Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Comparative Study
Emergency medicine career change: associations with performances in medical school and in the first postgraduate year and with indebtedness.
Emergency medicine has been identified as the specialty that has gained the most young physicians who have changed their careers. To identify factors that may have contributed to such career changes, the authors compared the characteristics of three groups of physicians trained at their medical school: those who chose and stayed in emergency medicine, those who migrated into emergency medicine from other specialties, and those who moved out of emergency medicine. ⋯ High academic performance and high indebtedness are factors associated with choosing or staying in the specialty of emergency medicine.
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This article reviews the author's experience with a form of interposed abdominal compression cardiopulmonary resuscitation (IAC-CPR) in the United Kingdom. The development of the technique based upon animal resuscitation, including the use of phasic compression (abdominal pumping) for the resuscitation of rats from 30 minutes of cardiac arrest due to hypothermia, is reviewed. ⋯ The technique uses a hard-covered book or bean-shaped board applied to the abdomen below the umbilicus and compressed alternately with cardiac massage while respiration is assisted. Anecdotal clinical results suggests that further controlled clinical investigation is warranted.
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To associate the efficacy of topical anesthesia of a tetracaine-adrenaline-cocaine solution (TAC) with the duration of skin contact. ⋯ TAC is most effective as a topical anesthetic when applied for more than 20 minutes prior to suturing.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of proparacaine and tetracaine eye anesthetics.
To compare two topical eye anesthetics, proparacaine and tetracaine, for pain of instillation and duration of activity. ⋯ Proparacaine eye drops cause less pain than tetracaine eye drops upon instillation. Anesthesia from proparacaine last slightly longer. These properties make proparacaine preferable to tetracaine.
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This case series illustrates the use of a suction catheter to guide the passage of an endotracheal (ET) tube through the glottis, a technique modification which can be used when standard nasotracheal intubation is unsuccessful. The technique is appropriate for patients in whom airway management is urgent, but not emergent. Catheter-assisted nasotracheal intubation is useful when intubation is difficult because of excessive patient resistance to movement of the ET tube within the oropharynx. The clinical use of this technique is described for the following scenarios: overdose with obtundation, multiple trauma with agitation, and respiratory failure from pneumonia and pulmonary edema.