J Emerg Med
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Multicenter Study
Medical Student Perceptions on the Instruction of the Emergency Medicine Oral Case Presentation.
The emergency medicine oral case presentation (EM OCP) is the clinician's communication tool to justify whether urgent intervention is required, to argue for ruling out emergent disease states, and to propose safe disposition plans in the context of triaging patients for medical care and prioritization of resources. The EM OCP provides the representation of the practice of emergency medicine, yet we do not know the current level of effectiveness of its instruction. ⋯ This study identifies a need for additional specific and consistent teaching of the EM OCP to medical students and their preference on how to receive this instruction.
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There is little evidence to guide physicians on management of patients who sustain head injuries while on warfarin. ⋯ The rate of intracranial bleeding in patients on warfarin is considerable. Loss of consciousness is associated with high rates of intracranial bleeding. This study supports a low threshold for ordering CT scans for anticoagulated patients with head injuries.
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Multicenter Study Observational Study
Assessment of Emergency Airway Management Techniques in Korea Using an Online Registration System: A Multicenter Study.
The investigators developed a Web-based online registration system to identify the current status of trauma airway management. ⋯ Emergency physicians in Korea are prepared for trauma patient airway management. The backup by experienced senior physicians, and preparation and training for video laryngoscope could assist FPS for trauma patients.
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Multicenter Study
Identifying Frequent Users of Emergency Department Resources.
There is growing focus on frequent users of acute care resources. If these patients can be identified, interventions can be established to offer more consistent management plans to decrease inappropriate utilization. ⋯ A community-wide identification method resulted in greater numbers of individuals being identified as frequent and super ED users than when utilizing individual hospital data.
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Multicenter Study
Door-to-Balloon Times from Freestanding Emergency Departments Meet ST-Segment Elevation Myocardial Infarction Reperfusion Guidelines.
Freestanding emergency departments (FEDs) introduce a challenge to physicians who care for the patient with an ST-segment elevation myocardial infarction (STEMI) because treatment is highly time dependent. FEDs have no percutaneous coronary intervention (PCI) capabilities, which necessitates transfer to a PCI-capable facility or fibrinolysis. ⋯ STEMI patients initially seen at two FEDs achieved door-to-balloon time goals of < 90 min.