Emergency medicine journal : EMJ
-
Multicenter Study
The C-MAC videolaryngoscope for prehospital emergency intubation: a prospective, multicentre, observational study.
In this preliminary prospective observational study at four physician-led air rescue centres, the efficacy of the C-MAC (Karl Storz, Tuttlingen, Germany), a new portable videolaryngoscope, was evaluated during prehospital emergency endotracheal intubations. ⋯ The C-MAC videolaryngoscope was suitable for prehospital emergency endotracheal intubations with complicated airway conditions, such as maxillo-facial trauma. The option to perform direct laryngoscopy and videolaryngoscopy with the same device appears to be exceptionally important in the prehospital setting.
-
Multicenter Study
Minor head injury in the Republic of Ireland: evaluation of written information given at discharge from emergency departments.
Most patients presenting to the emergency department with minor head injuries are discharged with written information. Here the quality of minor head injury discharge leaflets in the Republic of Ireland is evaluated against a nationally accepted template. ⋯ No leaflet was available in audio-format or languages other than English. Information provided in minor head injury leaflets should be improved and standardised across Ireland.
-
Randomized Controlled Trial Multicenter Study
Effects of script-based role play in cardiopulmonary resuscitation team training.
The purpose of this study is to compare the cardiopulmonary resuscitation (CPR) team dynamics and performance between a conventional simulation training group and a script-based training group. ⋯ Script-based CPR team training resulted in comparable improvements in team dynamics scores compared with conventional simulation training. Resuscitation scripts may be used as an adjunct for CPR team training.
-
Multicenter Study
Anxiety and depression are unrecognised in emergency patients admitted to the observation care unit.
To assess the sensitivity and specificity of emergency physicians in detecting anxiety and depression in patients requiring admission to the emergency department (ED) observation care unit for complementary investigations/treatment. ⋯ Although patients presenting to the ED often experience anxiety and depression, these symptoms are poorly detected by ED physicians.
-
Multicenter Study
Pain assessments at triage with the Manchester triage system: a prospective observational study.
Pain is one of the six general discriminators of the Manchester triage system (MTS). The frequency of pain assessments conducted at triage with the MTS, and patient, nurse and triage characteristics associated with pain assessments were studied. Also, nurses' reasons for not assessing pain at triage were studied. ⋯ Pain assessments at triage are conducted infrequently because of insufficient education, conducting activities at triage that are not necessary for estimating urgency and a lack of clarity in the MTS guidelines. Changes in these areas are necessary to improve the reliability and validity of pain assessments and the MTS.