Academic Emergency Medicine

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N‐Acetylcysteine Reduces Methemoglobin in an In‐vitro Model of Glucose‐6‐phosphate Dehydrogenase Deficiency
Academic Emergency Medicine - Tập 5 Số 3 - Trang 225-229 - 1998
Robert O. Wright, Alan D. Woolf, Michael W. Shannon, B Magnani
ABSTRACT Objective: To determine whether N‐acetylcysteine (NAC) reduces methemoglobin (MHB) in an in‐vitro model of glucose‐6‐phosphate dehydrogenase (G6PD) deficiency, given that methylene blue is an ineffective MHB antidote in G6PD deficiency. Methods: Five volunteers donated blood, which was divided equally into 2 test tubes, centrifuged, and washed with Tris‐Mopps buffer (pH 7.4, 15 mmol/L glu... hiện toàn bộ
Debriefing as Formative Assessment: Closing Performance Gaps in Medical Education
Academic Emergency Medicine - Tập 15 Số 11 - Trang 1010-1016 - 2008
Jenny W. Rudolph, Robert Simon, Daniel B. Raemer, Walter Eppich
AbstractThe authors present a four‐step model of debriefing as formative assessment that blends evidence and theory from education research, the social and cognitive sciences, experience drawn from conducting over 3,000 debriefings, and teaching debriefing to approximately 1,000 clinicians worldwide. The steps are to: 1) note salient performance gaps related to predetermined objectives, 2) provide... hiện toàn bộ
Summative Assessment in Medicine: The Promise of Simulation for High‐stakes Evaluation
Academic Emergency Medicine - Tập 15 Số 11 - Trang 1017-1024 - 2008
John R. Boulet
AbstractThroughout their careers, physicians are exposed to a wide array of assessments, including those aimed at evaluating knowledge, clinical skills, and clinical decision‐making. While many of these assessments are used as part of formative evaluation activities, others are employed to establish competence and, as a byproduct, to promote patient safety. In the past 10 years, simulations have b... hiện toàn bộ
Does the Clinically Significant Difference in Visual Analog Scale Pain Scores Vary with Gender, Age, or Cause of Pain?
Academic Emergency Medicine - Tập 5 Số 11 - Trang 1086-1090 - 1998
Anne‐Maree Kelly
Abstract. Objectives: To determine the minimum clinically significant difference in visual analog scale (VAS) pain scores for acute pain in the ED setting and to determine whether this difference varies with gender, age, or cause of pain. Methods: A prospective, descriptive study of 152 adult patients presenting to the ED with acute pain. At presentation and at 20‐minute intervals to a maximum of ... hiện toàn bộ
A Prospective Comparison of Procedural Sedation and Ultrasound‐guided Interscalene Nerve Block for Shoulder Reduction in the Emergency Department
Academic Emergency Medicine - Tập 18 Số 9 - Trang 922-927 - 2011
Michael Blaivas, Srikar Adhikari, Lina Lander
ACADEMIC EMERGENCY MEDICINE 2011; 18:922–927 © 2011 by the Society for Academic Emergency MedicineAbstractObjectives: Emergency physicians (EPs) are beginning to use ultrasound (US) guidance to perform regional nerve blocks. The primary objective of this study was to compare length of stay (LOS) in patients randomized to US‐guided interscalene block or procedural sedation to facilitate reduction o... hiện toàn bộ
A Comparison of Ultrasound‐guided Three‐in‐one Femoral Nerve Block Versus Parenteral Opioids Alone for Analgesia in Emergency Department Patients With Hip Fractures: A Randomized Controlled Trial
Academic Emergency Medicine - Tập 20 Số 6 - Trang 584-591 - 2013
Francesca L. Beaudoin, John P. Haran, Otto Liebmann
AbstractObjectivesThe primary objective was to compare the efficacy of ultrasound (US)‐guided three‐in‐one femoral nerve blocks to standard treatment with parenteral opioids for pain control in elderly patients with hip fractures in the emergency department (ED).MethodsA randomized controlled trial was conducted at a large urban academic ED over an 18‐month period. A convenience sample of older ad... hiện toàn bộ
The Learning Curve of Resident Physicians Using Emergency Ultrasonography for Obstructive Uropathy
Academic Emergency Medicine - Tập 17 Số 9 - Trang 1024-1027 - 2010
Timothy Jang, Roger Casey, Pamela L. Dyne, Amy H. Kaji
AbstractBackground:  Given the time, expense, and radiation exposure associated with computed tomography (CT), ultrasonography (US) is considered an alternative imaging study that could expedite patient care in patients with suspected obstructive uropathy. However, there is a paucity of literature regarding bedside US for obstructive uropathy in the emergency department (ED), and it is unknown how... hiện toàn bộ
Ketamine Sedation in Mentally Disabled Adults
Academic Emergency Medicine - Tập 6 Số 1 - Trang 86-87 - 1999
Steven M. Green, Steven G. Rothrock, Rodney Hestdalen, Matthew Ho, Elizabeth Lynch
Short, Subjective Measures of Numeracy and General Health Literacy in an Adult Emergency Department
Academic Emergency Medicine - Tập 18 Số 11 - Trang 1148-1155 - 2011
Candace D. McNaughton, Kenneth A. Wallston, Russell L. Rothman, David Marcovitz, Alan B. Storrow
Clinically Important Change in the Visual Analog Scale after Adequate Pain Control
Academic Emergency Medicine - Tập 10 Số 10 - Trang 1128-1130 - 2003
Jacques Lee, Elisabeth Hobden, Ian G. Stiell, George A. Wells
Abstract Objectives: To define the minimum clinically important difference (MCID) for the visual analog scale (VAS) of pain severity by measuring the change in VAS associated with adequate pain control. Methods: The authors conducted a prospective, observational study. Adult emergency department (ED) patients with acute pain (<72 hours) were eligible. Patients rated their pain severity on a 100‐mm... hiện toàn bộ
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