Annals of emergency medicine
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The importance of adequate funding for sustaining research efforts cannot be overemphasized. This article addresses funding strategies for emergency physicians including the necessity of establishing a research track record, developing a well-written grant proposal, and anticipating the grant review process. ⋯ Sources of current grant support information available from the Internet are provided. Recommendations for enhancing research funding in emergency medicine are made, including enhancement of formal research training, promotion of emergency medicine research and investigators, federal study section membership, and collaboration with established investigators.
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To describe the incidence and demographic data of prehospital patients who contact paramedics by way of the 911 system, refuse transport against medical advice (AMA), then call 911 and are subsequently reevaluated by paramedics in the following 48 hours. ⋯ On the basis of our findings, patients over the age of 65 years have a propensity to recontact paramedics and should be aggressively encouraged to seek emergency medical treatment. Future prospective studies should be mounted to examine at patient outcome and to assess why patients sign out AMA after making contact with paramedics.
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The emergency department of the future will require the effective integration of information technologies into clinical care. This article proposes strategies for improving information management in emergency medicine to facilitate patient care, public health surveillance, clinical research, medical education, and health care management. Cordell WH, Overhage JM, Waeckerle JF, for the Information Management Work Group: Strategies for improving information management in emergency medicine to meet clinical, research, and administrative needs.
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The five articles presented in this section were written by representatives of the emergency medicine research community during the "Future of Emergency Medicine Research Conference," March 6 and 7, 1997, in Washington DC. Each presentation was balanced with commentary by two conference participants from outside emergency medicine. The discussion of each presentation was opened to scrutiny and analysis by all the conference participants. ⋯ It is now the responsibility of each individual emergency physician to carefully consider his or her own role and commitment in the process of advancing emergency medicine research. Our collective will as academic departments and the organized emergency medicine community must reaffirm our belief in the importance of emergency medicine research. Individually and collectively, we will need to dedicate the necessary resources to implement the strategies suggested for enhancing emergency medicine research training extramural funding, national organization support, multicenter research, and new research outcomes.
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[Mellick LB: Animal ER: A lesson in patient-focused care. Ann Emerg Med February 1998;31:281-283.].