Read by QxMD icon Read

Emergency medicine practice

Tarsh Pandit, Sabe Sabesan, Robin A Ray
OBJECTIVE: This study aimed to explore doctors' perceptions of the training needs of rural doctors in the context of managing emergencies in rural North Queensland. DESIGN: Using a qualitative approach, 20 semistructured interviews were conducted via telephone, video conference and in-person. Using an interview guide, areas such as preparedness of junior doctors for rural practice, areas for further training and confidence with managing emergencies were discussed...
November 16, 2018: Australian Journal of Rural Health
Arsenio Paez
The role of expertise in evidence-based medicine (EBM) and practice (EBP) has long been debated. In the early years of the EBP movement, the role of expertise and experience were diminished in clinical decision-making. However, the concepts of EBP are evolving. A more nuanced view of the value of clinician expertise, based on experience and clinical judgement, has emerged. This article proposes that clinical expertise does not belong within the evidence hierarchy's decision-making pyramid as the lowest form of evidence, but rather alongside it, representing a complementary source of knowledge that supports the processes of EBP...
November 16, 2018: Journal of Evidence-based Medicine
Katherine M Joyce, Ryan C Burke, Thomas J Veldman, Michelle M Beeson, Erin L Simon
Introduction: Time to facility is a crucial element in emergency medicine (EM). Fine-scale geospatial units such as census block groups (CBG) and publicly available population datasets offer a low-cost and accurate approach to modeling geographic access to and utilization of emergency departments (ED). These methods are relevant to the emergency physician in evaluating patient utilization patterns, emergency medical services protocols, and opportunities for improved patient outcomes and cost utilization...
November 2018: Western Journal of Emergency Medicine
Lisa M Meeks, Alina Engelman, Alicia Booth, Michael Argenyi
Approximately 23% of Americans over age 12 have some level of hearing loss.1 Emergency departments can reduce healthcare barriers for deaf and hard-of-hearing (DHoH) patients through improved patient-physician communication. DHoH students, once they become physicians, may provide one mechanism for reducing existing healthcare disparities and communication barriers for DHoH patients, and may be more adept with patients facing other communication barriers. A renewed interest in disability access and a commitment to social justice has increased efforts toward the inclusion of individuals with disabilities in medical education and training...
November 2018: Western Journal of Emergency Medicine
Emmanuel Aoudi Chance, Gudmund Ågotnes, Karin Anna Petersen
AIM: This study explored the relationship between the traditional care culture and the Western nursing culture. BACKGROUND: Cameroonians are highly dependent on seeking medical aid from traditional healers and medicines, despite the emergence of contemporary health practices that are provided by Western nursing care. METHODS: This study was conducted based on Bourdieu's praxeological approach using observational and descriptional research, and interviews...
November 13, 2018: International Journal of Nursing Practice
Iraj Sadegh Amiri, Saaidal Razalli Bin Azzuhri, Muhammad Arif Jalil, Haryana Mohd Hairi, Jalil Ali, Montree Bunruangses, Preecha Yupapin
Light has found applications in data transmission, such as optical fibers and waveguides and in optoelectronics. It consists of a series of electromagnetic waves, with particle behavior. Photonics involves the proper use of light as a tool for the benefit of humans. It is derived from the root word "photon", which connotes the tiniest entity of light analogous to an electron in electricity. Photonics have a broad range of scientific and technological applications that are practically limitless and include medical diagnostics, organic synthesis, communications, as well as fusion energy...
September 11, 2018: Micromachines
Shelby A Bennett, Janelle F Ruisinger, Emily S Prohaska, Katelyn M Steele, Brittany L Melton
Background: Pets, pet owners (referred to as clients in veterinary medicine and throughout this article), veterinarians, and community pharmacies may all benefit from veterinary compounding services provided in community pharmacies, but the benefits of this service are not well-documented in the literature. Objectives: This study identified perceived benefits and barriers and evaluated the need for veterinary compounding services in community pharmacies; it also evaluated current business practices related to veterinary compounding services...
July 2018: Pharmacy Practice
Renee N Salas, Jonathan E Slutzman, Cecilia Sorensen, Jay Lemery, Jeremy J Hess
There is consensus among 97% of scientists that anthropogenic climate change is occurring and international agreement of the grave threat it poses.1,2 A Lancet Commission declared climate change "the biggest global health threat of the 21st century" with "potentially catastrophic risk to human health."3,4 Emergency medicine (EM) is already on the frontlines as climate change directly affects our patients, clinical practice, and emergency departments (EDs). This presents EM with a profound leadership opportunity to join our colleagues in the house of medicine to improve health and save lives...
November 8, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Wendy J Lee, Lou Clark, Kathleen Wortmann, Laura A Taylor, Arnyce R Pock
BACKGROUND: The medical assessment of sexual assault (SA) is challenging because SA patients are often hesitant to disclose their medical needs, which puts them at further physical and psychological risk, and because of provider unease in conducting SA examinations. This challenge is compounded by a lack of provider training. OBJECTIVES: The study goals were to develop an interprofessional simulation event that would foster SA interview skills, foster effective communication with SA patients, and increase learner confidence in assessing SA patients...
November 7, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Zhiqiang Zhao, Xianliang Wang, Yazhu Hou, Shuai Wang, Jingbo Zhai, Cong Wang, Jingyuan Mao, Boli Zhang
BACKGROUND: The prognosis of ischemic heart failure (IHF) is worse than non-IHM. Improving the management of IHF remains an urgent demand. In recent years, Qishen Yiqi dripping pills (QSYQ), a type of Chinese herbal medicine (CHM), has been popular for IHF combined with standard western medicine. However, relevant scientific evidence from the real clinical practice still is insufficient. The prospective cohort study aims to assess the effectiveness and safety of QSYQ plus standard western medicine for IHF in the real clinical practice...
November 2018: Medicine (Baltimore)
Ali S Raja, Sarvenaz Pourjabbar, Ivan K Ip, Christopher W Baugh, Aaron D Sodickson, Michael O'Leary, Ramin Khorasani
OBJECTIVE: The purpose of this study was to evaluate the impact of an appropriate use criterion (AUC) for renal colic based on local best practice, implemented as electronic clinical decision support (CDS), on the emergency department (ED) use of CT for patients with suspected nephrolithiasis. MATERIALS AND METHODS: This retrospective cohort study was performed in the EDs of a level I trauma center (study site) and local comparable hospital (control site). An AUC for patients younger than 50 years with a history of uncomplicated nephrolithiasis presenting with renal colic was developed by an interdisciplinary emergency medicine, emergency radiology, and urology team and embedded as CDS...
November 7, 2018: AJR. American Journal of Roentgenology
Weilin Zheng, Lixing Cao, Zheng Xu, Yuanyuan Ma, Xuefang Liang
Endometriosis is caused by the growth or infiltration of endometrial tissues outside of the endometrium and myometrium. Symptoms include pain and infertility. Surgery and hormonal therapy are widely used in Western medicine for the treatment of endometriosis; however, the side effects associated with this practice include disease recurrence and menopause, which can severely influence quality of life. Angiogenesis is the main biological mechanism underlying the development of endometriosis. Numerous natural products and Chinese medicines with potent anti-angiogenic effects have been investigated, and the molecular basis underlying their therapeutic effects in endometriosis has been explored...
2018: Evidence-based Complementary and Alternative Medicine: ECAM
Andrea Wan, Katelyn Halpape, Shirin C Talkhi, Claire Dixon, Hafeez Dossa, Jenifer Tabamo, Mark Roberts, Karen Dahri
Background: Proton pump inhibitors (PPIs) have proven clinical efficacy for a variety of indications. However, there is emerging evidence of adverse events associated with their long-term use. The emergence of these adverse events has reinforced the need to regularly evaluate the appropriateness of continuing PPI therapy, and to use only the lowest effective dose for the minimally indicated duration. Objectives: To characterize the appropriateness of PPI orders continued or initiated in the internal medicine and family practice units of Vancouver General Hospital, to detect adverse events associated with PPI use, and to explore the impact of multidisciplinary teaching and provision of educational resources on health care practitioners' views about PPI use...
September 2018: Canadian Journal of Hospital Pharmacy
Hans D de Boer, Ricardo V Carlos, Sorin J Brull
BACKGROUND: Sugammadex, a γ-cyclodextrin derivative, belongs to a new class of selective relaxant binding agents. Sugammadex was approved 10-years ago by the European medicines agency and today is used in clinical anesthesia and emergency medicine globally. In this review, indications for neuromuscular block, the challenge of neuromuscular monitoring and the practice of under-dosing of sugammadex as a potential cost-saving strategy are discussed. MAIN BODY: Reversal of neuromuscular block is important to accelerate the spontaneous recovery of neuromuscular function...
November 6, 2018: BMC Anesthesiology
Maëlle Bochud, Wolfram Schäfer, Nathan J Roth, Carlos Ros
Hepatitis E virus (HEV) is an emerging concern for the safety of plasma-derived medicinal products. The lack of an efficient cell culture system hampers the studies on HEV biology as well as validation studies to test the capacity of virus reduction steps to clear HEV. Hence, a surrogate hepevirus that can efficiently replicate in cell culture is needed. Cutthroat trout virus (CTV) is a non-pathogenic fish hepevirus, which can replicate in cell culture to high titers. Under interferon inhibition, CTV replication reached up to 5 × 107 genome equivalents per µL in 4-5 days...
November 3, 2018: Journal of Virological Methods
Rashid A Barnawi, Weaam M Alrefai, Faris Qari, Ahmed Aljefri, Sarah K Hagi, Mawya Khafaji
OBJECTIVES: To assess emergency doctors' knowledge of radiation exposure doses and risks, and the increasing use of radiological investigations in emergency medicine practice is very concerning because of the associated risks of cancer. METHODS: Doctors from different specialties and with different levels of training working in emergency departments of 8 hospitals in Jeddah, Kingdom of Saudi Arabia, filled out a questionnaire. Participants estimated the radiation doses of different imaging modalities and answered questions regarding possible associated risks...
November 2018: Saudi Medical Journal
Stine Gundrosen, Gøril Thomassen, Torben Wisborg, Petter Aadahl
OBJECTIVES: Explore the function of three specific modes of talk (discourse types) in decision-making processes. DESIGN: Ten real-life admissions of patients with critical illness were audio/video recorded and transcribed. Activity-type analysis (a qualitative discourse analytical method) was applied. SETTING: Interdisciplinary emergency teams admitting patients with critical illness in a Norwegian university hospital emergency department (ED)...
November 3, 2018: BMJ Open
Gillian Rayner, Joanna Blackburn, Karen-Leigh Edward, John Stephenson, Karen Ousey
Self-harm is a major challenge to public health. Emergency department (ED) nurses treat significant proportions of patients with self-harm injuries, and positive therapeutic patient-nurse interactions are imperative to the physical and psychological outcome of this vulnerable patient group. Research, both nationally and internationally, suggests that treating those with self-harm injuries is emotionally challenging, and ambivalence, powerlessness, and ineffectiveness are commonly manifested in negative attitudes towards these patients...
November 1, 2018: International Journal of Mental Health Nursing
Jordan Tozer, Timothy Layng, Margaret Wolff, Sally A Santen
Strategic questioning is a technique that can enhance the unique learning environment of emergency medicine (EM) training. By incorporating this into the routine expert-learner encounters of daily practice, it can be used to engage learners, explore their knowledge base, probe for gaps, encourage development, and grow critical thinking skills. We propose that this become routinely used in EM training as a tool to strengthen residency education.
October 2018: AEM education and training
Joyce Li, Genie Roosevelt, Kerry McCabe, Jane Preotle, Faria Pereira, James K Takayesu, Michael Monuteaux, Richard G Bachur
Objective: While emergency medicine (EM) physicians treat the majority of pediatric EM (PEM) patients in the United States, little is known about their PEM experience during training. The primary objective was to characterize the pediatric case exposure and compare to established EM residency training curricula among EM residents across five U.S. residency programs. Methods: We performed a multicenter medical record review of all pediatric patients (aged < 18 years) seen by the 2015 graduating resident physicians at five U...
October 2018: AEM education and training
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"