Emergency medicine journal : EMJ
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Multicenter Study Observational Study
A novel multipatient intranasal diamorphine spray for use in acute pain in children: pharmacovigilance data from an observational study.
To establish the safety of an intranasal diamorphine (IND) spray in children. ⋯ 2009-014982-16.
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Multicenter Study
An application of the learning curve-cumulative summation test to evaluate training for endotracheal intubation in emergency medicine.
The learning curve-cumulative summation (LC-CUSUM) test allows for quantitative and individual assessments of the learning process. In this study, we evaluated the process of skill acquisition for performing endotracheal intubation (ETI) in three emergency medicine (EM) residents over a 2 year period in their first 2 years of their EM residency. ⋯ By using the LC-CUSUM test, we were able to quantitatively monitor the acquisition of the skill of ETI by EM residents. The LC-CUSUM could be useful for monitoring the learning process for the training of airway management in the practice of EM.
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Multicenter Study
Moral experience and ethical challenges in an emergency department in Pakistan: emergency physicians' perspectives.
Emergency departments (ED) are often stressful environments posing unique ethical challenges-issues that primarily raise moral rather than clinical concerns-in patient care. Despite this, there are very few reports of what emergency physicians find ethically challenging in their everyday work. Emergency medicine (EM) is a relatively young but rapidly growing specialty that is gaining acceptance worldwide. The aim of this study was to explore the perspectives of EM residents and physicians regarding the common ethical challenges they face during patient care in one of only two academic EM departments in Pakistan. These challenges could then be addressed in residents' training and departmental practice guidelines. ⋯ The study highlights the need for developing systematic and contextually appropriate mechanisms for resolving common ethical challenges in the EDs and for training residents in moral problem solving.