Emergency medicine journal : EMJ
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The aim of this study was to determine whether medical students working with the same attending on multiple shifts as opposed to a variety of attendings leads to the performance of more procedures during their emergency medicine (EM) elective. ⋯ Medical students that worked four or more shifts with a single EM attending performed twice as many overall procedures (12.9 vs 6.3) and significantly more invasive procedures than medical students who worked with a variety of attendings during their 4th-year EM elective.
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Comparative Study
Inhaled methoxyflurane and intranasal fentanyl for prehospital management of visceral pain in an Australian ambulance service.
This study analysed the analgesic effect and changes in vital signs associated with administration of inhaled Methoxyflurane (MTX) and/or intranasal Fentanyl (INF) for prehospital management of visceral pain. ⋯ MTX and INF are effective agents for providing visceral pain analgesia in the prehospital setting. While MTX provided a more rapid onset of pain relief, INF provided superior analgesia after subsequent doses and in female, cardiac and older patients.
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A bag-valve mask (BVM) device is used as one of the first-line pieces of equipment in emergency situations. However, cardiopulmonary support providers do not recognise the exact tidal volume during procedures, and squeezing methods of BVM may not deliver the same tidal volume each time. To supply a regular and sustained tidal volume, adequate finger points were marked on the surface of a BVM. ⋯ As the conventional BVM method cannot deliver a regular and sustained tidal volume, the authors invented the VBVM method. This method delivered a volume of 500-600 ml with more stability each time, which can improve the outcome of emergency patients.
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Comparative Study
Infections in crush syndrome: a retrospective observational study after the Wenchuan earthquake.
To investigate the characteristics of infections in the casualties with crush syndrome after the Wenchuan earthquake. ⋯ Infectious complications are common in crush syndrome. In order to improve patient outcomes, vigorous care and strict surveillance are required.