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https://www.readbyqxmd.com/read/28290925/two-decades-of-saving-lives-on-the-battlefield-tactical-combat-casualty-care-turns-20
#1
Frank K Butler
BACKGROUND: Twenty years ago, the original Tactical Combat Casualty Care (TCCC) article was published in this journal. Since TCCC is essentially a set of best-practice prehospital trauma care guidelines customized for use on the battlefield, the presence of a journal with a specific focus on military medicine was a profound benefit to the initial presentation of TCCC to the U.S. Military. METHODS: In the two ensuing decades, which included the longest continuous period of armed conflict in our nation's history, TCCC steadily evolved as the prehospital trauma care evidence base was augmented and as feedback from user medics, corpsmen, and pararescuemen was obtained...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28255637/involuntary-processes-knowledge-base-of-health-care-professionals-in-a-tertiary-medical-center-in-upstate-south-carolina
#2
Sharon M Holder, Calvert Warren, Kenneth Rogers, Benjamin Griffeth, Eunice Peterson, Dawn Blackhurst, Christian Ochonma
The involuntary hospitalization law provides a means by which love ones, caregivers and healthcare professionals can intervene when a mentally ill patient is a danger to self or others. Our study assessed the knowledge of professionals in one of the Greenville Health System (GHS) emergency department (ED) about the involuntary hospitalization process of mental health patients in South Carolina (SC). An eight item survey on the South Carolina involuntary hospitalization and commitment process was developed and distributed to GHS ED staff including: physicians, physician assistants, nurse practitioners, nurses, social workers and technicians...
March 2, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28194215/accidental-ingestion-of-e-cigarette-liquid-nicotine-in-a-15-month-old-child-an-infant-mortality-case-of-nicotine-intoxication
#3
An Deok Seo, Dong Chan Kim, Hee Joon Yu, Min Jae Kang
Electronic cigarettes are novel tobacco products that are frequently used these days. The cartridge contains liquid nicotine and accidental poisoning, even with a small oral dose, endangers children. We present here a mortality case of a 15-month-old child who ingested liquid nicotine mistaking it for cold medicine. When the emergency medical technicians arrived, she was found to have pulseless electrical activity. Spontaneous circulation was restored after approximately 40 minutes of cardiopulmonary resuscitation...
December 2016: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/28145946/emergency-medical-technician-training-during-medical-school-benefits-for-the-hidden-curriculum
#4
Rebecca Russ-Sellers, Thomas H Blackwell
PROBLEM: Medical schools are encouraged to introduce students to clinical experiences early, to integrate biomedical and clinical sciences, and to expose students to interprofessional health providers and teams. One important goal is for students to gain a better understanding of the patients they will care for in the future and how their social and behavioral characteristics may affect care delivery. APPROACH: To promote early clinical exposure and biomedical integration, in 2012 the University of South Carolina School of Medicine Greenville incorporated emergency medical technician (EMT) training into the curriculum...
January 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27827547/rural-gps-attitudes-toward-participating-in-emergency-medicine-a-qualitative-study
#5
Magnus Hjortdahl, Peder Halvorsen, Mette Bech Risør
OBJECTIVE: Health authorities want to increase general practitioner (GP) participation in emergency medicine, but the role of the GP in this context controversial. We explored GPs' attitudes toward emergency medicine and call outs. DESIGN: Thematic analysis of focus group interviews. SETTING: Four rural casualty clinics in Norway. PARTICIPANTS: GPs with experience ranging from one to 32 years. RESULTS: The GPs felt that their role had changed from being the only provider of emergency care to being one of many...
December 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27743423/the-patient-care-paradox-an-interprofessional-qualitative-study-of-agitated-patient-care-in-the-emergency-department
#6
Ambrose Hon-Wai Wong, Joan Combellick, Beth Ann Wispelwey, Allison Squires, Maureen Gang
OBJECTIVES: The emergency department (ED) has been recognized as a high-risk environment for workplace violence. Acutely agitated patients who perpetrate violence against healthcare workers represent a complex care challenge in the ED. Recommendations to improve safety are often based on expert opinion rather than empirical data. In this study we aim to describe the lived experience of staff members caring for this population to provide a broad perspective of ED patient violence. The findings of this study will contribute to the development of a comprehensive framework for ED agitated patient care that will guide safety interventions...
February 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27565071/successful-intravenous-catheterization-by-medical-students
#7
Ingrid A Woelfel, Kazuaki Takabe
BACKGROUND: Intravenous (IV) catheter placement is one of the most basic and essential medical procedures. However, IV placement can be a source of anxiety for medical students as it is often their first procedural patient care. We sought to investigate the factors that impact the success rate of this skill and to determine at what rate students improve. MATERIALS AND METHODS: A confidential web-based survey was distributed to a total of 367 third and fourth year students at Virginia Commonwealth University School of Medicine...
August 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27405926/the-cpr-outcomes-of-online-medical-video-instruction-versus-on-scene-medical-instruction-using-simulated-cardiac-arrest-stations
#8
Chaiyaporn Yuksen, Sorravit Sawatmongkornkul, Jarupol Tuangsirisup, Kittisak Sawanyawisuth, Yuwares Sittichanbuncha
BACKGROUND: Non-traumatic cardiac arrest is a fatal emergency condition. Its survival rate and outcomes may be better with quick and effective cardiopulmonary resuscitation (CPR). Telemedicine such as telephone or real time video has been shown to improve chest compression procedures. There are limited data on the effects of telemedicine in cardiac arrest situations in the literature particularly in Asian settings. METHODS: This study was conducted by using two simulated cardiac arrest stations during the 2014 annual Thai national conference in emergency medicine...
July 12, 2016: BMC Emergency Medicine
https://www.readbyqxmd.com/read/27239611/the-approach-of-prehospital-health-care-personnel-working-at-emergency-stations-towards-forensic-cases
#9
Ozlem Asci, Guleser Hazar, Isa Sercan
OBJECTIVES: The objective of this study is to determine the states of health care personnel, working at 112 emergency stations in the province of Artvin, to encounter with regarding forensic cases and determine their practices aimed at recognizing, protecting, and reporting the evidences that may affect the forensic process. MATERIALS AND METHODS: This descriptive study was conducted with nurses and emergency medicine technicians working at 112 emergency stations in Artvin between January 2013 and February 2014...
September 2015: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26962780/comparing-burnout-across-emergency-physicians-nurses-technicians-and-health-information-technicians-working-for-the-same-organization
#10
COMPARATIVE STUDY
Benjamin Schooley, Neset Hikmet, Menderes Tarcan, Gamze Yorgancioglu
Studies on the topic of burnout measure the effects of emotional exhaustion (EE), depersonalization (DP) (negative or cynical attitudes toward work), and reduced sense of personal accomplishment (PA). While the prevalence of burnout in practicing emergency medicine (EM) professionals has been studied, little is known of the prevalence and factors across physicians, nurses, technicians, and health information technicians working for the same institution. The aim of this study was to assess burnout differences across EM professional types...
March 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26915258/-pre-hospital-medicine-and-medical-control-system-in-japan
#11
REVIEW
Seizan Tanabe
It is necessary to treat the patient from the site of the emergency to raise a lifesaving rate of the patient. As a prime example would be out-of-hospital cardiac arrest. Once you start the treatment after hospital arrival, cardiac arrest patient can't be life-saving. It is necessary to start the chest compression, etc. from the site of the emergency. Medical care to be carried out on the scene of emergency is the pre-hospital care. In recent years, improvement of the pre-hospital care is remarkable in Japan...
February 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/26873720/regulation-and-registration-as-drivers-of-continuous-professional-competence-for-irish-pre-hospital-practitioners-a-discussion-paper
#12
REVIEW
S Knox, S S Dunne, M Hughes, S Cheeseman, C P Dunne
BACKGROUND: The regulatory body responsible for the registration of Irish pre-hospital practitioners, the Pre-Hospital Emergency Care Council (PHECC), identified the need to implement a continuing professional competence (CPC) framework. The first cycle of CPC (focused on emergency medical technicians) commenced in November 2013 creating for the first time a formal relationship between continuing competence and registration to practice. AIMS: To review current literature and to describe benefits and challenges relevant to CPC, regulation, registration and their respective contributions to professionalism of pre-hospital practitioners: advanced paramedics, paramedics and emergency medical technicians...
May 2016: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/26853133/emergency-medical-technician-training-for-medical-students-a-two-year-experience
#13
Thomas H Blackwell, R Maglin Halsey, Jennifer H Reinovsky
BACKGROUND: New medical school educational curriculum encourages early clinical experiences along with clinical and biomedical integration. The University of South Carolina School of Medicine Greenville, one of the new expansion schools, was established in 2011 with the first class matriculating in 2012. To promote clinical skills early in the curriculum, emergency medical technician (EMT) training was included and begins in the first semester. Along with the early clinical exposure, the program introduces interprofessional health and teams and provides the opportunity for students to personally see and appreciate the wide variety of environments from which their future patients emanate...
July 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26627893/the-essence-of-the-japan-radiological-society-japanese-college-of-radiology-imaging-guideline
#14
Yasuyuki Yamashita, Sadayuki Murayama, Masahiro Okada, Yoshiyuki Watanabe, Masako Kataoka, Yasushi Kaji, Keiko Imamura, Yasuo Takehara, Hiromitsu Hayashi, Kazuko Ohno, Kazuo Awai, Toshinori Hirai, Kazuyuki Kojima, Shuji Sakai, Naofumi Matsunaga, Takamichi Murakami, Kengo Yoshimitsu, Toshifumi Gabata, Kenji Matsuzaki, Eriko Tohno, Yasuhiro Kawahara, Takeo Nakayama, Shuichi Monzawa, Satoru Takahashi
Diagnostic imaging is undoubtedly important in modern medicine, and final clinical decisions are often made based on it. Fortunately, Japan has the highest numbers of diagnostic imaging instruments, such as CT and MRI devices, and boasts easy access to them as well as a high level of diagnostic accuracy. In consequence, a very large number of imaging examinations are performed, but diagnostic instruments are installed in so many medical facilities that expert management of these examinations tends to be insufficient...
January 2016: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/26590815/health-care-workers-in-pearl-river-delta-area-of-china-are-not-vaccinated-adequately-against-hepatitis-b-a-retrospective-cohort-study
#15
Yu-Bao Zheng, Yu-Rong Gu, Min Zhang, Ke Wang, Zhan-Lian Huang, Chao-Shuang Lin, Zhi-Liang Gao
BACKGROUNDS: Health-care workers' (HCWs) exposure to bodily fluids puts them at risk of hepatitis B virus HBV infection. This study investigated HBV vaccination practices and outcomes in HCWs and assessed postvaccination seroprotection across HCWs in different departments. METHODS: A survey of HCWs in a Chinese public general hospital was carried out with a retrospective cohort of 1420 hospital HCWs (458 males and 962 females). HBV vaccination status (10-μg/dose used) was investigated in the cohort from vaccination records from the period of 1988 to 2008...
2015: BMC Infectious Diseases
https://www.readbyqxmd.com/read/26507993/conceptualizing-interprofessional-teams-as-multi-team-systems-implications-for-assessment-and-training
#16
Courtney West, Karen Landry, Anna Graham, Lori Graham, Anna T Cianciolo, Adina Kalet, Michael Rosen, Deborah Witt Sherman
UNLABELLED: SGEA 2015 CONFERENCE ABSTRACT (EDITED). Evaluating Interprofessional Teamwork During a Large-Scale Simulation. Courtney West, Karen Landry, Anna Graham, and Lori Graham. CONSTRUCT: This study investigated the multidimensional measurement of interprofessional (IPE) teamwork as part of large-scale simulation training. BACKGROUND: Healthcare team function has a direct impact on patient safety and quality of care. However, IPE team training has not been the norm...
2015: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/26301861/peptic-ulcer-disease-in-healthcare-workers-a-nationwide-population-based-cohort-study
#17
Hong-Yue Lin, Shih-Feng Weng, Hung-Jung Lin, Chien-Chin Hsu, Jhi-Joung Wang, Shih-Bin Su, How-Ran Guo, Chien-Cheng Huang
Health care workers (HCWs) in Taiwan have heavy, stressful workloads, are on-call, and have rotating nightshifts, all of which might contribute to peptic ulcer disease (PUD). We wanted to evaluate the PUD risk in HCWs, which is not clear. Using Taiwan's National Health Insurance Research Database, we identified 50,226 physicians, 122,357 nurses, 20,677 pharmacists, and 25,059 other HCWs (dieticians, technicians, rehabilitation therapists, and social workers) as the study cohort, and randomly selected an identical number of non-HCW patients (i...
2015: PloS One
https://www.readbyqxmd.com/read/26270473/mass-gathering-medical-care-resource-document-for-the-national-association-of-ems-physicians-position-statement
#18
REVIEW
Brian Schwartz, Sarah Nafziger, Andrew Milsten, Jeffrey Luk, Arthur Yancey
Mass gatherings are heterogeneous in terms of size, duration, type of event, crowd behavior, demographics of the participants and spectators, use of recreational substances, weather, and environment. The goals of health and medical services should be the provision of care for participants and spectators consistent with local standards of care, protection of continuing medical service to the populations surrounding the event venue, and preparation for surge to respond to extraordinary events. Pre-event planning among jurisdictional public health and EMS, acute care hospitals, and event EMS is essential, but should also include, at a minimum, event security services, public relations, facility maintenance, communications technicians, and the event planners and organizers...
2015: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26243529/medication-histories-by-pharmacy-technicians-and-physicians-in-an-emergency-department
#19
Jolene Pilegaaard Henriksen, Susanne Noerregaard, Thomas Croft Buck, Lise Aagaard
BACKGROUND: Medication histories (MHs) obtained at the time of patients' admission to hospital are often incomplete, and lack of information about patients' actual medicine use can potentially lead to prescribing failures and serious adverse events. Uses of clinical pharmacists in obtaining MHs are beneficial, but due to limited economic resources clinical pharmacists cannot be present in every hospital ward, and therefore pharmacy technicians (PTs) could probably be trained in obtaining MHs...
December 2015: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/26195124/perceived-facilitators-to-change-in-hospital-pharmacy-practice-in-england
#20
Asa Auta, Julia Maz, Barry Strickland-Hodge
BACKGROUND: Traditionally, hospital pharmacists' roles have been associated with dispensing medications prescribed by doctors and offering advice about medicines to patients and other healthcare professionals. In England, significant changes in the structure of hospital pharmacy practice began in the 1970s and currently hospital pharmacists are undertaking a number of advanced roles including prescribing. OBJECTIVE: This study investigated the facilitators to change in hospital pharmacy practice in England in order to identify lessons that might assist in the potential changes needed in other countries for extended clinical roles...
December 2015: International Journal of Clinical Pharmacy
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