European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Comparative Study
Air versus ground transport of patients with acute myocardial infarction: experience in a rural-based helicopter medical service.
Primary prehospital Helicopter Emergency Medical Service (HEMS) interventions may play a role in timely reperfusion therapy for patients with ST-segment elevation myocardial infarction (STEMI). We designed a prospective study involving patients with acute myocardial infarction aimed at the evaluation of the potential benefit of such primary HEMS interventions as compared with classical Emergency Medical Services ground transport. ⋯ Using HEMS in a rural region allows STEMI patients to benefit from appropriate rescue care with delays similar to those seen in urban settings.
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Review
Quality of work life, burnout, and stress in emergency department physicians: a qualitative review.
A 2006 literature review reported that emergency department (ED) physicians showed elevated burnout levels and highlighted several environment and personal issues contributing toward burnout. Research on burnout in EDs is limited. We propose an updated qualitative review on the relationships between work stress, burnout, and quality of work life in ED physicians. ⋯ ED physicians showed moderate to high levels of burnout with difficult work conditions including significant psychological demands, lack of resources, and poor support. Nonetheless, physicians reported high job satisfaction. Further studies should focus on the implementation of measures designed to prevent burnout.
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Letter Case Reports
Ultrasound evaluation of an atypical traumatic rupture of the tunica albuginea.