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Images in Emergency Medicine: Left Atrial Myxoma

Darracq, Michael A.
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
Publicado em /05/2008 EN
Relevância na Pesquisa
66.17%

Images in Emergency Medicine: Traumatic Pneumocephalus

Ahern, Terence; Henderson, Sean O.
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
Publicado em /05/2008 EN
Relevância na Pesquisa
66.17%

Images in Emergency Medicine: Pediatric Spinal Cord Injury without Radiographic Abnormality

Silman, Eric; Langdorf, Mark I.; Rudkin, Scott; Lotfipour, Shahram
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
Publicado em /05/2008 EN
Relevância na Pesquisa
66.17%

Images in Emergency Medicine: Dermatomyositis

Kidane, Senai; Snoey, Eric R.
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
Publicado em /05/2008 EN
Relevância na Pesquisa
66.17%

Images in Emergency Medicine: Pacemaker Extrusion Causing Chest Pain

Arora, Sanjay
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
Publicado em /05/2008 EN
Relevância na Pesquisa
66.17%

Images in Emergency Medicine: Pelvic Digit

Carnell, Jennifer; Fee, Christopher
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
Publicado em /08/2008 EN
Relevância na Pesquisa
66.17%

Ultrasound-guided Intraarticular Hip Injection for Osteoarthritis Pain in the Emergency Department

Anderson, Erik S.; Herring, Andrew A.; Bailey, Caitlin; Mantuani, Daniel; Nagdev, Arun D.
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
Publicado em /09/2013 EN
Relevância na Pesquisa
66.25%
Ultrasound-guided intraarticular hip corticosteroid injections may be useful for emergency care providers treating patients with painful exacerbations of osteoarthritis of the hip. Corticosteroid injection is widely recommended as a first-line treatment for painful osteoarthritis of the hip. Bedside ultrasound is readily available in most emergency departments; however, using ultrasound to guide therapeutic hip injections has not yet been described in emergency practice. Herein, we present the first description of a successful emergency physician-performed ultrasound-guided hip injection of local anesthetic and corticosteroid for pain control in a patient with an acute exacerbation of osteoarthritis.

Emergency medicine in the United Arab Emirates

Fares, Saleh; Irfan, Furqan B; Corder, Robert F; Al Marzouqi, Μuneer Abdulla; Al Zaabi, Ahmad Hasan; Idrees, Marwa Mubarak; Abbo, Michael
Fonte: Springer Publicador: Springer
Tipo: Artigo de Revista Científica
Publicado em 08/01/2014 EN
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66.3%
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 regional trauma centers. Most of the larger EDs are staffed with medically or surgically trained physicians, with board-certified emergency medicine physicians serving as consultants overseeing care.

Correlation of the Emergency Medicine Resident In-Service Examination with the American Osteopathic Board of Emergency Medicine Part I

Levy, David; Dvorkin, Ronald; Schwartz, Adam; Zimmerman, Steven; Li, Feiming
Fonte: Department of Emergency Medicine, University of California, Irvine Publicador: Department of Emergency Medicine, University of California, Irvine
Tipo: Artigo de Revista Científica
Publicado em /02/2014 EN
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66.32%
Introduction: Eligible residents during their fourth postgraduate year (PGY-4) of emergency medicine (EM) residency training who seek specialty board certification in emergency medicine may take the American Osteopathic Board of Emergency Medicine (AOBEM) Part 1 Board Certifying Examination (AOBEM Part 1). All residents enrolled in an osteopathic EM residency training program are required to take the EM Resident In-service Examination (RISE) annually. Our aim was to correlate resident performance on the RISE with performance on the AOBEM Part 1. The study group consisted of osteopathic EM residents in their PGY-4 year of training who took both examinations during that same year.

Experience with Emergency Ultrasound Training by Canadian Emergency Medicine Residents

Kim, Daniel J.; Theoret, Jonathan; Liao, Michael M.; Kendall, John L.
Fonte: Department of Emergency Medicine, University of California, Irvine Publicador: Department of Emergency Medicine, University of California, Irvine
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
66.21%
Introduction: Starting in 2008, emergency ultrasound (EUS) was introduced as a core competency to the Royal College of Physicians and Surgeons of Canada (Royal College) emergency medicine (EM) training standards. The Royal College accredits postgraduate EM specialty training in Canada through 5-year residency programs. The objective of this study is to describe both the current experience with and the perceptions of EUS by Canadian Royal College EM senior residents.

Bedside Ultrasound Identification of Infectious Flexor Tenosynovitis in the Emergency Department

Padrez, Kevin; Bress, Jennifer; Johnson, Brian; Nagdev, Arun
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
66.21%
Infectious flexor tenosynovitis (FTS) is a serious infection of the hand and wrist that can lead to necrosis and amputation without prompt diagnosis and surgical debridement. Despite the growing use of point-of-care ultrasound (POCUS) by emergency physicians there is only one reported case of the use of POCUS for the diagnosis of infectious FTS in the emergency department setting. We present a case of a 58 year-old man where POCUS identified tissue necrosis and fluid along the flexor tendon sheath of the hand. Subsequent surgical pathology confirmed the diagnosis of infectious FTS.

State of emergency medicine in Colombia

Arbelaez, Christian; Patiño, Andrés
Fonte: Springer Berlin Heidelberg Publicador: Springer Berlin Heidelberg
Tipo: Artigo de Revista Científica
Publicado em 10/04/2015 EN
Relevância na Pesquisa
66.25%
Colombia is an upper-middle-income country with a population of 45 million people and one of the best national healthcare and medical education systems in South America. However, its widely diverse and difficult terrains hinder healthcare delivery to rural areas, creating disparities in healthcare access and outcomes between the urban and rural settings. Currently, emergency medical care is overwhelmingly provided by general practitioners without residency training, who obtain specialty consultations based on the medical/surgical condition identified. A few emergency medicine (EM) residency programs have sprouted over the last two decades in renowned academic institutions in the largest cities, producing high-quality EM specialists. With the establishment of EM as a specialty in 2005 and increasing recognition of the specialty, there has been an increasing demand for EM specialists in cities, which is only slowly being met by the current residencies. The critical challenges for EM in Colombia are both, establishing itself as a well-recognized specialty - by increasing academic production and reaching a critical mass of and unity among EM specialists - and providing the highest quality and safest emergency care to the people of Colombia - by improving capacity both in emergency departments and in the regional and national emergency response systems. Historically...

State of emergency medicine in Rwanda 2015: an innovative trainee and trainer model

Mbanjumucyo, Gabin; DeVos, Elizabeth; Pulfrey, Simon; Epino, Henry M
Fonte: Springer Berlin Heidelberg Publicador: Springer Berlin Heidelberg
Tipo: Artigo de Revista Científica
Publicado em 16/06/2015 EN
Relevância na Pesquisa
66.36%
The 1994 Rwandan war and genocide left more than 1 million people dead; millions displaced; and the country’s economic, social, and health infrastructure destroyed. Despite remaining one of the poorest countries in the world, Rwanda has made remarkable gains in health, social, and economic development over the last 20 years, but modern emergency care has been slow to progress. Rwanda has recently established the Human Resources for Health program to rapidly build capacity in multiple sectors of its healthcare delivery system, including emergency medicine. This project involves multiple medical and surgical residencies, nursing programs, allied health professional trainings, and hospital administrative support. A real strength of the program is that trainers work with international faculty at Rwanda’s referral hospital, but also as emergency medicine specialty trainers when returning to their respective district hospitals. Rwanda’s first emergency medicine trainees are playing a unique and important role in the implementation of emergency care systems and education in the country’s district hospitals. While there has been early vital progress in building emergency medicine’s foundations in Rwanda, there remains much work to be done. This will be accomplished with careful planning and strong commitment from the country’s healthcare and emergency medicine leaders.

Performance Accuracy of Hand-on-needle versus Hand-on-syringe Technique for Ultrasound-guided Regional Anesthesia Simulation for Emergency Medicine Residents

Johnson, Brian; Herring, Andrew; Stone, Michael; Nagdev, Arun
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
66.25%
Introduction: Ultrasound-guided nerve blocks (UGNB) are increasingly used in emergency care. The hand-on-syringe (HS) needle technique is ideally suited to the emergency department setting because it allows a single operator to perform the block without assistance. The HS technique is assumed to provide less exact needle control than the alternative two-operator hand-on-needle (HN) technique; however this assumption has never been directly tested. The primary objective of this study was to compare accuracy of needle targeting under ultrasound guidance by emergency medicine (EM) residents using HN and HS techniques on a standardized gelatinous simulation model. Methods: This prospective, randomized study evaluated task performance. We compared needle targeting accuracy using the HN and HS techniques. Each participant performed a set of structured needling maneuvers (both simple and difficult) on a standardized partial-task simulator. We evaluated time to task completion, needle visualization during advancement, and accuracy of needle tip at targeting. Resident technique preference was assessed using a post-task survey. Results: We evaluated 60 tasks performed by 10 EM residents. There was no significant difference in time to complete the simple model (HN vs. HS...

Infant Trauma Management in the Emergency Department: An Emergency Medicine Simulation Exercise

Mathieson, Sarah; Whalen, Desmond; Dubrowski, Adam
Fonte: Cureus Publicador: Cureus
Tipo: Artigo de Revista Científica
Publicado em 07/09/2015 EN
Relevância na Pesquisa
66.3%
In a trauma situation, it is essential that emergency room physicians are able to think clearly, make decisions quickly and manage patients in a way consistent with their injuries. In order for emergency medicine residents to adequately develop the skills to deal with trauma situations, it is imperative that they have the opportunity to experience such scenarios in a controlled environment with aptly timed feedback. In the case of infant trauma, sensitivities have to be taken that are specific to pediatric medicine. The following describes a simulation session in which trainees were tasked with managing an infantile patient who had experienced a major trauma as a result of a single vehicle accident. The described simulation session utilized human patient simulators and was tailored to junior (year 1 and 2) emergency medicine residents.

Are Simulation Stethoscopes a Useful Adjunct for Emergency Residents' Training on High-fidelity Mannequins?

Warrington, Steven J.; Beeson, Michael S.; Fire, Frank L.
Fonte: Department of Emergency Medicine, University of California, Irvine Publicador: Department of Emergency Medicine, University of California, Irvine
Tipo: Artigo de Revista Científica
Publicado em /05/2013 EN
Relevância na Pesquisa
76.18%
Introduction: Emergency medicine residents use simulation training for many reasons, such as gaining experience with critically ill patients and becoming familiar with disease processes. Residents frequently criticize simulation training using current high-fidelity mannequins due to the poor quality of physical exam findings present, such as auscultatory findings, as it may lead them down an alternate diagnostic or therapeutic pathway. Recently wireless remote programmed stethoscopes (simulation stethoscopes) have been developed that allow wireless transmission of any sound to a stethoscope receiver, which improves the fidelity of a physical examination and the simulation case.

An update on emergency care and emergency medicine in Russia

Rodigin, Anthony
Fonte: Springer Berlin Heidelberg Publicador: Springer Berlin Heidelberg
Tipo: Artigo de Revista Científica
Publicado em 25/11/2015 EN
Relevância na Pesquisa
66.3%
Russia’s national healthcare system is undergoing significant changes. Those changes which affect healthcare financing are particularly vital. As has often been the case in other nations, the emergency care field is at the forefront of such reforms. The ongoing challenges constitute the environment in which the hospital-based specialty of emergency medicine needs to develop as part of a larger system. Emergency care has to evolve in order to match true needs of the population existing today. New federal regulations recently adopted have recognized emergency departments as the new in-hospital component of emergency care, providing the long-needed legal foundation upon which the new specialty can advance. General knowledge of Western-style emergency departments in terms of their basic setup and function has been widespread among Russia’s medical professionals for some time. Several emergency departments are functioning in select regions as pilots. Preliminary data stemming from their operation have supported a positive effect on efficiency of hospital bed utilization and on appropriate use of specialists and specialized hospital departments. In the pre-hospital domain, there has been a reduction of specialized ambulance types and of the number of physicians staffing all ambulances in favor of midlevel providers. Still...

Medicina de Emergência na FMRP-USP – Você pode fugir, mas não há como se esconder!; Emergency Medicine in the Medical School of Ribeirão Preto – University of São Paulo – You can run, but you can’t hide!

Pazin Filho, Antonio; Scarpelini, Sandro
Fonte: Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto Publicador: Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 30/12/2010 POR
Relevância na Pesquisa
66.24%
A Medicina de Emergência é uma especialidade médica que objetiva o processo de atendimento ágil e eficaz em situações de agravo agudo à saúde das pessoas, embora ainda não seja considerada como tal no Brasil. Está extremamente relacionada com outras áreas de atuação e deve garantir um fluxo (“cascata”) de atendimento tanto no aspecto estrutural (pré, intra e pós-hospitalar) como no aspecto inter-disciplinar. Várias iniciativas tem buscado inseri-la na realidade brasileira, sendo que o foco atual está centrado nas sociedades de especilidades médicas pela própria demanda de mercado. Em que pese a necessidade desta organização no curto prazo, a formação de profissionais capacitados em emergência deve se iniciar na própria graduação, sendo esta a única iniciativa que irá garantir a modificação cultural necessária no médio e no longo prazos. A Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP) já realizou diversas tentativas para esta inserção curricular ao longo de sua história, algumas delas resgatadas neste artigo. Atualmente há um novo projeto que propõe sua inserção em um eixo longitudinal que busca respeitar as necessidades da especialidade, está embasado na infraestrutura disponível para locais de ensino e se adapta ao modelo educativo proposto pela Comissão de Graduação. A proposta é sumarizada...

Validation of the Script Concordance Test as an instrument to assess clinical reasoning of residents in pediatric emergency medicine in Mexico

Zavaleta-Hernández,Sergio; Cerón-Rodríguez,Magdalena; Olivar-López,Víctor; Espinoza-Montero,Rubén; Rizzoli-Córdoba,Antonio
Fonte: Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez Publicador: Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2011 EN
Relevância na Pesquisa
66.36%
Background. Clinical reasoning is a crucial skill to be acquired during a residency training program. In pediatric emergency medicine, physicians are challenged by diagnostic, investigative, and treatment uncertainties. The Script Concordance Test (SCT) uses authentic clinical scenarios to compare trainee’s judgement skills with those of experts. The purpose of this study was to evaluate the clinical reasoning using a pediatric emergency medicine SCT and to determine if it would be able to differentiate between different levels of residency training, validating it in Mexico. Methods. A SCT containing 58 questions nested in 14 cases was administered to pediatric and senior residents at one academic institution. Fourteen experienced emergency medicine pediatricians were part of a reference panel to establish the basis for the scoring process. Results. Ninety six residents consented to participate. Thirteen residents were fellows of pediatric intensive care medicine or pediatric emergency medicine, and there were 83 pediatric residents. Overall, there was a significant difference in performance across levels of training. The difference between all levels was significant. Conclusions. This pediatric emergency medicine Script Concordance Test was useful to assess the progression of clinical reasoning during residency training in Mexico.

Health impact of research in emergency medicine: moving forward in the field

Williams-Johnson,J; Williams,EW; Dasgupta,S; French,S; Hutson,R; Hart,N; Sammy,I; McDonald,AH
Fonte: West Indian Medical Journal Publicador: West Indian Medical Journal
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2012 EN
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66.22%
This article provides a brief description of the conceptual framework of some specific areas of research carried out either collaboratively or independently in the Emergency Department in an effort to positively impact on health issues in an era of evidence-based medicine. The paper focusses on epidemiological studies of infectious diseases, chronic non-communicable diseases, and a recent update on trauma patterns. Conduction of clinical trials is also highlighted. The role of collaboration in Emergency medicine is also discussed. Research must be developed deliberately to facilitate the primary goal of improved patient care and outcomes. Further recommendations are suggested.