Articles: emergency-medicine.
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Randomized Controlled Trial Multicenter Study
Change in knowledge of midwives and obstetricians following obstetric emergency training: a randomised controlled trial of local hospital, simulation centre and teamwork training.
To explore the effect of obstetric emergency training on knowledge. Furthermore, to assess if acquisition of knowledge is influenced by the training setting or teamwork training. ⋯ Practical, multiprofessional, obstetric emergency training increased midwives' and doctors' knowledge of obstetric emergency management. Furthermore, neither the location of training, in a simulation centre or in local hospitals, nor the inclusion of teamwork training made any significant difference to the acquisition of knowledge in obstetric emergencies.
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Pediatric emergency care · Dec 2007
Multicenter StudyA survey of emergency department management of acute urticaria in children.
To describe emergency department management of acute urticaria in children and to determine factors associated with management strategies and adherence to practice guidelines. ⋯ Minimal awareness and use of existing guidelines, and low concordance with published recommendations exist. Management practices vary and are influenced by training, practice setting, and clinical experience.
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Multicenter Study Comparative Study
International comparison of prehospital trauma care systems.
Given the recent emphasis on developing prehospital trauma care globally, we embarked upon a multicentre study to compare trauma patients' outcome within and between countries with technician-operated advanced life support (ALS) and physician-operated (Doc-ALS) emergency medical service (EMS) systems. These environments represent the continuum of prehospital care in high income countries with more advanced prehospital trauma care systems. ⋯ These findings suggest that prehospital trauma care systems that dispatch a physician to the scene may be associated with lower early trauma fatality rates, but not necessarily with significantly better outcomes on other clinical measures. The reasons for these findings deserve further studies.
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Emerg Med Australas · Jun 2007
Multicenter StudyPractice makes perfect? Evaluation of cricoid pressure task training for use within the algorithm for rapid sequence induction in critical care.
To assess task training in cricoid pressure application suitable for incorporation into the algorithm for rapid sequence induction in acute care. ⋯ The application of cricoid force by critical care staff can be significantly improved by up to 3 min of practice on a simple task trainer.
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Multicenter Study
The effects of examination stress on the performance of emergency medicine residents.
Despite the finding that residents are exposed to significant stressors during their training, little is known about the impact of these stressors on performance. The objectives of this project were to measure the subjective anxiety felt by emergency medicine (EM) residents during in-training examinations, and to determine the effect of this anxiety on their ability to diagnose visual stimuli such as X-rays, photographs and electrocardiographs. ⋯ Emergency medicine residents report higher anxiety during in-training examinations compared with control conditions. Residents at all levels exhibited similar perceptions of anxiety. Junior residents performed better under stress, achieving higher scores during the in-training examination than during the control condition. The performance of more experienced residents was not affected by the stress condition.