Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2008
Randomized Controlled TrialDelayed versus immediate urethral catheterization following instillation of local anaesthetic gel in men: a randomized, controlled clinical trial.
The product information for local anaesthetic (lignocaine) gel recommends a delay of 'several minutes' between gel instillation and urethral catheterization in men. However, pilot data indicate that approximately half of physicians omit this delay. We aimed to compare the discomfort of urethral catheterization performed immediately or after a 2 min delay following instillation of local anaesthetic gel. ⋯ A 2 min delay following instillation of local anaesthetic gel before urethral catheterization in men does not decrease the pain of the procedure.
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Emerg Med Australas · Aug 2008
Australasian emergency physicians: A learning and educational needs analysis. Part six: differences in confidence, exposure to learning and expressed learning needs by subgroups of Australasian emergency physicians.
To determine differences in the confidence and learning needs between subgroups of Fellows of the Australasian College for Emergency Medicine (FACEM), according to sex, type of hospital of principal employment, region of practice in Australasia, year of obtaining the fellowship and percentage of hours worked clinically. ⋯ These findings might assist planning CPD for EP.
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Emerg Med Australas · Aug 2008
Australasian emergency physicians: a learning and educational needs analysis. Part five: barriers to CPD experienced by FACEM, and attitudes to the ACEM MOPS programme.
To determine the barriers to continuous professional development (CPD) perceived by Fellows of the Australasian College for Emergency Medicine (FACEM), their opinions on the maintenance of professional standards programme (MOPS), and other aspects of education. ⋯ These findings may assist in facilitating increased participation in CPD by FACEM.
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Emerg Med Australas · Aug 2008
Comparative StudyEffect of a review course on emergency medicine residents' self-confidence.
Several organizations offer review courses designed to guide final-year (postgraduate year five) residents' study for their certification examination. The effect of these courses on residents' confidence is unknown. Self-confidence has been positively linked with examination performance. The present study measures the impact of a review course on fifth-year emergency medicine residents' overall confidence and confidence in their: (i) knowledge and its application; (ii) planned study strategies to master the knowledge/application; and (iii) recognition that mastery of knowledge/application had been achieved. ⋯ A review course increased emergency medicine residents' self-assessed confidence in their knowledge/application, in their study strategies and in their recognition of mastery, beyond the course specifics.
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Emerg Med Australas · Aug 2008
Accuracy of current clinical diagnosis in recreational drug-related attendance to the emergency department.
To determine the accuracy of current clinical diagnosis in recreational drug-related attendances to emergency by blood analysis. ⋯ Clinical diagnosis in recreational drug-related attendances to the ED was correct in most cases. Drugs, such as GHB, were the most accurately diagnosed. Inaccuracy in recognizing other drugs, like amphetamines, opiates and alcohol, occurs where a coingestant produces a more profound clinical picture. Multiple drug ingestion is a common scenario in recreational drug presentations to emergency.