medicine, Boston University School of Medicine, Boston, Massachusetts; Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, - - 2014
Increasing numbers of emergency medicine (EM) residents and fellows are completing additional training with the intention of pursuing careers in global emergency medicine (GEM). At the same time, many academic emergency departments (EDs) are investing in the development of GEM divisions and global/international EM fellowship programs. However, the path for ...
Green Steven M SM Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA. Electronic address: - - 2014
Clinical decision rules are increasingly prominent in medicine, particularly in emergency care. The quality, use, and impact of current published decision rules widely vary, requiring clinicians to be critical consumers. We present an approach to assist in the appraisal of clinical decision rules and in judging when to use such ...
Pallin Daniel J DJ Department of Emergency Medicine, Brigham and Women's Hospital, Boston, - - 2014
Contact precautions policies in US emergency departments have not been studied. We surveyed a structured random sample and found wide variation; for example, 45% required contact precautions for stool incontinence or diarrhea, 84% for suspected Clostridium difficile, and 79% for suspected methicillin-resistant Staphylococcus aureus infection. Emergency medicine departments and organizations ...
Rosenberg Karen - - 2014
But controversy emerges over calculator used to estimate risk of cardiovascular events.
Lipman Grant S GS The Department of Surgery, Division of Emergency Medicine, Stanford University School of Medicine, Stanford, - - 2014
Wilderness medicine is the practice of resource-limited medicine under austere conditions. In 2003, the first wilderness medicine fellowship was established, and as of March 2013, a total of 12 wilderness medicine fellowships exist. In 2009 the American College of Emergency Physicians Wilderness Medicine Section created a Fellowship Subcommittee and Taskforce ...
Mm Gibani Malick M Core Medical Trainee in the Department of Infectious Diseases and Tropical Medicine, Northwick Park Hospital, - - 2014
The clinical presentation of encephalitis is often non-specific, complicating the immediate diagnosis and management. This article highlights key messages from recently published guidelines, identifies common pitfalls and discusses how these lessons can be applied to routine clinical practice.
Crane Peter W PW Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New - - 2014
Emergency department (ED) crowding correlates with patient safety. Difficulties quantifying crowding and providing solutions were highlighted in the recent Institute of Medicine (IOM) report calling for the application of advanced industrial engineering (IE) research techniques to evaluate ED crowding. ED personnel workload is a related concept, with potential reciprocal effects ...
Hempel Dorothea - - 2014
Clinician-performed ultrasound has become a widely utilized tool in emergency medicine and is a mandatory component of the residency curricula. We aimed to assess the effect of personalized peer-comparison feedback on the number of ultrasound scans performed by emergency medicine residents. A personalized peer-comparison feedback was performed by sending 44 ...
Fares Saleh S Department of Emergency Medicine, Zayed Military Hospital, P,O, Box: 8313, Abu Dhabi, United Arab Emirates. - - 2014
It has been a decade since emergency medicine was recognized as a specialty in the United Arab Emirates (UAE). In this short time, emergency medicine has established itself and developed rapidly in the UAE. Large, well-equipped emergency departments (EDs) are usually located in government hospitals, some of which function as ...
Souris Marc M Center of Excellence for Vectors and Vector Borne Diseases, Faculty of Science, Mahidol University at Salaya, Nakhon Pathom 73170, Thailand. - - 2014
Highly pathogenic avian influenza (HPAI) remains of concern as a major potential global threat. This article evaluates and discusses the level of vulnerability of medium and small-scale commercial poultry production systems in Thailand related to avian influenza virus re-emergence. We developed a survey on 173 farms in Nakhon Pathom province ...
Shamszaman Zia Ush ZU Department of CICE, Hankuk University of Foreign Studies, Yongin-si 449-791, Korea. - - 2014
Recent advancements in the Internet of Things (IoT) and the Web of Things (WoT) accompany a smart life where real world objects, including sensing devices, are interconnected with each other. The Web representation of smart objects empowers innovative applications and services for various domains. To accelerate this approach, Web of ...
Kullo Iftikhar J IJ Division of Cardiovascular Diseases, Mayo Clinic Rochester, MN, - - 2014
The electronic Medical Records and Genomics (eMERGE) (Phase I) network was established in 2007 to further genomic discovery using biorepositories linked to the electronic health record (EHR). In Phase II, which began in 2011, genomic discovery efforts continue and in addition the network is investigating best practices for implementing genomic ...
Del Portal Daniel A DA Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, - - 2013
Precipitous obstetric deliveries can occur outside of the labor and delivery suite, often in the emergency department (ED). Shoulder dystocia is an obstetric emergency with significant risk of adverse outcome. To review multiple techniques for managing a shoulder dystocia in the ED. We review various techniques and approaches for achieving ...
Sabbagh C C Service de chirurgie digestive et métabolique, CHU d'Amiens, 80054 Amiens, France; Université de Picardie, 80000 Amiens, - - 2013
Ambulatory management is a modality of care defined in France by a hospitalization of less than 12h without an overnight stay. Currently, few data are available on its role in the management of gastrointestinal emergencies, such as appendectomy for acute appendicitis, cholecystectomy for acute cholecystitis or emergency proctologic surgery. The ...
Miller Michael P MP Denver Health Residency in Emergency Medicine, Denver, CO 80207. Electronic address: - - 2013
The recent arrival of the target-specific oral anticoagulants (TSOACs) offers potential advantages in the field of anticoagulation. However, there are no rapid and accurate and routinely available laboratory assays to evaluate their contribution to clinical bleeding. With the expanding clinical indications for the TSOACs, and the arrival of newer reversal ...
Shah Manish I - - 2013
Abstract Objective. The objective of this guideline is to recommend evidence-based practices for timely prehospital pediatric seizure cessation while avoiding respiratory depression and seizure recurrence. Methods. A multidisciplinary panel was chosen based on expertise in pediatric emergency medicine, prehospital medicine, and/or evidence-based guideline development. The panel followed the National Prehospital ...
Russo V V Emergency Medicine Department, Sant'Andrea Hospital, School of Medicine and Psychology, "Sapienza" University Rome, Rome, Italy. - - 2013
Atrial fibrillation (AF) is the most common cardiac dysrhythmia and occurs in 3.3%-10% of emergency admissions. It is frequently quoted for people over the age of 75, but the cases of AF in young subjects without structural heart disease are also increasing, therefore, leading to the evaluation of "lonely atrial ...
Huseth A S AS Department of Entomology, University of Wisconsin-Madison, 1630 Linden Dr., Madison, WI 53706, - - 2013
Emergence phenology and fitness attributes of several Colorado potato beetle, Leptinotarsa decemlineata (Say), populations were measured under field and greenhouse conditions. Anecdotal observations by producers and pest managers in many locations of the upper Midwest increasingly suggested that select populations of Colorado potato beetle were emerging over a longer period ...
Yasui Shojiro - - 2013
During the emergency work at the Fukushima Daiichi Atomic Power Plant (APP), Tokyo Electric Power Company (TEPCO) and the Japanese government experienced various problems in radiological exposure management for emergency workers. To improve the implementation of appropriate radiological protection, the Ministry of Health, Labour and Welfare (MHLW) issued a series ...
Roberts Catherine - - 2013
▸ The Guidelines in Emergency Medicine Network (GEMNet) has been created to promote best medical practice in a range of conditions presenting to emergency departments (EDs) in the UK. ▸ This guideline presents a summary of the best available evidence to guide the use of thromboprophylaxis in adult ambulatory outpatients who present ...
Haywood Stephanie - - 2013
The aim of the HERCA working group on emergencies (WGE) is to develop proposals to align decisions of European national crisis management organisations in a consistent manner during a nuclear emergency. The focus is to enhance the cooperation between the European organisations responsible for emergency radiological assessment, such as nuclear ...
Worrell Stephanie G - - 2014
This article discusses thoracic emergencies, including the anatomy, pathophysiology, clinical presentation, examination, diagnosis, technique, management, and treatment of acute upper airway obstruction, massive hemoptysis, spontaneous pneumothorax, and pulmonary empyema.
McGregor Alyson J - - 2013
Academic Emergency Medicine publishes selected peer-reviewed videos that present state-of-the-art research, practice, and evidence in the field of emergency medicine. These videos are referred to as peer-reviewed lectures (PeRLs). This commentary reviews considerations for creating, filming, and producing high-quality PeRLs videos.
Arora Manit - - 2013
Training and the practice of emergency medicine are stressful endeavours, placing emergency medicine physicians at risk of burnout. Burnout syndrome is associated with negative outcomes for patients, institutions and the physician. The aim of this review is to summarise the available literature on burnout among emergency medicine physicians and provide ...
Lewin Anita H - - 2013
Over the past five years the number of internet sites advertising "legal highs" has literally exploded, as have user reports of experiences (both pleasurable and frightening) with these substances and the number of emergency room visits by users. Although the majority of these "legal highs" have been described as bath ...
Roubille Camille - - 2013
Introduction: Osteoarthritis (OA) is a dynamic process involving the main tissues of the joint for which a global approach should be considered. No disease-modifying OA drug (DMOAD) has yet been approved. New therapeutic strategies are needed that would be cost effective by reducing the need for pharmacological interventions and surgical ...
Vogelweid Catherine M - - 2013
Animal research regulatory agencies have issued updated requirements for emergency response planning by regulated research institutions. A thorough emergency response plan is an essential component of an institution's animal care and use program, but developing an effective plan can be a daunting task. The author provides basic information drawn from ...
Jones Alan E - - 2013
The Surviving Sepsis Campaign recently developed and published an updated version in 2012 of the international guidelines for the assessment and management of severe sepsis and septic shock. These guidelines reflect literature published in the last 5 years, and many of the recommendations have direct implications for emergency physicians. In ...
Burkle Frederick M - - 2013
The treatment of hunger strikers is always contentious, chaotic and complex. The management is particularly difficult for health professionals as it raises unprecedented clinical, ethical, moral, humanitarian, and legal questions. There are never any easy answers. The current situation of prisoners from the Iraq and Afghanistan Wars currently at the ...
Saliakellis Efstratios - - 2013
Paediatric GI emergencies constitute a wide range of gut pathologies ranging from those that are common, easily diagnosed and treated to conditions that are rarer, often more severe and challenging to manage. Among a myriad of ordinary clinical symptoms and signs physicians have to identify the child with a serious, ...
Robson P J - - 2013
Cannabis was extensively used as a medicine throughout the developed world in the nineteenth century but went into decline early in the twentieth century ahead of its emergence as the most widely used illicit recreational drug later that century. Recent advances in cannabinoid pharmacology alongside the discovery of the endocannabinoid ...
Botha Martin M Division of Emergency Medicine, University of the Witwatersrand, Johannesburg, South Africa. - - 2013
Despite the recognition of specialists in emergency medicine and the professionalisation of prehospital emergency care, international guidelines and consensus are often ignored, and the lag between guideline publication and translation into clinical practice is protracted. South African literature should reflect the latest evidence to guide resuscitation and safe patient care. ...
Deal Nathan N - - 2013
Bradydysrhythmias represent a collection of cardiac conduction abnormalities that span the spectrum of emergency presentations, from relatively benign conditions to conditions that represent serious, life-threatening emergencies. This review presents the electrocardiographic findings seen in common bradydysrhythmias and emphasizes prompt recognition of these patterns. Underlying etiologies that may accompany these conduction ...
Baizerman Michael - - 2013
Organizational development is based in part on knowledge development, both formal, scientifically proven and also nonscientific practice wisdom. This article brings together all of the lessons learned over our six years of work with Saint Paul Parks and Recreation, and suggests the practice utility of these.
Jacquet Gabrielle A - - 2013
Experts have proposed core curriculum components for international emergency medicine (IEM) fellowships. This study examined perceptions of program directors (PDs) and fellows on whether IEM fellowships cover these components, whether their perspectives differ and the barriers preventing fellowships from covering them. From 1 November 2011 to 30 November 2011, a ...
Lecoanet André - - 2013
Emergency departments are high-risk structures. The objective was to analyse the functioning of an experience feedback committee (EFC), a security management tool for the analysis of incidents in a medical department. We conducted a descriptive study based on the analysis of the written documents produced by the EFC between November ...
Jones James H - - 2013
The Lifelong Learning and Self-assessment (LLSA) component of the American Board of Emergency Medicine (ABEM) Maintenance of Certification (MOC) program is a self-assessment exercise for physicians. Beginning in 2011, an optional continuing medical education (CME) activity was added. As a part of a CME activity option for the LLSA, a ...
Comer Garet C - - 2013
Emergency medicine physicians are frequently responsible for evaluating and treating patients with urgent or emergent musculoskeletal conditions, so it is critical that they achieve a basic level of proficiency in musculoskeletal medicine. However, inadequacies in musculoskeletal education have previously been documented amongst medical students, residents and attending physicians in a ...
Henehan Michael J - - 2013
There is growing interest among emergency physicians to seek additional training in Sports Medicine (SM) and to add it to their clinical practice. This presents unique training and practice management issues. The majority of Primary Care SM fellowship programs list that they will accept emergency physicians, and approximately one-third have ...
Roth Dominik - - 2013
Airway management is a key competence in emergency medicine. Patients heavily differ from those in the operating room. They are acutely ill by definition and usually not fasting. Evaluation of risk factors is often impossible. Current literature primarily originates from countries where emergency medicine is an independent specialty. We evaluated ...
Walker Laura J M - - 2013
The Advanced Life Support in Obstetrics (ALSO) course is an internationally recognised interprofessional course to support health professionals to develop and maintain the knowledge and skills to manage obstetric emergencies. This study investigated changes in confidence and perceived changes in the knowledge of doctors and midwives to manage specific obstetric ...
Minniear Timothy D - - 2013
Electronic invitations may improve physician response rates to participate in internet surveys administered by public health agencies. Following an increase in reported HIV/syphilis co-infection diagnoses among men-who-have-sex-with-men in Rhode Island, we invited the state's 700 adult primary care and emergency medicine physicians via e-mail to participate in an online, multiple ...
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